0001144204-18-006162.txt : 20180207 0001144204-18-006162.hdr.sgml : 20180207 20180207120518 ACCESSION NUMBER: 0001144204-18-006162 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20180207 DATE AS OF CHANGE: 20180207 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: HAWTHORN BANCSHARES, INC. CENTRAL INDEX KEY: 0000893847 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 431626350 STATE OF INCORPORATION: MO FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-49021 FILM NUMBER: 18580062 BUSINESS ADDRESS: STREET 1: 132 EAST HIGH STREET CITY: JEFFERSON CITY STATE: MO ZIP: 65101 BUSINESS PHONE: (573)761-6100 MAIL ADDRESS: STREET 1: P. O. BOX 688 CITY: JEFFERSON CITY STATE: MO ZIP: 65102 FORMER COMPANY: FORMER CONFORMED NAME: EXCHANGE NATIONAL BANCSHARES INC DATE OF NAME CHANGE: 19940323 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: HAWTHORN BANCSHARES, INC. CENTRAL INDEX KEY: 0000893847 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 431626350 STATE OF INCORPORATION: MO FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 132 EAST HIGH STREET CITY: JEFFERSON CITY STATE: MO ZIP: 65101 BUSINESS PHONE: (573)761-6100 MAIL ADDRESS: STREET 1: P. O. BOX 688 CITY: JEFFERSON CITY STATE: MO ZIP: 65102 FORMER COMPANY: FORMER CONFORMED NAME: EXCHANGE NATIONAL BANCSHARES INC DATE OF NAME CHANGE: 19940323 SC 13G/A 1 tv485059_sc13ga.htm AMENDMENT NO. 23 TO SCHEDULE 13G

 

 

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

 

SCHEDULE 13G

 

Under the Securities Exchange Act of 1934
(Amendment No. 23)*

 

HAWTHORN BANCSHARES, INC.

(Name of Issuer)

 

COMMON STOCK - $1.00 PAR VALUE

(Title of Class of Securities)

 

420476103

(CUSIP Number)

 

December 31, 2017

(Date of Event which Requires Filing of this Statement)

 

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
x  Rule 13d-1(b)
¨  Rule 13d-1(c)
¨  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 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).

 

 

 

 

 

 

CUSIP No. 420476103   13G   Page 2 of 5 Pages
         

 

         
1.   NAMES OF REPORTING PERSONS

HAWTHORN BANK
   
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
 
Missouri
   

 

         
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH   5.   SOLE VOTING POWER
 
                                   66,857
  6.   SHARED VOTING POWER
 
                                       0
  7.   SOLE DISPOSITIVE POWER
 
                                  66,857
  8.   SHARED DISPOSITIVE POWER
 
                                  169,060

 

         
9.   AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
                    
                                                                                       235,917
   
10.   CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES
(see instructions)    ¨
   
11.   PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

                                                                                           4.1%
   
12.   TYPE OF REPORTING PERSON (see instructions)

                                                                                           BK
   
         
 

 

 

 

 

Page 3 of 5 Pages

 

ITEM 1:
(a)Name of Issuer: Hawthorn Bancshares, Inc.

 

(b)Address of Issuer's Principal Executive Offices:

 

132 East High Street

Jefferson City, Missouri 65101

 

ITEM 2:
(a)Name of Person Filing: This Schedule 13G is filed by the Hawthorn Bank (the "Bank").

 

(b)Address of Principal Business Office or, if none, Residence: The business address for the Bank is 132 East High Street, Jefferson City, Missouri 65101.

 

(c)Citizenship: The Bank is a state, non-member, banking association organized under the laws of the State of Missouri.

 

(d)Title of Class of Securities: Common stock, par value $1.00 per share.

 

(e)CUSIP No.: 420476103

 

ITEM 3:

If this statement is filed pursuant to Rules 13d-1 (b), or 13d-2 (b), check whether the person filing is a:

 

(b)[ X ] Bank as defined in Section 3(a)(6) of the Act (15 U.S.C. 78c).

 

ITEM 4:Ownership (as of December 31, 2017)

 

(a)Amount beneficially owned: 235,917 shares.

 

(b)Percent of class: 4.1%

 

(c)Number of shares of which such person has:

 

(i)

sole power to vote or to direct the vote:

66,857 shares.

 

 

 

 

Page 4 of 5 Pages

 

(ii)shared power to vote or to direct the vote: 0 shares.

 

(iii)sole power to dispose or to direct the disposition of: 66,857 shares.

 

(iv)

shared power to dispose or to direct the disposition of:

169,060 shares.

 

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 5 percent of the class of securities, check the following [ X ]

 

ITEM 6:Ownership of More than Five Percent on Behalf of another Person.

 

The shares reported in this Schedule 13G are held by the Bank as trustee or co-trustee, personal representative or administrator under various individual trusts and estates that exist for the benefit of the respective beneficiaries identified by the applicable trust or estate documentation.

 

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.

 

By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were acquired and are held in the ordinary course of business and were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect, other than activities solely in connection with a nomination under §240.14a-1.

 

 

 

 

Page 5 of 5 Pages

 

 

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.

 

Dated:  February 07, 2018

 

  HAWTHORN BANK  
   
   
  BY:  /s/ Daniel A. Renfrow
              Daniel A. Renfrow
              Vice President & Sr. Trust Officer