0000894309-05-000002.txt : 20120628
0000894309-05-000002.hdr.sgml : 20120628
20050304114754
ACCESSION NUMBER: 0000894309-05-000002
CONFORMED SUBMISSION TYPE: SC 13G
PUBLIC DOCUMENT COUNT: 1
FILED AS OF DATE: 20050304
SUBJECT COMPANY:
COMPANY DATA:
COMPANY CONFORMED NAME: SECURITY NATIONAL BANK OF SIOUX CITY IOWA /IA/
CENTRAL INDEX KEY: 0000894309
IRS NUMBER: 420943319
STATE OF INCORPORATION: IA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: SC 13G
SEC ACT: 1934 Act
SEC FILE NUMBER: 005-80591
FILM NUMBER: 05660301
BUSINESS ADDRESS:
STREET 1: P O BOX 147
STREET 2: SIXTH & PIERCE STREET
CITY: SIOUX CITY
STATE: IA
ZIP: 51102
BUSINESS PHONE: 7122776749
MAIL ADDRESS:
STREET 1: PO BOX 147
STREET 2: SIXTH & PIERCE STREET
CITY: SIOUX CITY
STATE: IA
ZIP: 51102
FILED BY:
COMPANY DATA:
COMPANY CONFORMED NAME: SECURITY NATIONAL BANK OF SIOUX CITY IOWA /IA/
CENTRAL INDEX KEY: 0000894309
IRS NUMBER: 420943319
STATE OF INCORPORATION: IA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: SC 13G
BUSINESS ADDRESS:
STREET 1: P O BOX 147
STREET 2: SIXTH & PIERCE STREET
CITY: SIOUX CITY
STATE: IA
ZIP: 51102
BUSINESS PHONE: 7122776749
MAIL ADDRESS:
STREET 1: PO BOX 147
STREET 2: SIXTH & PIERCE STREET
CITY: SIOUX CITY
STATE: IA
ZIP: 51102
SC 13G
1
fmid13g.txt
U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
First Midwest Financial Inc.
------------------------------------------------
(Name of Issuer)
Common Stock
------------------------------------------------
(Title of Class of Securities)
320878101
------------------------------------------------
(CUSIP Number)
December 31, 2004
-----------------------------------------------------------
(Date of Event Which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this
Schedule is filed:
[X] Rule 13d-1(b)
[ ] Rule 13d-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 disclosures provided in a prior cover page.
The information required on 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).
CUSIP No. 320878101
-----------------------------------------------------------------------------
1) Names of Reporting Persons
I.R.S. Identification Nos. Of Above Persons (Entities Only)
First Midwest Financial Inc Employee Stock Ownership Plan 39-2047375
The Security National Bank of Sioux City IA 42-0943319
-----------------------------------------------------------------------------
2) Check The Appropriate Box If a Member of a Group (See Instructions)
(A) [ ]
(B) [x]
-----------------------------------------------------------------------------
3) SEC Use Only
-----------------------------------------------------------------------------
4) Citizenship or Place of Organization
State of Iowa
-----------------------------------------------------------------------------
Number of Shares Beneficially Owned by Each Reporting Person With:
5) Sole Voting Power
0
-----------------------------------------------
6) Shared Voting Power
273,523
-----------------------------------------------
7) Sole Dispositive Power
273,523
-----------------------------------------------
8) Shared Dispositive Power
0
-----------------------------------------------------------------------------
9) Aggregate Amount Beneficially Owned by Each Reporting Person
273,523
-----------------------------------------------------------------------------
10) Check If the Aggregate Amount in Row (9) Excludes Certain Shares
(See Instructions)
[ ]
-----------------------------------------------------------------------------
11) Percent of Class Represented by Amount in Row (9)
11.0%
-----------------------------------------------------------------------------
12) Type of Reporting Person (See Instructions)
EP BK
2
Item 1. (a) Name of Issuer:
First Midwest Financial, Inc
(b) Address of Issuer's Principal Executive Offices:
Fifth at Erie, Storm Lake IA 50588
--------------------------------------------------------------------------------
Item 2. (a) - (b) NAME OF PERSON FILING; ADDRESS OF PRINCIPAL BUSINESS OFFICE
OR, IF NONE, RESIDENCE;
First Midwest Financial Inc Employee Stock Ownership
c/o The Security Natioanal Bank of Sioux City IA
601 Pierce Street
Sioux City IA 51101
(c) State of Iowa
(d) Title of Class of Securities
Common Stock
(e) CUSIP Number:
320878101
--------------------------------------------------------------------------------
Item 3. If this statement is being filed pursuant to Rule 13d-1(b) or (c), or
13d-2(b), check whether the person filing is:
(a) [ ] Broker or dealer registered under Section 15 of the Act
(b) [ ] Bank as defined in section 3(a)(6) of the Act
(c) [ ] Insurance company as defined in section 3(a)(19) of the Act
(d) [ ] Investment company registered under section 8 of the Investment
Company Act of 1940
(e) [ ] An investment adviser in accordance with Rule 13d-1(b)(1)(ii)(E)
(f) [x] An employee benefit plan or endowment fund in accordance with Rule
13d-1(b)(1)(ii)(F)
(g) [ ] A parent holding company or control person in accordance with Rule
13d-1(b)(ii)(G)
(h) [ ] A savings association as defined in Section 3(b) of the Federal
Deposit Insurance Act
(i) [ ] A church plan that is excluded from the definition of an
investment company under Section 3(c)(14) of the Investment
Company Act of 1940
(j) [ ] Group, in accordance with 13d-1(b)(1)(ii)(J)
--------------------------------------------------------------------------------
3
Item 4. Ownership:
(a) Amount Beneficially Owned: 273,523
(b) Percent of Class: 11.0%
(c) Number of Shares as to which such person has:
(i) Sole power to vote or direct the vote: 0
(ii) Shared power to vote or direct the vote: 273,523
(iii) Sole power to dispose or direct the disposition of: 273,523
(iv) Shared power to dispose or direct the disposition of: 0
--------------------------------------------------------------------------------
Item 5. Ownership of Five Percent or Less of a Class:
If this 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
--------------------------------------------------------------------------------
4
Item 10. Certification
By signing below I certify that, to the best of my knowledge and belief,
the securities referred to above were acquired and are held in the ordinary
course of business and were not acquired and are not held for the purpose of or
with the effect of changing or influencing the control of the issuer of the
securities and were not acquired and are not held in connection with or as a
participant in any transaction having that purpose or effect.
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.
The Security National Bank of Sioux City IA
By: /s/ Cindy J. Schubert
-------------------------------
Name: Cindy J. Schubert
Title: Trust Operations Officer
Date: February 11, 2005
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