0001196018-22-000005.txt : 20220208 0001196018-22-000005.hdr.sgml : 20220208 20220208172022 ACCESSION NUMBER: 0001196018-22-000005 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211231 FILED AS OF DATE: 20220208 DATE AS OF CHANGE: 20220208 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TURNER DAVID T CENTRAL INDEX KEY: 0001196018 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23636 FILM NUMBER: 22602801 MAIL ADDRESS: STREET 1: C/O HAWTHORN BANK STREET 2: PO BOX 688 CITY: JEFFERSON CITY STATE: MO ZIP: 65102-0688 ISSUER: 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 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 5 1 wf-form5_164435880552481.xml FORM 5 X0306 5 2021-12-31 0 0 0 0000893847 HAWTHORN BANCSHARES, INC. HWBK 0001196018 TURNER DAVID T C/O HAWTHORN BANCSHARES, INC. 132 EAST HIGH STREET, PO BOX 688 JEFFERSON CITY MO 65102 1 1 0 0 CHIEF EXECUTIVE OFFICER Common Stock 51595.516 I By Profit Sharing Trust Common Stock 40752.606 D Includes shares acquired since last report pursuant to the Company's Profit Sharing Trust. Includes shares acquired since last report pursuant to Company DRIP program and July 1, 2021 4% stock dividend. /s/ David T. Turner 2022-02-08