-----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, MoRWIjO37kaJwunmtioNrHLwv0C4ulFinJQ7qIW2q0HTyhpppv3Nd0vvCU2r5mTx /m/HOaVVfpz+uW1yJO9BZw== 0001185938-04-000003.txt : 20040920 0001185938-04-000003.hdr.sgml : 20040920 20040920145300 ACCESSION NUMBER: 0001185938-04-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040920 FILED AS OF DATE: 20040920 DATE AS OF CHANGE: 20040920 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCHULZE DAVID W CENTRAL INDEX KEY: 0001185938 STATE OF INCORPORATION: CA FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-30707 FILM NUMBER: 041037397 BUSINESS ADDRESS: STREET 1: P O BOX 547 CITY: DIXON STATE: CA ZIP: 95620 BUSINESS PHONE: 707 678 3041 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FIRST NORTHERN COMMUNITY BANCORP CENTRAL INDEX KEY: 0001114927 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035] IRS NUMBER: 680450397 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 195 N FIRST STREET CITY: DIXON STATE: CA ZIP: 95620 BUSINESS PHONE: 7076784422 MAIL ADDRESS: STREET 1: 195 N FIRST STREET CITY: DIXON STATE: CA ZIP: 95620 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2004-09-20 0001114927 FIRST NORTHERN COMMUNITY BANCORP FNRN 0001185938 SCHULZE DAVID W P.O. BOX 547 195 N. FIRST STREET DIXON CA 95620 1 0 0 0 Common Stock 2004-09-20 4 W 0 5911 26.50 A 80837 D Inheritance of 5,911 shares from parents Robert C. Schulze and Barbara Schulze TR UA 3/18/94 The Schulze Family Trust. Lynn Campbell, AVP/Corporate Secretary w/POA 2004-09-20 -----END PRIVACY-ENHANCED MESSAGE-----