0001181431-11-039676.txt : 20110705 0001181431-11-039676.hdr.sgml : 20110704 20110705152519 ACCESSION NUMBER: 0001181431-11-039676 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110630 FILED AS OF DATE: 20110705 DATE AS OF CHANGE: 20110705 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rothman Robert CENTRAL INDEX KEY: 0001342366 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-53813 FILM NUMBER: 11949340 MAIL ADDRESS: STREET 1: 201 N FRANKLIN ST STREET 2: SUITE 2800 CITY: TAMPA STATE: FL ZIP: 33602 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Florida Bank Group, Inc. CENTRAL INDEX KEY: 0001370914 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 208732828 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 201 NORTH FRANKLIN STREET STREET 2: SUITE 2800 CITY: TAMPA STATE: FL ZIP: 33602 BUSINESS PHONE: 813-367-5270 MAIL ADDRESS: STREET 1: 201 NORTH FRANKLIN STREET STREET 2: SUITE 2800 CITY: TAMPA STATE: FL ZIP: 33602 FORMER COMPANY: FORMER CONFORMED NAME: FLORIDA BANK GROUP INC DATE OF NAME CHANGE: 20060731 4 1 rrd296781.xml ROTHMAN FORM 4 OFFERING 6-30-2011 X0303 4 2011-06-30 0 0001370914 Florida Bank Group, Inc. NONE 0001342366 Rothman Robert 201 N. FRANKLIN STREET SUITE 100 TAMPA FL 33602 1 1 1 0 Chairman Common Stock 3697435 I By Robert Rothman Revocable Trust Common Stock 250000 I By Robert Rothman 2006 GST Exempt Family Trust Series C Convertible Preferred Stock 2011-06-30 4 P 0 262 1000 A 0 I By Robert Rothman 2006 GST Exempt Family Trust Series C Convertible Preferred Stock 2011-06-30 4 P 0 1214 1000 A 0 I By Robert Rothman Revocable Trust Options 16.50 2008-12-31 2016-12-15 Common Stock 7500 7500 D Options 16.50 2008-12-31 2017-01-11 Common Stock 100000 100000 D Common Stock Warrant (right to buy) .01 2011-06-30 4 J 0 327500 .01 A 2011-06-30 2012-03-31 Common Stock 327500 327500 I By Robert Rothman 2006 GST Exempt Family Trust Common Stock Warrant (right to buy) .01 2011-06-30 4 J 0 1517500 .01 A 2011-06-30 2012-03-31 Common Stock 1517500 1517500 I By Robert Rothman Revocable Trust Beneficial ownership disclaimed The shares of Preferred Stock are convertible into common stock at the holder's option after December 31, 2011 and are mandatorily convertible in certain events. The stock is convertible at a per share price based upon the Company's tangible common stock book value per share as of the end of the calendar quarter prior to conversion, as calculated in accordance with the Company's Articles of Incorporation, as amended. The shares of Preferred Stock are convertible into common stock at the holder's option after December 31, 2011 and are mandatorily convertible in certain events. The stock is convertible at a per share price based upon the Company's tangible common stock book value per share as of the end of the calendar quarter prior to conversion, as calculated in accordance with the Company's Articles of Incorporation, as amended. Beneficial ownership disclaimed One non-transferrable stock purchase warrant for each share of Series C Convertible Preferred Stock purchased, each such warrant exercisable for 1,250 shares of common stock at $.01 per share. One non-transferrable stock purchase warrant for each share of Series C Convertible Preferred Stock purchased, each such warrant exercisable for 1,250 shares of common stock at $.01 per share. Beneficial ownership disclaimed Robert Rothman 2011-06-30