-----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, CaiJW60my9vDfDbnfAJ5kI31QO7zwWEOXAN1WLDDGhwzNfOhYIQFvfYnBf/KFTSB D6yd22yFtq76zdhwkf+O1w== 0000943064-01-500014.txt : 20020413 0000943064-01-500014.hdr.sgml : 20020413 ACCESSION NUMBER: 0000943064-01-500014 CONFORMED SUBMISSION TYPE: SC 13D/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20011217 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: GREAT AMERICAN BANCORP INC CENTRAL INDEX KEY: 0000943064 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035] IRS NUMBER: 521923366 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-47635 FILM NUMBER: 1815829 BUSINESS ADDRESS: STREET 1: 1311 SOUTH NEIL ST STREET 2: PO BOX 1010 CITY: CHAMPAIGN STATE: IL ZIP: 61824-1010 BUSINESS PHONE: 2173562265 MAIL ADDRESS: STREET 1: 1311 SOUTH NEIL ST CITY: CHAMPAIGN STATE: IL ZIP: 61824 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: ROUSE GEORGE R CENTRAL INDEX KEY: 0001079897 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13D/A BUSINESS ADDRESS: STREET 1: PO BOX 1010 STREET 2: 1311 S NEIL CITY: CHAMPAIGN STATE: IL ZIP: 61820 BUSINESS PHONE: 2173562265 MAIL ADDRESS: STREET 1: POST OFFICE BOX 1010 STREET 2: 1311 S NEIL CITY: CHAMPAIGN STATE: IL ZIP: 61824-1010 SC 13D/A 1 grr13d4.txt GEORGE R. ROUSE SCHEDULE 13D-AMENDMENT #4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13D Under the Securities Exchange Act of 1934 (Amendment No. 4) Great American Bancorp, Inc. - ----------------------------------------------------------------- (Name of Issuer) Common, Stock Value - $0.01 Par Value - ----------------------------------------------------------------- (Title of Class of Securities) 38982K107 - ----------------------------------------------------------------- (CUSIP Number) George R. Rouse 1311 S. Neil Champaign, IL 61820 (217) 356-2265 - ----------------------------------------------------------------- (Name, Address and Telephone Number of Persons Authorized to Receive Notices and Communications) November 30, 2001 ------------------------------------------------------- (Date of Event which Requires Filing of This Statement) If the filing person has previously filed a statement on Schedule 13G to report the acquisition which is the subject of the Schedule 13D, and is filing this schedule because of Rule 13d-1(b)(3) or (4), check the following box [ ] (Page 1 of 4 Pages CUSIP No. 38982K107 1. NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON George R. Rouse 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP(a) [ ] (b) [ ] 3. SEC USE ONLY 4. SOURCE OF FUNDS PF 5. CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS [ ] REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) 6. CITIZENSHIP OR PLACE OF ORGANIZATION United States 7. SOLE VOTING POWER 104,990 shares 8. SHARED VOTING POWER 200 shares 9. SOLE DISPOSITIVE POWER 104,990 shares 10. SHARED DISPOSITIVE POWER 200 shares 11. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 105,190 shares 12. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) [ ] EXCLUDES CERTAIN SHARES 13. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 11.45% 14. TYPE OF REPORTING PERSON IN The purpose of this Amendment No. 4 to the previously filed Schedule 13D is to report additional shares acquired by Mr. George R. Rouse (the "Reporting Person") and to report that the ownership of the Reporting Person in the common stock of Great American Bancorp, Inc. (the "Company") has increased from 10.21% to 11.45% of the common shares outstanding. The Reporting Person's ownership percentage has increased due to the Company's repurchase of its common stock which reduced the Company's outstanding common shares. The Reporting Person is President and Chief Executive Officer of the Company. Item 1. Security and Issuer. No change. Item 2. Identity and Background. No change. Item 3. Source and Amount of Funds or Other Consideration. As of the date hereof, the Reporting Person is deemed to beneficially own 105,190 shares, including 9,775 shares purchased from the Company in an initial public offering pursuant to a stock subscription and held in an Individual Retirement Account, 25,960 shares purchased in open market transactions held in an Individual Retirement Account, 17,936 shares beneficially owned by the Reporting Person held by the trustee pursuant to the First Federal Savings Bank Employee Stock Ownership Plan ("ESOP"), 200 shares held jointly by the Reporting Person's spouse and children and 51,319 additional shares representing shares underlying options granted under the 1995 Great American Bancorp, Inc. Incentive Plan ("Incentive Plan") that are currently exercisable or exercisable within 60 days. The amount of consideration ($439,316) used to acquire the total 35,935 of purchased shares was derived from personal funds of the Reporting Person. The Reporting Person has not acquired or disposed of any of the Company's common shares since the most recent filing on Schedule 13D. Item 4. Purpose of Transaction. No change. Item 5. Interest in Securities of Issuer (a) The Reporting Person beneficially owns 105,190 shares, representing 11.45% of the total of outstanding shares of the Company as of November 30, 2001 of 867,167 plus 51,319 shares underlying stock options granted to the Reporting Person under the Incentive Plan which are currently exercisable or exercisable within 60 days. (b) The Reporting Person has the sole power to vote and to dispose of the shares referred to in Item 5(a). (c) Except as reported in Item 3 hereof, there has been no transaction in the Common Stock of the Company effected during the past sixty (60) days by the Reporting Person. (d) With the exception of the trustee for the Employee Stock Ownership Plan Trust, which has certain powers with respect to stock held in trust as provided by the trust agreement and plan document, no other person is known to have the right to receive or the power to direct the receipt of dividends from, or the proceeds from the sale of, the securities referred in Item 5(a). (e) Not applicable. Item 6. Contracts, Arrangements, Understandings or Relationships with Respect to Securities of the Issuer. No change. Item 7. Material to be Filed as Exhibits The Company's 1995 Incentive Plan disclosed in Item 6 is incorporated by reference into this document from the Company's Registration Statement on Form S-8 filed with the SEC on May 23, 1996 file number 333- 04491. SIGNATURES 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. December 17, 2001 /s/ George R. Rouse - ------------------------- -------------------------------- Date Signature George R. Rouse ---------------------------------- Name/Title (Page 4 of 4 Pages) -----END PRIVACY-ENHANCED MESSAGE-----