0001493152-23-019159.txt : 20230525 0001493152-23-019159.hdr.sgml : 20230525 20230525215625 ACCESSION NUMBER: 0001493152-23-019159 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230524 FILED AS OF DATE: 20230525 DATE AS OF CHANGE: 20230525 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LEWIS JIM CENTRAL INDEX KEY: 0001260150 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-33203 FILM NUMBER: 23962826 MAIL ADDRESS: STREET 1: 800 POYNTZ AVE CITY: MANHATTAN STATE: KS ZIP: 66502 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 ownership.xml X0407 4 2023-05-24 0 0001141688 LANDMARK BANCORP INC LARK 0001260150 LEWIS JIM 901 SOUTH SECOND DODGE CITY, KS 67801 1 0 0 0 0 Common Stock 2023-05-24 4 P 0 867 20.4074 A 126128 D Common Stock 2023-05-25 4 P 0 1400 20.3608 A 127528 D /s/ Mark A. Herpich, as Attorney-in-Fact for Jim Lewis 2023-05-25