FORM 5 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). | |||||||||||||||||
Form 3 Holdings Reported. | |||||||||||||||||
Form 4 Transactions Reported. |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
REPUBLIC BANCORP INC /KY/ [ RBCAA ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Statement for Issuer's Fiscal Year Ended
(Month/Day/Year) 12/31/2011 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | |||||||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||||||
Amount | (A) or (D) | Price | |||||||||||||
Class A Common Stock | 12/06/2011 | G | 13,508 | D | $0 | 278,800 | I | By spouse(1) | |||||||
Class A Common Stock | 3,810,966.706 | I | By Teebank Family Limited Partnership(2) | ||||||||||||
Class A Common Stock | 08/01/2011 | G(4) | 291,588.546 | D | $0 | 107,359.042 | I | By Jaytee Properties Limited Partnership(3) | |||||||
Class A Common Stock | 11/01/2011 | G(4) | 7,125.638 | D | $0 | 100,233.404 | I | By Jaytee Properties Limited Partnership(3) | |||||||
Class A Common Stock | 11/01/2011 | G(5) | 2,137.69 | A | $0 | 102,371.094 | I | By Jaytee Properties Limited Partnership(3) | |||||||
Class A Common Stock | 6,566 | I | By spouse through 401(k) Plan | ||||||||||||
Class A Common Stock | 3,029.49 | I | By spouse through ESOP |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | ||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | |||||||||
Class B Common Stock | (6) | (7) | (8) | Class A Common Stock | 499,676.67 | 499,676.67 | I | By Teebank Family Limited Partnership(2) | ||||||
Class B Common Stock | (6) | 08/01/2011 | G(4) | 65,335.66 | (7) | (8) | Class A Common Stock | 65,335.66 | $0 | 24,055.72 | I | By Jaytee Properties Limited Partnership(3) | ||
Class B Common Stock | (6) | 11/01/2011 | G(4) | 1,596.626 | (7) | (8) | Class A Common Stock | 1,596.626 | $0 | 23,459.094 | I | By Jaytee Properties Limited Partnership(3) | ||
Class B Common Stock | (6) | 11/01/2011 | G(5) | 478.988 | (7) | (8) | Class A Common Stock | 478.988 | $0 | 22,938.082 | I | By Jaytee Properties Limited Partnership(3) | ||
Class B Common Stock | (6) | (7) | (8) | Class A Common Stock | 671,583 | 671,583(9) | I | By spouse | ||||||
Class B Common Stock | (6) | (7) | (8) | Class A Common Stock | 142,764 | 142,764 | D |
Explanation of Responses: |
1. Includes 230 shares distributed to the reporting person's spouse from the Issuer's ESOP. |
2. Teebank Family Limited Partnership ("Teebank") is a family limited partnership of which the Jean S. Trager Trust is a general partner, and Jean S. Trager is a limited partner. The reporting persons are reporting the shares of the family limited partnership only to the extent of their pecuniary interest therein. |
3. Jaytee Properties Limited Partnership ("Jaytee") is a family limited partnership of which the Jean S. Trager Trust is a general partner, and Jean S. Trager is a limited partner. The reporting persons are reporting the shares of the family limited partnership only to the extent of their pecuniary interest therein. |
4. Gifts reported herein consisted of units representing an interest in the assets of Jaytee. |
5. Gifts reported herein were to trusts for the benefit of the reporting person's grandchildren, of which the reporting person's spouse is the trustee. The gifts consisted of units representing an interest in the assets of Jaytee. |
6. Conversion from Class B Common Stock to Class A Common Stock is on a share for share basis. |
7. Immediate. |
8. None. |
9. Does not include 0.5 fractional share of Class B Common Stock previously reported as held by the Issuer's 401(k) plan for the benefit of the reporting person's spouse, which fractional share was removed by the plan administrator in 2011. |
Remarks: |
Jean S. Trager Trust by Jean S. Trager, Co-Trustee | 02/14/2012 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |