-----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, VY64WPalMNhsTK2IV6ji+bWnf2RhWu4P/9p4gOB5AMCXDNYp2XaNEhzFJcR1/lxn vouSUEWqpGtPa7lymrk02Q== 0000904280-99-000073.txt : 19990215 0000904280-99-000073.hdr.sgml : 19990215 ACCESSION NUMBER: 0000904280-99-000073 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19990212 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: GLEN BURNIE BANCORP CENTRAL INDEX KEY: 0000890066 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 521782444 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-51919 FILM NUMBER: 99537526 BUSINESS ADDRESS: STREET 1: 101 CRAIN HIGHWAY SE CITY: GLEN BURNIE STATE: MD ZIP: 21061 BUSINESS PHONE: 4107663300 MAIL ADDRESS: STREET 1: 101 CRAIN HWY SE CITY: GLEN BURNIE STATE: MD ZIP: 21061 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: NEPA EUGENE P CENTRAL INDEX KEY: 0001079058 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 101 CRAIN HIGHWAY SE CITY: GLEN BURNIE STATE: MD ZIP: 21061 BUSINESS PHONE: 4107663300 MAIL ADDRESS: STREET 1: 101 CRAIN HIGHWAY SE CITY: GLEN BURNIE STATE: MD ZIP: 21061 SC 13G 1 SCHEDULE 13G FOR 1999 SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 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 13d-2(b) (Amendment No. __) * GLEN BURNIE BANCORP -------------------------------------------------- (Name of Issuer) COMMON STOCK, PAR VALUE $10.00 PER SHARE -------------------------------------------------- (Title of Class of Securities) 377407 10 1 -------------------- (CUSIP Number) N/A ----------------------------------------------------- (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) * 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 ("Act") 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). Page 1 of 6 pages CUSIP No. 377407 10 1 13G Page 2 of 6 Pages 1. NAME OF REPORTING PERSONS: EUGENE P. NEPA 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP: (a) [ ] (b) [ ] 3. SEC USE ONLY 4. CITIZENSHIP OR PLACE OF ORGANIZATION: UNITED STATES OF AMERICA NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH: 5. SOLE VOTING POWER: 72,857 6. SHARED VOTING POWER: 0 7. SOLE DISPOSITIVE POWER: 72,857 8. SHARED DISPOSITIVE POWER: 0 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON: 72,857 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW 11 EXCLUDES CERTAIN SHARES: [ ] 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9: 8.1% 12. TYPE OF REPORTING PERSON: IN CUSIP No. 377407 10 1 13G Page 3 of 6 Pages 1. NAMES OF REPORTING PERSONS: EUGENE P. NEPA REVOCABLE TRUST 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP: (a) [ ] (b) [ ] 3. SEC USE ONLY 4. CITIZENSHIP OR PLACE OF ORGANIZATION: STATE OF MARYLAND NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH: 5. SOLE VOTING POWER: 0 6. SHARED VOTING POWER: 64,832 7. SOLE DISPOSITIVE POWER: 0 8. SHARED DISPOSITIVE POWER: 64,832 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON: 64,832 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW 11 EXCLUDES CERTAIN SHARES: [ ] 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9: 7.2% 12. TYPE OF REPORTING PERSON: OO Page 4 of 6 Pages ITEM 1(a) NAME OF ISSUER: Glen Burnie Bancorp (b) ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES: 101 Crain Highway, S.E., Glen Burnie, Maryland 21061 ITEM 2(a) NAMES OF PERSONS FILING: Eugene P. Nepa and Eugene P. Nepa Revocable Trust (b) ADDRESS OF PRINCIPAL BUSINESS OFFICE, OR IF NONE, RESIDENCE: 101 Crain Highway, S.E., Glen Burnie, Maryland 21061 (c) CITIZENSHIP: See Row 4 of the second part of the cover page for each Reporting Person. (d) TITLE OF CLASS OF SECURITIES: Common Stock, par value $10.00 per share (e) CUSIP NUMBER: 377407 10 1 ITEM 3 IF THIS STATEMENT IS FILED UNDER RULE 13d-1(b) OR RULE 13d-2(b), CHECK WHETHER THE PERSON FILING IS A: Not Applicable since this statement is being filed under Rule 13d-1(d). ITEM 4(a) AMOUNT BENEFICIALLY OWNED: See Row 9 of the second part of the cover page for each Reporting Person. (b) PERCENT OF CLASS: See Row 11 of the second part of the cover page for each Reporting Person. (c) NUMBER OF SHARES AS TO WHICH SUCH PERSON HAS: See Rows 5, 6, 7 and 8 of the second part of the cover page for each Reporting Person. ITEM 5 OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS: If 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: [ ] ITEM 6 OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON: Not Applicable ITEM 7 IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY: Not Applicable ITEM 8 IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP: Not Applicable ITEM 9 NOTICE OF DISSOLUTION OF GROUP: Not Applicable ITEM 10 CERTIFICATION: Not Applicable since statement is being filed under Rule 13d-1(d). Page 5 of 6 Pages 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. /s/Eugene P. Nepa February 12, 1999 - -------------------------- ------------------ Eugene P. Nepa Date /s/Eugene P. Nepa February 12, 1999 - -------------------------- ------------------ Eugene P. Nepa, as trustee Date for the Eugene P. Nepa Revocable Trust Page 6 of 6 Exhibit A - --------- AGREEMENT RELATING TO FILING OF JOINT STATEMENT PURSUANT TO RULE 13d-1(k) UNDER THE SECURITIES EXCHANGE ACT OF 1934 The Undersigned agree that the Statement on Schedule 13G to which this Agreement is attached is filed on behalf of each of them. Date: February 12, 1999 By: /s/Eugene P. Nepa _________________________ Eugene P. Nepa By: /s/Eugene P. Nepa _________________________ Eugene P. Nepa, as trustee for the Eugene P. Nepa Revocable Trust -----END PRIVACY-ENHANCED MESSAGE-----