SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person*
Trager Kusman Andrew

(Last) (First) (Middle)
601 W MARKET ST

(Street)
LOUISVILLE KY 40202

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
04/24/2019
3. Issuer Name and Ticker or Trading Symbol
REPUBLIC BANCORP INC /KY/ [ RBCAA ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Class A Common Stock 1,212.108 I By Jaytee Properties Limited Partnership(1)
Class A Common Stock 196,752.301 I By Teebank Family Limited Partnership(2)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Class B Common Stock (3) (4) Class A Common Stock 271.595 (5) I By Jaytee Properties Limited Partnership(1)
Class B Common Stock (3) (4) Class A Common Stock 25,797.27 (5) I By Teebank Family Limited Partnership(2)
Employee Stock Option (right to buy) 10/16/2022 10/16/2023 Class A Common Stock 1,000 $44.08 D
Employee Stock Option (right to buy) 10/16/2023 10/16/2024 Class A Common Stock 1,000 $44.08 D
Explanation of Responses:
1. Jaytee Properties Limited Partnership ("Jaytee") is a family limited partnership. The Reporting Person is a Limited Partner of Jaytee.
2. Teebank Family Limited Partnership ("Teebank") is a family limited partnership. The Reporting Person is co-trustee of a trust for the benefit of the Reporting Person and certain of the Reporting Person's immediate family members. The Reporting Person and the trust are Limited Partners of Teebank. The Reporting Person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein.
3. Immediate.
4. None.
5. Class B Common Stock is immediately convertible into Class A Common Stock on a one share for one share basis.
/s/ Andrew Trager-Kusman 05/01/2019
** 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 5 (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.