0001181431-11-054494.txt : 20111103
0001181431-11-054494.hdr.sgml : 20111103
20111103132613
ACCESSION NUMBER: 0001181431-11-054494
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110630
FILED AS OF DATE: 20111103
DATE AS OF CHANGE: 20111103
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Smithson Lisa
CENTRAL INDEX KEY: 0001475695
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-53813
FILM NUMBER: 111177067
MAIL ADDRESS:
STREET 1: 201 N. FRANKLIN STREET
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
rrd324897.xml
SMITHSON FORM 4 OFFERING AMEND 6-30-2011
X0304
4
2011-06-30
0
0001370914
Florida Bank Group, Inc.
NONE
0001475695
Smithson Lisa
201 N. FRANKLIN STREET
SUITE 100
TAMPA
FL
33602
1
0
0
0
Common Stock
756
D
Common Stock
9002
I
By Lisa Smithson Revocable Family Trust
Series C Convertible Preferred Stock
2011-06-30
4
P
0
1
1000
A
0
D
Serices C Convertible Preferred Stock
2011-06-30
4
P
0
9
1000
A
0
I
By Lisas Smithson Revocable Family Trust
Option
16.50
2008-12-31
2016-12-15
Common Stock
7500
7500
D
Common Stock Warrant (right to buy)
.01
2011-06-30
4
J
0
1250
.01
A
2011-06-30
2012-03-31
Common Stock
1250
1250
D
Common Stock Warrant (right to buy)
.01
2011-06-30
4
J
0
11250
.01
A
2011-06-30
2012-03-31
Common Stock
11250
11250
I
By Lisa Smithson Revocable Family Trust
(1) 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.
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.
(1) 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.
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.
On June 30, 2011 the reporting person mistakenly filed a Form 4 reporting a per share purchase price of $9000 for shares of Series C Convertible Preferred Stock. The correct amount should have been $1000 per share.
Lisa Smithson
2011-11-03