-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, DhUMI15r+Fl2PeiIHR/L0WMo2TMjhUZ2S1IESYHqYHZlEWMiFQFF8XhMcSaSig3g 5gkTsvFO1KbkRsIOKBHsvQ== 0001209191-10-008992.txt : 20100212 0001209191-10-008992.hdr.sgml : 20100212 20100212165002 ACCESSION NUMBER: 0001209191-10-008992 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091231 FILED AS OF DATE: 20100212 DATE AS OF CHANGE: 20100212 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BRUEGENHEMKE KATHLEEN L CENTRAL INDEX KEY: 0001196019 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23636 FILM NUMBER: 10600329 MAIL ADDRESS: STREET 1: 5859 ROCKY POINT COURT CITY: COLUMBIA STATE: MO ZIP: 65202 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: 300 SOUTHWEST LONGVIEW BLVD. CITY: LEE'S SUMMIT STATE: MO ZIP: 64081 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 doc5.xml FORM 5 SUBMISSION X0303 5 2009-12-31 0 0 0 0000893847 HAWTHORN BANCSHARES, INC. HWBK 0001196019 BRUEGENHEMKE KATHLEEN L 5859 ROCKY POINT COURT COLUMBIA MO 65202 0 1 0 0 Senior Vice President Common Stock 374.884 D Common Stock 2184 D Common Stock 16387.4053 I Profit Sharing Trust Employee Stock Option (right to buy) 16.33 2001-12-04 2010-12-04 Common Stock 2256 2256 D Employee Stock Option (right to buy) 18.67 2003-02-14 2012-02-14 Common Stock 2038 2038 D Employee Stock Option (right to buy) 26.57 2004-03-03 2013-03-03 Common Stock 1461 1461 D Employee Stock Option (right to buy) 35.25 2005-02-19 2014-02-19 Common Stock 1129 1129 D Employee Stock Option (right to buy) 28.45 2006-04-21 2015-04-21 Common Stock 1465 1465 D Employee Stock Option (right to buy) 29.95 2007-03-03 2016-03-03 Common Stock 1437 1437 D Employee Stock Option (right to buy) 33.50 2008-04-27 2017-04-27 Common Stock 1493 1493 D Employee Stock Option (right to buy) 21.01 2009-09-22 2018-09-22 Common Stock 1238 1238 D Includes shares acquired since last report from the Company's July 1, 2009 4% stock dividend. Includes shares acquired since last report pursuant to the Company's profit sharing trust and July 1, 2009 4% stock dividend. /s/ Kathleen L. Bruegenhemke 2010-02-12 -----END PRIVACY-ENHANCED MESSAGE-----