0001181431-11-039683.txt : 20110705
0001181431-11-039683.hdr.sgml : 20110704
20110705153333
ACCESSION NUMBER: 0001181431-11-039683
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110630
FILED AS OF DATE: 20110705
DATE AS OF CHANGE: 20110705
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Fowler N. Troy
CENTRAL INDEX KEY: 0001475594
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-53813
FILM NUMBER: 11949382
MAIL ADDRESS:
STREET 1: 201 N. FRANKLIN STREET
STREET 2: SUITE 2800
CITY: TAMPA
STATE: FL
ZIP: 33602
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Florida Bank Group, Inc.
CENTRAL INDEX KEY: 0001370914
STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022]
IRS NUMBER: 208732828
STATE OF INCORPORATION: FL
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 201 NORTH FRANKLIN STREET
STREET 2: SUITE 2800
CITY: TAMPA
STATE: FL
ZIP: 33602
BUSINESS PHONE: 813-367-5270
MAIL ADDRESS:
STREET 1: 201 NORTH FRANKLIN STREET
STREET 2: SUITE 2800
CITY: TAMPA
STATE: FL
ZIP: 33602
FORMER COMPANY:
FORMER CONFORMED NAME: FLORIDA BANK GROUP INC
DATE OF NAME CHANGE: 20060731
4
1
rrd296785.xml
FOWLER FORM 4 RS & O 2011
X0303
4
2011-06-30
0
0001370914
Florida Bank Group, Inc.
NONE
0001475594
Fowler N. Troy
201 N. FRANKLIN STREET
SUITE 100
TAMPA
FL
33602
1
0
0
0
Common Stock
57396
D
Series C Convertible Preferred Stock
2011-06-30
4
P
0
15
1000
A
0
D
Series C Convertible Preferred Stock
2011-06-30
4
P
0
6
1000
A
0
D
Common Stock Warrant (right to buy)
.01
2011-06-30
4
J
0
18750
.01
A
2011-06-30
2012-03-31
Common Stock
18750
18750
D
Common Stock Warrant (right to buy)
.01
2011-06-30
4
J
0
7500
.01
A
2011-06-30
2012-03-31
Common Stock
7500
7500
D
Options
16.50
2008-12-31
2016-12-15
Common Stock
7500
7500
D
Options
16.50
2008-12-31
2018-06-01
Common Stock
7500
7500
D
The shares of Preferred Stock are convertible into common stock at the holder's option after December 31, 2011 and are mandatorily convertible in certain events. The stock is convertible at a per share price based upon the Company's tangible common stock book value per share as of the end of the calendar quarter prior to conversion, as calculated in accordance with the Company's Articles of Incorporation, as amended.
One non-transferrable stock purchase warrant for each share of Series C Convertible Preferred Stock purchased, each such warrant exercisable for 1,250 shares of common stock at $.01 per share.
Held Jointly With Spouse
The shares of Preferred Stock are convertible into common stock at the holder's option after December 31, 2011 and are mandatorily convertible in certain events. The stock is convertible at a per share price based upon the Company's tangible common stock book value per share as of the end of the calendar quarter prior to conversion, as calculated in accordance with the Company's Articles of Incorporation, as amended.
One non-transferrable stock purchase warrant for each share of Series C Convertible Preferred Stock purchased, each such warrant exercisable for 1,250 shares of common stock at $.01 per share.
Held Jointly With Spouse
N. Troy Fowler
2011-06-30