0001127602-12-011640.txt : 20120322 0001127602-12-011640.hdr.sgml : 20120322 20120322150013 ACCESSION NUMBER: 0001127602-12-011640 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120217 FILED AS OF DATE: 20120322 DATE AS OF CHANGE: 20120322 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SAMUEL ANDREW S CENTRAL INDEX KEY: 0001217648 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-33872 FILM NUMBER: 12709133 MAIL ADDRESS: STREET 1: 26 SOUTH ALYDAR BOULEVARD CITY: DILLSBURG STATE: PA ZIP: 17019 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SUSQUEHANNA BANCSHARES INC CENTRAL INDEX KEY: 0000700863 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 232201716 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 26 N CEDAR ST CITY: LITITZ STATE: PA ZIP: 17543 BUSINESS PHONE: 7176264721 MAIL ADDRESS: STREET 1: PO BOX 1000 STREET 2: 26 NORTH CEDAR ST CITY: LITITZ STATE: PA ZIP: 17543 4/A 1 form4a.xml PRIMARY DOCUMENT X0304 4/A 2012-02-17 2012-02-22 0000700863 SUSQUEHANNA BANCSHARES INC SUSQ 0001217648 SAMUEL ANDREW S SUSQUEHANNA BANCSHARES, INC. 26 N. CEDAR STREET LITITZ PA 17543 1 1 Pres., Chief Revenue Officer Common Stock 2012-02-17 4 A 0 75115 A 75115 D Common Stock 2012-02-17 4 A 0 7951.446 A 7951.446 I By ESOP This amended Form 4 does not report any new transaction. Rather, it is being filed solely to provide revised information in Box 4 and Box 5 as only estimated amounts were available at the time of the original filing. The subject shares were acquired as consideration for the exchange of 26,571.1006 shares of Tower Bancorp, Inc. ("Tower") in connection with the merger of Tower with and into Susquehanna Bancshares, Inc. ("Susquehanna"). This consideration received is based on the proration of cash and stock as determined by the procedures under the merger agreement. This amended Form 4 does not report any new transaction. Rather, it is being filed solely to provide revised information in Box 4 and Box 5 as only estimated amounts were available at the time of the original filing. The subject shares were acquired as consideration for the exchange of 2,809.5099 shares of Tower Bancorp, Inc. ("Tower") in connection with the merger of Tower with and into Susquehanna Bancshares, Inc. ("Susquehanna"). This consideration received is based on the proration of cash and stock as determined by the procedures under the merger agreement. /s/ Lisa M. Cavage, attorney-in-fact for Andrew S. Samuel 2012-03-22