0001181431-12-004587.txt : 20120131 0001181431-12-004587.hdr.sgml : 20120131 20120131110553 ACCESSION NUMBER: 0001181431-12-004587 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120130 FILED AS OF DATE: 20120131 DATE AS OF CHANGE: 20120131 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: AGNEW ROBERT W CENTRAL INDEX KEY: 0001254923 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16339 FILM NUMBER: 12557905 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BAYLAKE CORP CENTRAL INDEX KEY: 0000275119 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 391268055 STATE OF INCORPORATION: WI FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 217 N FOURTH AVE STREET 2: PO BOX 9 CITY: STURGEON BAY STATE: WI ZIP: 54235-0009 BUSINESS PHONE: 9207435551 4 1 rrd331999.xml X0304 4 2012-01-30 0 0000275119 BAYLAKE CORP BYLK 0001254923 AGNEW ROBERT W 217 N 4TH AVENUE STURGEON BAY WI 54235-2405 1 0 0 0 Common Stock 2012-01-30 2012-01-30 4 P 0 1330 5.05 A 31398.718 D Common Stock 4045.5012 I ESPP 10% Convertible Promissory Notes due 2017 5 2017-06-30 Common Stock 40000 200000 D The convertible promissory note is convertible into shares of common stock at a conversion ratio of one share of common stock for each $5.00 in aggregate principal amount held on the record date of the conversion, subject to adjustment for stock dividends, stock-splits, repurchases or reclassifications, as described in the security. The holder of the convertible promissory note may, at the option of the holder, convert up to the full principal amount of the convertible promissory notes into shares of common stock at any time prior to redemption or maturity. On October 1, 2014, up to one-half of the original principal amount of the convertible promissory note will automatically convert into shares of common stock. June 30, 2017, is the stated maturity date of the convertible promissory notes. Tasha M. Rass, Attorney-in-fact for Robert W. Agnew 2012-01-31