-----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, D6O6piMjGTNCMEWbJHH5ry6NzuAP6rt3QL18XP/SoT1/S7tiaf+w8D7vitnO0uwg w/7li3W3bsKDSdL6bBdySQ== 0000950159-10-000746.txt : 20100812 0000950159-10-000746.hdr.sgml : 20100812 20100812105418 ACCESSION NUMBER: 0000950159-10-000746 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20100812 DATE AS OF CHANGE: 20100812 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: REPUBLIC FIRST BANCORP INC CENTRAL INDEX KEY: 0000834285 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 232486815 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-39824 FILM NUMBER: 101009913 BUSINESS ADDRESS: STREET 1: TWO LIBERTY PLACE STREET 2: 50 S. 16TH STREET SUITE 2400 CITY: PHILADELPHIA STATE: PA ZIP: 19102 BUSINESS PHONE: 215-735-4422 MAIL ADDRESS: STREET 1: TWO LIBERTY PLACE STREET 2: 50 S. 16TH STREET SUITE 2400 CITY: PHILADELPHIA STATE: PA ZIP: 19102 FORMER COMPANY: FORMER CONFORMED NAME: FIRST REPUBLIC BANCORP INC /DE/ DATE OF NAME CHANGE: 19960617 FORMER COMPANY: FORMER CONFORMED NAME: EXECUFIRST BANCORP INC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: FIRST EXECUTIVE BANCORP INC DATE OF NAME CHANGE: 19881113 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: MADONNA HARRY CENTRAL INDEX KEY: 0001132166 FILING VALUES: FORM TYPE: SC 13G/A MAIL ADDRESS: STREET 1: C/O REPUBLIC FIRST BANK STREET 2: 1608 WALNUT ST. CITY: PHILADELPHIA STATE: PA ZIP: 19103 SC 13G/A 1 harrymadonna13ga.txt SCHEDULE 13 G/A UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G/A UNDER THE SECURITIES EXCHANGE ACT OF 1934 (AMENDMENT NO. 5)* REPUBLIC FIRST BANCORP, INC. ---------------------------- (Name of Issuer) COMMON STOCK, $.01 PAR VALUE PER SHARE -------------------------------------- (Title of Class of Securities) 760416107 --------- (CUSIP Number) ---------------- (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) [X] Rule 13d-1(c) [ ] Rule 13d-1(d) *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 the disclosures provided in a prior cover page. The information required in 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). Page 1 of 5 CUSIP NO. 760416107 SCHEDULE 13G PAGE 2 OF 5 -------------- 1 NAMES OF REPORTING PERSONS Harry D. Madonna 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) (a) [ ] (b) [ ] 3 SEC USE ONLY 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States 5 SOLE VOTING POWER 733,330 (1) NUMBER OF SHARES 6 SHARED VOTING POWER BENEFICIALLY 0 OWNED BY 7 SOLE DISPOSITIVE POWER EACH 733,330 (1) REPORTING 8 SHARED DISPOSITIVE POWER PERSON WITH: 0 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 733,330 (1) 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) [ ] 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 2.9% (1) (2) 12 TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) IN - ----------------------- (1) See Item 4. (2) The percentage of Common Stock reported herein as being beneficially owned by the Reporting Person is based on the sum of (i) 25,553,093 shares of Common Stock outstanding as of June 24, 2010, which information has been provided to the Reporting Person by the Issuer, and (ii) 56,446 shares of Common Stock issuable upon the exercise of vested options. CUSIP NO. 760416107 SCHEDULE 13G PAGE 3 OF 5 -------------- Item 1(a).Name of Issuer: ---------------- Republic First Bancorp, Inc. (the "Issuer") Item 1(b).Address of Issuer's Principal Executive Offices: ---------------------------------------------------- 50 South 16th Street, Suite 2400 Philadelphia, Pennsylvania 19102 Item 2(a).Name of Person Filing: ------------------------ Harry D. Madonna Item 2(b).Address of Principal Business Office or, if None, Residence: --------------------------------------------------------------- 50 South 16th Street, Suite 2400 Philadelphia, Pennsylvania 19102 Item 2(c).Citizenship: ----------- United States. Item 2(d).Title of Class of Securities: -------------------------------- Common stock, par value $0.01 per share ("Common Stock") Item 2(e).CUSIP Number: ------------- 760416107 Item 3. If this statement is filed pursuant to 240.13d-1(b) or --------------------------------------------------------- 240.13d-2(b) or (c), check whether the person filing is a: --------------------------------------------------------- The Reporting Person is not a person or group specified in Item 3 to Schedule 13G. Item 4. Ownership. --------- (a) Amount beneficially owned: As of June 24, 2010, the Reporting Person beneficially owned in the aggregate 733,330 shares of Common Stock, consisting of (i) 676,884 shares of Common Stock held by the Reporting Person directly; and (ii) 56,446 shares of Common Stock subject to options which are currently exercisable. The amount beneficially owned by the Reporting Person does not include 3,000 Trust Preferred Securities, which are currently convertible into 461,538 shares of Common Stock, and 557,900 shares of Common Stock held by a family trust over which the Reporting Person does not have voting or dispositive power. (b) Percent of class: The response provided in Row 11 on the cover page is hereby incorporated by reference herein in response to this Item 4(b). (c) Number of shares as to which each Reporting Person has: (A) sole power to vote or to direct the vote: 733,330 shares of Common Stock CUSIP NO. 760416107 SCHEDULE 13G PAGE4 OF 5 -------------- (B) shared power to vote or to direct the vote: 0 shares of Common Stock (C) sole power to dispose or to direct the disposition of: 733,330 shares of Common Stock (D) shared power to dispose or to direct the disposition of: 0 shares of Common Stock Item 5. Ownership of Five Percent or Less of a Class: ---------------------------------------------------- If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than 5 percent of the class of securities, check the following: [X] Item 6. Ownership of More Than Five Percent on Behalf of Another Person: --------------------------------------------------------------------- Not applicable. Item 7. Identification and Classification of the Subsidiary Which -------------------------------------------------------------- acquired the Security Being Reported on by the Parent Holding Company --------------------------------------------------------------------- or Control Person: ------------------ Not applicable. Item 8. Identification and Classification of Members of the Group: ------------------------------------------------------------- Not applicable. Item 9. Notice of Dissolution of Group: ---------------------------------- Not applicable. Item 10. Certifications -------------- By signing below, each Reporting Person certifies that, to the best knowledge and belief of each Reporting Person, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the Issuer and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect. CUSIP NO. 760416107 SCHEDULE 13G PAGE 5 OF 5 -------------- 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. Date: August 11, 2010 By: /s/ Harry D. Madonna ----------------------- Harry D. Madonna -----END PRIVACY-ENHANCED MESSAGE-----