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