0001179110-18-012464.txt : 20181102
0001179110-18-012464.hdr.sgml : 20181102
20181102114642
ACCESSION NUMBER: 0001179110-18-012464
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180731
FILED AS OF DATE: 20181102
DATE AS OF CHANGE: 20181102
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Baack Jerry J.
CENTRAL INDEX KEY: 0001733126
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38412
FILM NUMBER: 181156045
MAIL ADDRESS:
STREET 1: 3800 AMERICAN BOULEVARD WEST
STREET 2: SUITE 100
CITY: BLOOMINGTON
STATE: MN
ZIP: 55431
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Bridgewater Bancshares Inc
CENTRAL INDEX KEY: 0001341317
STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022]
IRS NUMBER: 000000000
STATE OF INCORPORATION: MN
BUSINESS ADDRESS:
STREET 1: 3800 AMERICAN BOULEVARD WEST
STREET 2: SUITE 100
CITY: BLOOMINGTON
STATE: MN
ZIP: 55431
BUSINESS PHONE: (952) 893-6866
MAIL ADDRESS:
STREET 1: 3800 AMERICAN BOULEVARD WEST
STREET 2: SUITE 100
CITY: BLOOMINGTON
STATE: MN
ZIP: 55431
4/A
1
edgar.xml
FORM 4/A -
X0306
4/A
2018-07-31
2018-07-31
0
0001341317
Bridgewater Bancshares Inc
BWB
0001733126
Baack Jerry J.
C/O BRIDGEWATER BANCSHARES, INC.
3800 AMERICAN BLVD WEST, SUITE 100
BLOOMINGTON
MN
55431
1
1
0
0
President & CEO
Common Stock
765504
D
Common Stock
4000
I
By Roth IRA
Common Stock
260000
I
By IRA
Common Stock
4200
I
By dependent child
Common Stock
1000
I
As custodian for child
Common Stock
1000
I
As custodian for child
Common Stock
1000
I
As custodian for child
On July 31, 2018, the reporting person filed a Form 4 which inadvertently reported that the reporting person beneficially owned 1,036,704 shares of common stock indirectly. In fact, as reported in this Amendment, on July 31, 2018 the reporting person beneficially owned 765,504 shares of common stock directly and beneficially owned a total of 271,200 shares of common stock indirectly (4,000 held in the reporting person's Roth IRA, 260,000 held in the reporting person's IRA, 4,200 held by reporting person's dependent child, 1,000 held by reporting person as custodian for child, 1,000 held by reporting person as custodian for child, and another 1,000 held by reporting person as custodian for child). This Amendment is also intended to correct the previous Form 4 filings filed by the reporting person on May 3, 2018 and on March 19,2018.
On March 19, 2018, the reporting person beneficially owned 765,504 shares of common stock directly and beneficially owned a total of 267,200 shares of common stock indirectly (260,000 held in the reporting person's IRA, 4,200 held by the reporting person's dependent child, 1,000 held by reporting person as custodian for child, 1,000 held by reporting person as custodian for child, and another 1,000 held by reporting person as custodian for child). On May 3, 2018, the reporting person beneficially owned 765,504 shares of common stock directly and beneficially owned a total of 269,200 shares of common stock indirectly (260,000 held in the reporting person's IRA, 2,000 held in the reporting person's Roth IRA, 4,200 held by the reporting person's dependent child, 1,000 held by reporting person as custodian for child, 1,000 held by reporting person as custodian for child, and another 1,000 held by reporting person as custodian for child).
/s/ Ben Klocke, attorney-in-fact
2018-11-02