0001770553-23-000003.txt : 20230214 0001770553-23-000003.hdr.sgml : 20230214 20230214103540 ACCESSION NUMBER: 0001770553-23-000003 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221231 FILED AS OF DATE: 20230214 DATE AS OF CHANGE: 20230214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Holtaway Jonathan CENTRAL INDEX KEY: 0001770553 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23636 FILM NUMBER: 23624172 MAIL ADDRESS: STREET 1: C/O HAWTHORN BANCSHARES, INC. 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_167638892460435.xml FORM 5 X0306 5 2022-12-31 0 0 0 0000893847 HAWTHORN BANCSHARES, INC. HWBK 0001770553 Holtaway Jonathan C/O HAWTHORN BANCSHARES, INC. 132 EAST HIGH STREET, PO BOX 688 JEFFERSON CITY MO 65102 1 0 0 0 Common Stock 391840 I By Ategra Community Financial Institution Fund, LP Includes shares acquired since last report from the July 1, 2022 4% stock dividend. The reporting person serves as an owner and managing member of the general partner of Ategra Community Financial Institution Fund, LP (the "Fund"), as an owner, president and managing member of the registered investment advisor founded by the reporting person to manage the Fund, and as co-portfolio manager of the Fund. The reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein. /s/ Jonathan D. Holtaway 2023-02-14