0001209191-11-059100.txt : 20111202 0001209191-11-059100.hdr.sgml : 20111202 20111202155447 ACCESSION NUMBER: 0001209191-11-059100 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111130 FILED AS OF DATE: 20111202 DATE AS OF CHANGE: 20111202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ponicki Charles J CENTRAL INDEX KEY: 0001420796 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24149 FILM NUMBER: 111240381 MAIL ADDRESS: STREET 1: 1930 WEST BLUEMOUND ROAD, SUITE D CITY: WAUKESHA STATE: WI ZIP: 53186 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CIB MARINE BANCSHARES INC CENTRAL INDEX KEY: 0000861955 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 371203599 STATE OF INCORPORATION: WI FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1930 WEST BLUEMOUND ROAD, SUITE D CITY: WAUKESHA STATE: WI ZIP: 53186 BUSINESS PHONE: 2626956010 MAIL ADDRESS: STREET 1: 1930 WEST BLUEMOUND ROAD, SUITE D CITY: WAUKESHA STATE: WI ZIP: 53186 FORMER COMPANY: FORMER CONFORMED NAME: CENTRAL ILLINOIS BANCORP INC DATE OF NAME CHANGE: 19980427 4 1 doc4.xml FORM 4 SUBMISSION X0304 4 2011-11-30 0 0000861955 CIB MARINE BANCSHARES INC NONE 0001420796 Ponicki Charles J 1930 WEST BLUEMOUND ROAD SUITE D WAUKESHA WI 53186 1 1 0 0 President & CEO Common Stock 2011-11-30 4 P 0 1000 0.15 A 21100 D Shares are held jointly with Mr. Ponicki's wife. /s/ Charles J. Ponicki 2011-12-02