-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, FKvAnAd71auMbcyYqC6Z2Z1I+Qdvj2zctIK8VLP5VslGvBhecqgfh/MAwXVbSyRh B7tco25ulMWAiQ+ot1i+rw== 0000913849-04-000071.txt : 20040213 0000913849-04-000071.hdr.sgml : 20040213 20040213130448 ACCESSION NUMBER: 0000913849-04-000071 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20040213 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MIDWEST BANC HOLDINGS INC CENTRAL INDEX KEY: 0001051379 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 363252484 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-55861 FILM NUMBER: 04596728 BUSINESS ADDRESS: STREET 1: 501 W NORTH AVE CITY: MELROSE PARK STATE: IL ZIP: 60160 BUSINESS PHONE: 7088651053 MAIL ADDRESS: STREET 1: 501 WEST NORTH AVENUE CITY: MELROSE PARK STATE: IL ZIP: 60160 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: ROSASCO LEROY CENTRAL INDEX KEY: 0001079863 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 501 WEST NORTH AVENUE CITY: MELROSE PARK STATE: IL ZIP: 60160 BUSINESS PHONE: 7088651053 MAIL ADDRESS: STREET 1: 501 WEST NORTH AVENUE CITY: MELROSE PARK STATE: IL ZIP: 60160 SC 13G 1 f13g_021304.txt SCHEDULE 13G SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 SCHEDULE 13G (Rule 13d-102) INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES 13d-1(b)(c), AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO RULE 13d-2(b) (Amendment No. 7)(1) Midwest Banc Holdings, Inc. - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock - -------------------------------------------------------------------------------- (Title of Class of Securities) 598251106 - -------------------------------------------------------------------------------- (CUSIP Number) December 2003 - -------------------------------------------------------------------------------- (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [_] Rule 13d-1(b) [_] Rule 13d-1(c) [X] Rule 13d-1(d) - ---------- (1) The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). CUSIP No. 598251106 13G Page 2 of 5 Pages ________________________________________________________________________________ 1. NAME OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY) LeRoy Rosasco ________________________________________________________________________________ 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [_] (b) [_] N/A ________________________________________________________________________________ 3. SEC USE ONLY ________________________________________________________________________________ 4. CITIZENSHIP OR PLACE OF ORGANIZATION U.S. Citizen ________________________________________________________________________________ NUMBER OF 5. SOLE VOTING POWER SHARES 1,251,675 _________________________________________________________________ BENEFICIALLY 6. SHARED VOTING POWER OWNED BY 252,000 _________________________________________________________________ EACH 7. SOLE DISPOSITIVE POWER REPORTING 1,251,675 _________________________________________________________________ PERSON 8. SHARED DISPOSITIVE POWER WITH 252,000 ________________________________________________________________________________ 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,503,675 ________________________________________________________________________________ 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [_] N/A ________________________________________________________________________________ 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 8.4% of 17,861,206 shares of Common Stock outstanding as of December 31, 2003. ________________________________________________________________________________ 12. TYPE OF REPORTING PERSON* IN ________________________________________________________________________________ *SEE INSTRUCTIONS BEFORE FILLING OUT! CUSIP No. 598251106 13G Page 3 of 5 Pages Item 1(a). Name of Issuer: Midwest Banc Holdings, Inc. ____________________________________________________________________ Item 1(b). Address of Issuer's Principal Executive Offices: 501 West North Avenue, Melrose Park, IL 60160 ____________________________________________________________________ Item 2(a). Name of Person Filing: LeRoy Rosasco ____________________________________________________________________ Item 2(b). Address of Principal Business Office, or if None, Residence: 1009 Bonnie Brae #3C, River Forest, IL 60305 ____________________________________________________________________ Item 2(c). Citizenship: Mr. Rosasco is a U.S. Citizen ____________________________________________________________________ Item 2(d). Title of Class of Securities: Common Stock ____________________________________________________________________ Item 2(e). CUSIP Number: 598251106 ____________________________________________________________________ Item 3. If This Statement is Filed Pursuant to Rule 13d-1(b), or 13d-2(b) or (c), Check Whether the Person Filing is a: (a) [_] Broker or dealer registered under Section 15 of the Exchange Act. (b) [_] Bank as defined in Section 3(a)(6) of the Exchange Act. (c) [_] Insurance company as defined in Section 3(a)(19) of the Exchange Act. (d) [_] Investment company registered under Section 8 of the Investment Company Act. (e) [_] An investment adviser in accordance with Rule 13d-1(b)(1)(ii)(E); (f) [_] An employee benefit plan or endowment fund in accordance with Rule 13d-1(b)(1)(ii)(F); (g) [_] A parent holding company or control person in accordance with Rule 13d-1(b)(1)(ii)(G); (h) [_] A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act; (i) [_] A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act; (j) [_] Group, in accordance with Rule 13d-1(b)(1)(ii)(J). CUSIP No. 598251106 13G Page 4 of 5 Pages Item 4. Ownership. Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1. (a) Amount beneficially owned: 1,503,675 ______________________________________________________________________ (b) Percent of class: 8.4% ______________________________________________________________________ (c) Number of shares as to which such person has: (i) Sole power to vote or to direct the vote 1,251,675, (ii) Shared power to vote or to direct the vote 252,000, (iii) Sole power to dispose or to direct the disposition of 1,251,675, (iv) Shared power to dispose or to direct the disposition of 252,000 Item 5. Ownership of Five Percent or Less of a Class. N/A If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities check the following [ ]. _______________________________________________________________________ CUSIP No. 598251106 13G Page 5 of 5 Pages Item 6. Ownership of More Than Five Percent on Behalf of Another Person. N/A _______________________________________________________________________ Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company or Control Person. N/A _______________________________________________________________________ Item 8. Identification and Classification of Members of the Group. N/A _______________________________________________________________________ Item 9. Notice of Dissolution of Group. N/A ______________________________________________________________________ Item 10. Certifications. (a) The following certification shall be included if the statement is filed pursuant to Rule 13d-1(b): "By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were acquired and are held in the ordinary course of business and were not acquired and not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having such purpose or effect." (b) The following certification shall be included if the statement is filed pursuant to Rule 13d-1(c): "By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having such purpose or effect." SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. ---------------------------------------- (Date) ---------------------------------------- (Signature) LeRoy Rosasco, Director ---------------------------------------- (Name/Title) Note. Schedules filed in paper format shall include a signed original and five copies of the schedule, including all exhibits. See Rule 13d-7 for other parties for whom copies are to be sent. Attention. Intentional misstatements or omissions of fact constitute federal criminal violations (see 18 U.S.C. 1001). -----END PRIVACY-ENHANCED MESSAGE-----