-----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, ATamERBKvX5dNrnKwi5FPkz6FDbMDcJftNXaOJ9sSEitMwhBxjyDb67BPTX1lswB 7ETsujS2UBAj362iGC619A== 0000950137-05-001689.txt : 20050214 0000950137-05-001689.hdr.sgml : 20050214 20050214150423 ACCESSION NUMBER: 0000950137-05-001689 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20050214 DATE AS OF CHANGE: 20050214 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: EXCHANGE NATIONAL BANCSHARES INC CENTRAL INDEX KEY: 0000893847 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 431626350 STATE OF INCORPORATION: MO FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-49021 FILM NUMBER: 05608591 BUSINESS ADDRESS: STREET 1: 132 EAST HIGH STREET CITY: JEFFERSON CITY STATE: MO ZIP: 65101 BUSINESS PHONE: (573)761-6100 MAIL ADDRESS: STREET 1: P.O. BOX 688 CITY: JEFFERSON CITY STATE: MO ZIP: 65102 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: EXCHANGE NATIONAL BANK OF JEFFERSON CITY CENTRAL INDEX KEY: 0000939206 IRS NUMBER: 431626351 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 132 EAST HIGH STREET CITY: JEFFERSON CITY STATE: MO ZIP: 65101 BUSINESS PHONE: 5737616100 MAIL ADDRESS: STREET 1: 132 EAST HIGH STREET CITY: JEFFERSON CITY STATE: MO ZIP: 65101 SC 13G/A 1 c92175csc13gza.txt AMENDMENT TO SCHEDULE 13G Schedule 13G Page 1 of 8 - ------------------------------------------------------------------------------ SEC 1745 POTENTIAL PERSONS WHO ARE TO RESPOND TO THE COLLECTION OF INFORMATION (02-02) CONTAINED IN THIS FORM ARE NOT REQUIRED TO RESPOND UNLESS THE FORM DISPLAYS A CURRENTLY VALID OMB CONTROL NUMBER. - ------------------------------------------------------------------------------ OMB APPROVAL OMB Number: 3235-0145 Expires: December 31, 2005 Estimated average burden hours per response... 11 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G UNDER THE SECURITIES EXCHANGE ACT OF 1934 (AMENDMENT NO. 5)* EXCHANGE NATIONAL BANCSHARES, INC. - -------------------------------------------------------------------------------- (Name of Issuer) COMMON STOCK - $1.00 PAR VALUE - -------------------------------------------------------------------------------- (Title of Class of Securities) 301309100 - -------------------------------------------------------------------------------- (CUSIP Number) - -------------------------------------------------------------------------------- (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 l3d-1(c) [ ] 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). http://www.sec.gov/divisions/corpfin/forms/13g.htm 1/26/2005 Schedule 13G Page 2 of 8 CUSIP No. 301309100 - -------------------------------------------------------------------------------- 1. Names of Reporting Persons. I.R.S. Identification Nos. of above persons (entities only). THE EXCHANGE NATIONAL BANK OF JEFFERSON CITY, MO 43 1626351 - -------------------------------------------------------------------------------- 2. Check the Appropriate Box if a Member of a Group (See Instructions) (a) NOT APPLICABLE (b) NOT APPLICABLE - -------------------------------------------------------------------------------- 3. SEC Use Only - -------------------------------------------------------------------------------- 4. Citizenship or Place of Organization - -------------------------------------------------------------------------------- Number of 5. Sole Voting Power 368,808 Shareso ------------------------------------------------------------------- Beneficially 6. Shared Voting Power 5,000 Owned by ------------------------------------------------------------------- Each 7. Sole Dispositive Power 363,771 Reporting ------------------------------------------------------------------- Person With 8. Shared Dispositive Power 23,105 - -------------------------------------------------------------------------------- 9. Aggregate Amount Beneficially Owned by Each Reporting Person 391,913 - -------------------------------------------------------------------------------- 10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions) N/A - -------------------------------------------------------------------------------- 11. Percent of Class Represented by Amount in Row (9) 9.4% - -------------------------------------------------------------------------------- 12. Type of Reporting Person (See Instructions) - -------------------------------------------------------------------------------- BK - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- http://www.sec.gov/divisions/corpfin/forms/13g.htm 1/26/2005 Page 3 of 8 Pages ITEM 1: (a) Name of Issuer: Exchange National Bancshares, Inc. (b) Address of Issuer's Principal Executive Offices: 132 East High Street Jefferson City, Missouri 65101 ITEM 2: (a) Name of Person Filing: This Schedule 13G is filed by the Exchange National Bank of Jefferson City (the "Bank"). (b) Address of Principal Business Office or, if none, Residence: The business address for the Bank is 132 East High Street, Jefferson City, Missouri 65101. (c) Citizenship: The Bank is a national banking association organized under the laws of the United States. (d) Title of Class of Securities: Common stock, par value $1.00 per share. (e) CUSIP No.: 301309 10 0 ITEM 3: If this statement is filed pursuant to Rules 13d-1 (b), or 13d-2 (b), check whether the person filing is a: (a) (X) Bank as defined in Section 3 (a) (6) of the Act. Income Security Act ITEM 4: Ownership (as of December 31, 2004) (a) Amount beneficially owned: 391,913 shares. (b) Percent of class: The shares identified in paragraph (a) above as being beneficially owned by the Bank represent 9.4% of the 4,169,847 shares outstanding on December 31, 2004. (c) Number of shares of which such person has: (I) sole power to vote or to direct the vote: 368,808 shares. Page 4 of 8 Pages (ii) shared power to vote or to direct the vote: 5,000 shares. (iii) sole power to dispose or to direct the disposition of: 363,771 shares. (iv) shared power to dispose or to direct the disposition of: 23,105 shares. ITEM 5: Ownership of Five Percent or Less of a Class. Not applicable. ITEM 6: Ownership of More than Five Percent on Behalf of Another Person. Of the shares reported in this Schedule 13G, the 391,913 shares reported in this Schedule 13G are held by the Bank as trustee or co-trustee, personal representative or administrator under various individual trusts and estates that exist for the benefit of the respective beneficiaries identified by the applicable trust or estate documentation, as to which shares the Bank has sole voting power as to 368,808 shares, shared voting power as to 5,000 shares, sole investment power as to 363,771 shares, and shared investment power as to 23,105 shares. 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. Page 5 of 8 Pages ITEM 10: Certification. By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were acquired in the ordinary course of business and were not acquired for the purpose of and do not have the effect of changing or influencing the control of the issuer of such securities and were not acquired 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. Dated: February 11, 2005 EXCHANGE NATIONAL BANK OF JEFFERSON CITY By The Exchange National Bank of Jefferson City BY: /s/ Sam S. Phillips --------------------------------------- Sam S. Phillips Vice President & Trust Officer Page 6 of 8 Pages INFO FOR SCHEDULE 13G (AS OF 12/31/04) SECURITIES AND EXCHANGE COMMISSION Exchange National Bancshares Held By Bank as Sole Trustee, Sole Personal Representative or Sole Administrator and may be voted per Stinson, Mag & Fizzell (Howard H. Mick) letter dated 5/30/97.
SHARES TRUST ACCOUNT - ------- -------------------------- 759 Robert E. Chiles Trust 1,000 Rosanna Vilm Trust 4,000 Frank Railton Trust A 22,371 Frank Railton Trust B 116,730 Frank Railton Trust C 9,609 Cletus Kolb Residuary 21,500 Lucile Zuendt Trust 16,425 Mae Floreine Ochsner Trust 9,000 Margaret Railton Trust 30,000 Russell & Betty Holt Trust 4,500 Opal Steiner Estate - ------- 235,894 TOTAL
Exchange National Bancshares held by Bank Trust Department which are voted by Authorization of the Trust Agreement. Bank has Dispositive powers.
SHARES TRUST ACCOUNT ------- ---------------------------------- 7,500 Alice M. Dulle Trust Sole Vote & Sole 2,240 Joseph J. Mayer Education Trust Disposition 720 Mildred B. Rich Trust 99,070 Dorothy Ossman Q-tip Trust 14,000 Dorothy Ossman Reverse Q-tip Trust 4,347 Lois Brooks Davis Trust ------- 127,877 TOTAL
Page 7 of 8 Pages Exchange National Bancshares held by Bank as Trustee for Individual Retirement Trust Accounts with shares voted by Grantor of Trust as Authorized by Trust Agreement. Bank does not have dispositive powers
SHARES TRUST ACCOUNT ------- -------------------------------- 6,300 Herbert Logan IRA 5,655 Loretta Schubert IRA 3,067 Gerald W. Abbott IRA 21,750 Hugh A. Hutinger IRA 900 Shirley A. Hutinger IRA No Vote and No 7,365 Shirley L. Murphy IRA Disposition 38,952 James R. Loyd IRA 10,104 Carolyn LePage IRA 30 Eileen A. Cremer IRA 318 James L. Vossen IRA 6,481 Lois Garnett IRA 1,312 Michelle Tellman IRA 32,806 Charles G. Dudenhoeffer, Jr. IRA 9,273 Gerald A. Colvin IRA 1,846 Kathleen Bruegenhemke IRA ------- 146,159 TOTAL
Exchange National Bancshares held by Trust Department with Co-Trustee
SHARES TRUST ACCOUNT ------ ---------------------------------------------- No vote - Shares not held solely by Bank: Co - 5,550 Vic P. Agee Trust Trustee Votes. Shared Disposition 12,555 John C. Scruggs Trust u/w FBO Helen E. Scruggs ------ 18,105 TOTAL
Exchange National Bancshares held by Trust Department with sole disposition and no voting powers Page 8 of 8 Pages
SHARES TRUST ACCOUNT ------ -------------------------------------- Shared vote & Shared Disposition 5,000 Hugo Bernel Ochsner Trust u/a 11/17/92
SHARES TRUST ACCOUNT ------ ------------------------------------------------ No Vote & No Disposition 984 Riverview Cemetery Association Trust (No voting - No Dispositive)
Exchange National Bancshares held by Trust Department which can be voted but no dispositive power. Trust Agreement states that stock is to be held. No power to vote. Will vote per Howard Mick letter dated 5/30/97
SHARES TRUST ACCOUNT ------ --------------------------- Sole Vote & No Disposition 5,037 Trust u/w Celeste P. Thomas
Exchange National Bancshares held by Trust Department with sole disposition and no voting powers -----END PRIVACY-ENHANCED MESSAGE-----