-----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, IwPBj5P0tJH6wUQ+BKE49MA1MZ9/uj8NyPgMktpaHpuFRhN9UVHJAX/8RQLmUaeZ aHCCf8qBADhwNct4Q5Un5g== 0000950144-02-001322.txt : 20020414 0000950144-02-001322.hdr.sgml : 20020414 ACCESSION NUMBER: 0000950144-02-001322 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20020213 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: WILDER JOHN CENTRAL INDEX KEY: 0001134699 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 4205 MILLSTONE ROAD SUITE 222 CITY: NASHVILLE STATE: TN ZIP: 37225 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CUMBERLAND BANCORP INC CENTRAL INDEX KEY: 0001092099 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 621297760 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-61009 FILM NUMBER: 02541686 BUSINESS ADDRESS: STREET 1: C/O CUMBERLAND BANCORP INC STREET 2: 4205 HILLSBORO ROAD - STE 212 CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 6153779395 MAIL ADDRESS: STREET 1: C/O CUMBERLAND BANCORP INC STREET 2: 4205 HILLSBORO ROAD - STE 212 CITY: NASHVILLE STATE: TN ZIP: 37215 SC 13G/A 1 g74202bsc13ga.txt CUMBERLAND BANCORP,INCORPORATED/JOHN S. WILDER,SR. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ----------------------------- Schedule 13G/A (Amendment No. 1) (Rule 13d-102) INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES 13d-1(b), (c), AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO 13d-2(b) Cumberland Bancorp, Incorporated - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock, $.50 par value - -------------------------------------------------------------------------------- (Title of Class of Securities) 230406100 - -------------------------------------------------------------------------------- (CUSIP Number) December 31, 2001 - -------------------------------------------------------------------------------- (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [ ] Rule 13d-1(b) [ ] Rule 13d-1(c) [X] Rule 13d-1(d) Page 1 of 5 Pages CUSIP NO. 230406100 13G PAGE 2 OF 5 PAGES --------------------- ----- ----- (1) NAME OF REPORTING PERSON I.R.S. IDENTIFICATION NO. OF ABOVE PERSON (ENTITIES ONLY) John S. Wilder, Sr. --------------------------------------------------------------------- (2) CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] --------------------------------------------------------------------- (3) SEC USE ONLY --------------------------------------------------------------------- (4) CITIZENSHIP OR PLACE OF ORGANIZATION United States of America --------------------------------------------------------------------- (5) SOLE VOTING POWER 1,425,180 NUMBER OF SHARES -------------------------------------------------------- BENEFICIALLY (6) SHARED VOTING POWER 0 OWNED BY EACH -------------------------------------------------------- REPORTING (7) SOLE DISPOSITIVE POWER 1,425,180 PERSON WITH -------------------------------------------------------- (8) SHARED DISPOSITIVE POWER 0 -------------------------------------------------------- (9) AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,425,180 --------------------------------------------------------------------- (10) CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [ ] --------------------------------------------------------------------- (11) PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 10.3% --------------------------------------------------------------------- (12) TYPE OF REPORTING PERSON* IN --------------------------------------------------------------------- CUSIP NO. 230406100 13G Page 3 of 5 Pages Item 1(a). Name of Issuer: Cumberland Bancorp, Incorporated Item 1(b). Address of Issuer's 4205 Hillsboro Road, Suite 212 Principal Executive Nashville, TN 37215 Offices: Item 2(a). Name of Person Filing: See Item 1 of page 2 Item 2(b). Address of Principal 4205 Hillsboro Road, Suite 212 Business Office: Nashville, TN 37215 Item 2(c). Organization/Citizenship: See Item 4 of page 2 Item 2(d). Title of Class Common Stock, $.50 par value Of Securities: Item 2(e). CUSIP Number: 230406100 Item 3. Inapplicable. Item 4. Ownership.
TOTAL SHARES OF COMMON SOLE SHARED STOCK PERCENT SOLE SHARED POWER POWER BENEFICIALLY OF VOTING VOTING TO TO PERSON OWNED CLASS(1) POWER POWER DISPOSE DISPOSE - --------------- --------------- ------------ ----------- ---------- ----------- --------- John S. Wilder, 1,425,180 10.3% 1,425,180(2) 0 1,425,180(2) 0 Sr.
- --------------- (1) Based on 13,808,236 shares of Common Stock outstanding as of December 31, 2001, plus 13,200 shares of Common Stock subject to options held by reporting person, which are exercisable within 60 days of December 31, 2001. (2) Includes 13,200 shares which the reporting person had the right to acquire within 60 days of December 31, 2001 upon exercise of options. Includes 791,992 shares owned by reporting person's wife. Does not include shares held by reporting person's children who are 18 years of age or older. CUSIP NO. 230406100 13G Page 4 of 5 Pages Item 5. Ownership of Five Percent or Less of a Class. Inapplicable Item 6. Ownership of More than Five Percent on Behalf of Another Person. Inapplicable Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company. Inapplicable Item 8. Identification and Classification of Members of the Group. Inapplicable Item 9. Notice of Dissolution of Group. Inapplicable Item 10. Certification. Inapplicable CUSIP NO. 230406100 13G 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. February 13, 2002 ---------------------------------------------------- Date /s/ John S. Wilder, Sr. ---------------------------------------------------- (Signature) John S. Wilder, Sr. ---------------------------------------------------- (Name/Title)
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