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