0001493152-23-020579.txt : 20230608
0001493152-23-020579.hdr.sgml : 20230608
20230608164024
ACCESSION NUMBER: 0001493152-23-020579
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230606
FILED AS OF DATE: 20230608
DATE AS OF CHANGE: 20230608
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: 231002520
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
2023-06-06
0
0001141688
LANDMARK BANCORP INC
LARK
0001260150
LEWIS JIM
901 SOUTH SECOND
DODGE CITY,
KS
67801
1
0
0
0
0
Common Stock
2023-06-06
4
P
0
228
21.4992
A
128023
D
Common Stock
2023-06-07
4
P
0
267
21.7923
A
128290
D
/s/ Mark A. Herpich, as Attorney-in-Fact for Jim Lewis
2023-06-08