-----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, G2E6WK6vIGwhZ6BEeakturx14AFr0/1uBExmbTEr/kg9F3fxISQKZ/IwFVVhOF2G w+JS5XZ+KeRUMDlcwTtvcA== 0001140361-07-003393.txt : 20070214 0001140361-07-003393.hdr.sgml : 20070214 20070214085517 ACCESSION NUMBER: 0001140361-07-003393 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20070214 DATE AS OF CHANGE: 20070214 GROUP MEMBERS: CHARLOTTE H. STAFFORD FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: STAFFORD ROBERT W CENTRAL INDEX KEY: 0001168438 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: BUSINESS PHONE: 5156633058 MAIL ADDRESS: STREET 1: PO BOX 846 CITY: AMES STATE: IA ZIP: 50010 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: AMES NATIONAL CORP CENTRAL INDEX KEY: 0001132651 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 421039071 STATE OF INCORPORATION: IA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-78166 FILM NUMBER: 07613865 BUSINESS ADDRESS: STREET 1: PO BOX 846 CITY: AMES STATE: IA ZIP: 50010 BUSINESS PHONE: 5152326251 MAIL ADDRESS: STREET 1: PO BOX 846 CITY: AMES STATE: IA ZIP: 50010 SC 13G/A 1 formsc13ga.htm AMES NATIONAL SC13G A 12-31-2006 Ames National SC13G A 12-31-2006


SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549


SCHEDULE 13G


Under the Securities Exchange Act of 1934

(Amendment No. 5)*

AMES NATIONAL CORPORATION
(Name of Issuer)


COMMON STOCK
(Title of Class of Securities)


031001100
(CUSIP Number)


December 31, 2006
(Date of Event Which Requires Filing of this Statement)
 

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

 
o
Rule 13d-1(b)
 
x
Rule 13d-1(c)
 
o
Rule 13d-1(d)

*The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosure provided in a prior cover page.

The information required on the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
 



 
CUSIP No. 031001100
SCHEDULE 13G
Page 2 of 8 Pages

1.
Name of Reporting Person

 
Robert W. Stafford

 
I.R.S. Identification No. of Above Person (entities only)

 
Not Applicable

2.
Check the appropriate box if a member of a group

 
(a)
o
 
(b)
x

3.
SEC Use Only

4.
Citizenship or Place of Organization

 
Iowa

NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH:

5.
Sole Voting Power

 
510,224

6.
Shared Voting Power

 
426,302

7.
Sole Dispositive Power

 
510,224

8.
Shared Dispositive Power

 
426,302
 


Page 3 of 8 Pages

9.
Aggregate Amount Beneficially Owned by Each Reporting Person

 
936,526

10.
Check box if the aggregate amount in Row (9) excludes certain shares
 
 
11.
Percent of Class Represented by Amount in Row 9

 
9.94%

12.
Type of Reporting Person

 
IN



Page 4 of 8 Pages

1.
Name of Reporting Person

 
Charlotte H. Stafford

 
I.R.S. Identification No. of Above Person (entities only)

 
Not Applicable

2.
Check the appropriate box if a member of a group

 
(a)
o
 
(b)
x

3.
SEC Use Only

4.
Citizenship or Place of Organization

 
Texas

NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH:

5.
Sole Voting Power

 
34,140

6.
Shared Voting Power

 
426,302

7.
Sole Dispositive Power

 
34,140

8.
Shared Dispositive Power

 
426,302

9.
Aggregate Amount Beneficially Owned by Each Reporting Person

 
460,442



Page 5 of 8 Pages

10.
Check box if the aggregate amount in Row (9) excludes certain shares
 
 
11.
Percent of Class Represented by Amount in Row 9

 
4.9%

12.
Type of Reporting Person

 
IN



Page 6 of 8 Pages

ITEM 1(a).
NAME OF ISSUER.

 
Ames National Corporation
 
ITEM 1(b).
ADDRESS OF ISSUER’S PRINCIPAL EXECUTIVE OFFICES.

 
P.O. Box 846
 
Ames, IA 50010
 
ITEM 2(a).
NAME OF PERSON FILING.

 
This filing is made on behalf of Robert W. Stafford and Charlotte H. Stafford. Mr. Stafford and Ms. Stafford each disclaim membership in a group. Mr. Stafford disclaims beneficial ownership of the 34,140 shares over which Ms. Stafford has sole voting and dispositive power. Ms. Stafford disclaims beneficial ownership of the 510,224 shares over which Mr. Stafford has sole voting and dispositive power. Mr. Stafford and Ms. Stafford are co-trustees of two trusts with aggregate holdings of 426,302 shares over which Mr. Stafford and Ms. Stafford have shared voting and dispositive power. Mr. Stafford, however, disclaims any pecuniary interest in any of the shares held by the trusts.

ITEM 2(b).
ADDRESS OF THE PRINCIPAL OFFICES OR RESIDENCE:

 
Robert W. Stafford’s business address is P.O. Box 846, Ames, Iowa 50010 and Charlotte H. Stafford’s residence address is 9701 Meyer Forest Drive, Apt. 12202, Houston, Texas 77096-4324.

ITEM 2(c).
CITIZENSHIP.

 
Robert W. Stafford - Iowa
 
Charlotte H. Stafford - Texas

ITEM 2(d).
TITLE OF CLASS OF SECURITIES.

 
Common Stock.
 
ITEM 2(e).
CUSIP NUMBER.
 
 
031001100
 


Page 7 of 8 Pages

ITEM 3.
IF THE STATEMENT IS BEING FILED PURSUANT TO SECTION 240.13d-1(b), CHECK WHETHER THE PERSON FILING IS A:

 
Not Applicable

ITEM 4.
OWNERSHIP.

 
As of December 31, 2006, Robert W. Stafford and Charlotte H. Stafford, collectively, beneficially owned an aggregate of 970,666 shares of the common stock of Ames National Corporation, which represented approximately 10.3 percent of the outstanding shares. Mr. Stafford and Ms. Stafford each disclaim membership in a group, and their individual share ownership and percentages and information regarding the manner in which the shares are beneficially owned are set forth in their respective cover pages. Mr. Stafford disclaims beneficial ownership of the 34,140 shares over which Ms. Stafford has sole voting and dispositive power. Ms. Stafford disclaims beneficial ownership of the 510,224 shares over which Mr. Stafford has sole voting and dispositive power. Mr. Stafford and Ms. Stafford are co-trustees of two trusts with aggregate holdings of 426,302 shares over which Mr. Stafford and Ms. Stafford have shared voting and dispositive power. Mr. Stafford, however, disclaims any pecuniary interest in any of the shares held by the trust.

ITEM 5.
OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS.

 
Not Applicable
 
ITEM 6.
OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON.

 
Not Applicable
 
ITEM 7.
IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY.

 
Not Applicable
 


Page 8 of 8 Pages

ITEM 8.
IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP.

 
Not Applicable
 
ITEM 9.
NOTICE OF DISSOLUTION OF A GROUP.

 
Not Applicable
 
ITEM 10.
CERTIFICATION.

 
By signing below, I certify that, to the best of my knowledge and belief, the securities referred to above were acquired in the ordinary course of business and were not acquired for the purpose of and do not have the effect of changing or influencing the control of the issuer of such securities and were not acquired in connection with or as a participant in any transaction having such purpose or effect.
 
 
SIGNATURE

After reasonable inquiry and to the best of its knowledge and belief, the undersigned certifies that the information set forth in this statement is true, complete and correct.

 
BY:
 
/s/ Robert W. Stafford
 
       
 
Name
Robert W. Stafford
 
       
 
BY:
 
/s/ Charlotte H. Stafford
 
 
Name
Charlotte H. Stafford
 

Date: February 14, 2007



EXHIBIT A

JOINT FILING AGREEMENT
 
Robert W. Stafford and Charlotte H. Stafford agree that the Schedule 13G to which this Joint Filing Agreement is attached, relating to the Common Stock of Ames National Corporation, is filed on behalf of each of them.
 

 
BY:
 
/s/ Robert W. Stafford
 
       
 
Name
Robert W. Stafford
 
         
 
BY:
 
/s/ Charlotte H. Stafford
 
       
 
Name
Charlotte H. Stafford
 

Date: February 14, 2007
 
 

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