0001493152-23-020053.txt : 20230602
0001493152-23-020053.hdr.sgml : 20230602
20230602214728
ACCESSION NUMBER: 0001493152-23-020053
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230601
FILED AS OF DATE: 20230602
DATE AS OF CHANGE: 20230602
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: 23991087
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
2023-06-01
0
0001141688
LANDMARK BANCORP INC
LARK
0001260150
LEWIS JIM
901 SOUTH SECOND
DODGE CITY,
KS
67801
1
0
0
0
0
Common Stock
2023-06-01
4
P
0
133
20.7899
A
127795
D
/s/ Mark A. Herpich, as Attorney-in-Fact for Jim Lewis
2023-06-02