SC 13G/A 1 doc1.htm Schedule 13G
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

SCHEDULE 13G

Under the Securities Exchange Act of 1934
(Amendment No. 10 )*


Habersham Bancorp
(Name of Issuer)


Common Stock
(Title of Class of Securities)


404459109
(CUSIP Number)


December 31, 2003
(Date of Event which Requires Filing of this Statement)

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

 
[ ]  Rule 13d-1(b)
[ ]  Rule 13d-1(c)
[ X ]  Rule 13d-1(d)
 

* The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

 

The information required on the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

 




SCHEDULE 13G
CUSIP No. 404459109

  1. Names of Reporting Persons.
Thomas A. Arrendale, III
I.R.S. Identification Nos. of above persons (entities only).

  2. Check the Appropriate Box if a Member of a Group (See Instructions)
(a)  [    ]       (b)  [    ]

  3. SEC USE ONLY

  4. Citizenship or Place of Organization
United States of America

Number of
Shares
Beneficially
Owned by
Each Reporting
Person With:
5. Sole Voting Power
491,810*

6. Shared Voting Power
485,000*

7. Sole Dispositive Power
491,810*

8. Shared Dispositive Power
485,000*

  9. Aggregate Amount Beneficially Owned by Each Reporting Person
976,810*

  10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)  [    ]

  11. Percent of Class Represented by Amount in Row (9)
34.0%

  12. Type of Reporting Person
IN


         * Mr. Arrendale III has sole voting and dispositive power with respect to 491,810* shares of Common Stock, which includes 2,500 shares subject to exercisable options. He shares voting and dispositive power with Cyndae A. Bussey as a general partner of the following partnerships, which hold the indicated number of shares: (i) Arrendale Undiversified Family Limited Partnership: 400,000 shares; (ii) Thomas A. Arrendale, Jr. Family Limited Partnership: 85,000 shares.


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Item 1.

 

(a)

Name of Issuer

         Habersham Bancorp

 

(b)

Address of Issuer's Principal Executive Offices

P.O. Box 1980
Highway 441 North
Cornelia, Georgia 3053


Item 2.

 

(a)

Name of Person Filing

Thomas A. Arrendale, III

 

(b)

Address of Principal Business Office or, if none, Residence

P.O. Box 558
Baldwin, Georgia 30511

 

(c)

Citizenship

United States of America

 

(d)

Title of Class of Securities

Common Stock, $1.00 par value

 

(e)

CUSIP Number

404459109


Item 3.

If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:

 

(a)

[    ]

Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o).

 

(b)

[    ]

Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c).

 

(c)

[    ]

Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c).

 

(d)

[    ]

Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C 80a-8).

 

(e)

[    ]

An investment adviser in accordance with §240.13d-1(b)(1)(ii)(E);

 

(f)

[    ]

An employee benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F);

 

(g)

[    ]

A parent holding company or control person in accordance with § 240.13d-1(b)(1)(ii)(G);

 

(h)

[    ]

A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);

 

(i)

[    ]

A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3);

 

(j)

[    ]

Group, in accordance with §240.13d-1(b)(1)(ii)(J).


Item 4.

Ownership.

 

(a)

Amount beneficially owned:

         976,810*

 

(b)

Percent of class:

         34.0%

 

(c)

Number of shares as to which the person has:

 

 

(i)

Sole power to vote or to direct the vote

         491,810*

 

 

(ii)

Shared power to vote or to direct the vote

         485,000*

 

 

(iii)

Sole power to dispose or to direct the disposition of

         491,810*

 

 

(iv)

Shared power to dispose or to direct the disposition of

         485,000*


Item 5.

Ownership of Five Percent or Less of a Class

          If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following [    ].


Instruction: Dissolution of a group requires a response to this item.

         Not Applicable


Item 6.

Ownership of More than Five Percent on Behalf of Another Person

                  Not Applicable


Item 7.

Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company

                  Not Applicable


Item 8.

Identification and Classification of Members of the Group

                  Not Applicable


Item 9.

Notice of Dissolution of Group

                  Not Applicable


Item 10.

Certification

                   Not Applicable


SIGNATURE

        After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.

 
Date:   February 13, 2004
  /s/ Thomas A. Arrendale, III

  By: /s/ Edward D. Ariail
      Edward D. Ariail
  Title:    Attorney-in-Fact 
 
 


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