0001141688-17-000009.txt : 20171214 0001141688-17-000009.hdr.sgml : 20171214 20171214093814 ACCESSION NUMBER: 0001141688-17-000009 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171212 FILED AS OF DATE: 20171214 DATE AS OF CHANGE: 20171214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sloan Wayne R CENTRAL INDEX KEY: 0001574043 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-33203 FILM NUMBER: 171255275 MAIL ADDRESS: STREET 1: 1044 BRIANNA CT CITY: MANHATTAN STATE: KS ZIP: 66503 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: LANDMARK BANCORP INC CENTRAL INDEX KEY: 0001141688 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 431930755 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 701 POYNTZ AVENUE CITY: MANHATTAN STATE: KS ZIP: 66502 BUSINESS PHONE: 7855652000 MAIL ADDRESS: STREET 1: 701 POYNTZ AVENUE CITY: MANHATTAN STATE: KS ZIP: 66502 FORMER COMPANY: FORMER CONFORMED NAME: LANDMARK MERGER CO DATE OF NAME CHANGE: 20010530 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2017-12-12 0 0001141688 LANDMARK BANCORP INC LARK 0001574043 Sloan Wayne R 1044 BRIANNA CT MANHATTAN KS 66503 1 0 0 0 Common Stock 2017-12-12 4 P 0 700 28.75 A 7682 D As adjusted for the Company's 5% stock dividend in December 2017. Mark A. Herpich, as Attorney-in-Fact for Wayne R Sloan 2017-12-14