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