0001415889-21-000564.txt : 20210208 0001415889-21-000564.hdr.sgml : 20210208 20210208162022 ACCESSION NUMBER: 0001415889-21-000564 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201231 FILED AS OF DATE: 20210208 DATE AS OF CHANGE: 20210208 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Wetzel Gus Seitter III CENTRAL INDEX KEY: 0001757422 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23636 FILM NUMBER: 21601656 MAIL ADDRESS: STREET 1: 905 SHADOW HILL CIRCLE CITY: CLINTON STATE: MO ZIP: 64735 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 form5-02082021_010211.xml X0306 5 2020-12-31 0 0 0000893847 HAWTHORN BANCSHARES, INC. HWBK 0001757422 Wetzel Gus Seitter III C/O HAWTHORN BANCSHARES, INC. 132 EAST HIGH STREET, PO BOX 688 JEFFERSON CITY MO 65102 true false false false Common Stock 3929.495 I By Wetzel Revocable Trust Common Stock 98481.843 I By Wetzel Investments, Ltd. Includes shares acquired since last report from the Company's July 1, 2020 4% Stock Dividend The reporting person holds a minority ownership interest in Wetzel Investments, Ltd. The reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein. /s/ Gus S. Wetzel, III 2021-02-08