-----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, MQFl915aLsvAA7JeL+xQVcm79l7FNVtcFe/Hwuh3l9xl89mG6DErQzn7GGc+1abS 7QHqSjt+xMvNocYt0SONEg== /in/edgar/work/0001019056-00-000524/0001019056-00-000524.txt : 20001003 0001019056-00-000524.hdr.sgml : 20001003 ACCESSION NUMBER: 0001019056-00-000524 CONFORMED SUBMISSION TYPE: SC 13D PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20001002 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: AMERICAN RIVER HOLDINGS CENTRAL INDEX KEY: 0001108236 STANDARD INDUSTRIAL CLASSIFICATION: [6770 ] IRS NUMBER: 942893864 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D SEC ACT: SEC FILE NUMBER: 005-59651 FILM NUMBER: 733271 BUSINESS ADDRESS: STREET 1: 1545 RIVER PARK DR STREET 2: STE 107 CITY: SACRAMENTO STATE: CA ZIP: 95815 BUSINESS PHONE: 9165656114 MAIL ADDRESS: STREET 1: 1545 RIVER PARK DR STREET 2: STE 107 CITY: SACRAMENTO STATE: CA ZIP: 95815 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: TAYLOR ROGER J CENTRAL INDEX KEY: 0001125531 STANDARD INDUSTRIAL CLASSIFICATION: [ ] FILING VALUES: FORM TYPE: SC 13D BUSINESS ADDRESS: STREET 1: 7696 WINDING WAY CITY: FAIR OAKS STATE: CA ZIP: 95628 SC 13D 1 0001.txt SCHEDULE 13D SCHEDULE 13D INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULE 13D-1(a) AND AMENDMENTS THERETO FILED PURSUANT TO RULE 13D-2(a) SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13D Under the Securities Exchange Act of 1934 (Amendment No. --)* AMERICAN RIVER HOLDINGS ------------------------------------------- (Name of Issuer) COMMON STOCK ------------------------------------------- (Title of Class of Securities) 029326105 ------------------------------------------- (CUSIP Number) Mitchell A. Derenzo, 1545 River Park Dr. #107, Sacramento, CA 95815 916-231-6123 ---------------------------------------------------------- (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) September 13, 2000 ---------------------------------------------------------- (Date of Event Which Requires Filing of This Statement) If the filing person has previously filed a statement on SCHEDULE 13G to report the acquisition that is the subject of this Schedule 13D, and is filing this schedule because of RULE 13D-1(e), Rule 13d-1(f) or Rule 13d-1(g), check the following box.[ ] Note: Schedules filed in paper format shall include a signed original and five copies of the schedule, including all exhibits. See RULE 13D-7(b) for other parties to whom copies are to be sent. *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page. The information required on the remainder of this cover page shall not be deemed to be "filed" for the purpose of SECTION 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). - -------------------------------------------------------------------------------- CUSIP No. 029326105 13D Page 1 of 3 pages - -------------------------------------------------------------------------------- (1) Names of Reporting Persons I.R.S. Identification Nos. of Above Persons Roger J. Taylor, D.D.S. - -------------------------------------------------------------------------------- (2) Check the Appropriate Box if a Member of a Group (See Instructions) (a) [ ] (b) [ ] - -------------------------------------------------------------------------------- (3) SEC Use Only - -------------------------------------------------------------------------------- (4) Source of Funds (See Instructions) PF as to 79,815 shares; OO as to 20,918 shares which Dr. Taylor has indirect voting powers under general proxies signed by Gary W. Taylor, Robert P. Taylor and Frederick S. Taylor; PF as to 17,365 shares in the form of stock options acquirable within 60 days. - -------------------------------------------------------------------------------- (5) Check if Disclosure of Legal Proceedings is Required Pursuant to Items 2(d) or 2(e) - -------------------------------------------------------------------------------- (6) Citizenship or Place of Organization U.S.A. - -------------------------------------------------------------------------------- (7) Sole Voting Power: 118,088 Number of Shares --------------------------------------------------------- Beneficially Owned (8) Shared Voting Power: 0 by Each --------------------------------------------------------- Reporting Person (9) Sole Dispositive Power: 97,170 With --------------------------------------------------------- (10) Shared Dispositive Power: 0 - -------------------------------------------------------------------------------- (11)Aggregate Amount Beneficially Owned by Each Reporting Person: 118,088 - -------------------------------------------------------------------------------- (12)Check if the Aggregate Amount in Row (11) Excludes Certain Shares [ ] (See Instructions) - -------------------------------------------------------------------------------- (13)Percent of Class Represented by Amount in Row (11): 6.5% - -------------------------------------------------------------------------------- (14)Type of Reporting Person (See Instructions): IN - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- CUSIP No. 029326105 13D Page 2 of 3 pages - -------------------------------------------------------------------------------- Item 1. Security and Issuer. This statements relates to the common stock of American River Holdings ("ARH"). The address of the principal executive offices of ARH is 1545 River Park Drive, Sacramento, CA 95815. Item 2. Identity and Background. (a) This statement is filed by Roger J. Taylor D.D.S., an individual. (b) The home address for Dr. Taylor is 7696 Winding Way, Fair Oaks, California, 95628. (c) Dentist (retired) and National Executive Director of Impax Health Prime, a worldwide distributor of nutritional supplements. Dr. Taylor's primary business address is 7696 Winding Way, Fair Oaks, CA, 95628. (d) None. (e) None. (f) U.S.A. Item 3. Source and amounts of Funds or Other Consideration. See line 4 of cover page. Item 4. Purpose of Transaction. ARH filed a registration statement on Form 8A with the Securities and Exchange Commission on September 13, 2000, which became effective on the date of filing, to effect registration of its common stock pursuant to Section 12(g) of the 1934 Act. As a consequence Dr. Taylor is now obligated to File 13D as his direct and indirect ownership in ARH is greater than 5% of the outstanding shares of ARH. Upon consummation of a pending merger between ARH and North Coast Bank, N.A. effective on or about October 25, 2000, Dr. Taylor's ownership percentage will be diluted and reduced below 5%. The merger transaction is described in ARH's S-4 registration statement number 333-36326. Item 5. Interest in Securities of the Issuer. See lines 7, 9 and 11 of the cover page. - -------------------------------------------------------------------------------- CUSIP No. 029326105 13D Page 3 of 3 pages - -------------------------------------------------------------------------------- Item 6. Contracts, Arrangements, Understandings or Relationships With Respect to Securities of the Issuer. None Item 7. Material to be Filed as Exhibits. None 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. September 29, 2000 ------------------------------ (Date) /s/ Roger J. Taylor, D.D.S. ------------------------------ (Signature) Roger J. Taylor, D.D.S. ------------------------------ (Name and Title) -----END PRIVACY-ENHANCED MESSAGE-----