SEC FORM 4

SEC Form 4

FORM 4

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

1. Name and Address of Reporting Person^*

CLUCKEY DANA M

(Last)

(First)

(Middle)

1070 E. MAIN STREET

(Street)

OWOSSO

48867

(City)

(State)

(Zip)

2. Issuer Name and Ticker or Trading Symbol
REPUBLIC BANCORP INC [ RBNC ]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director	10% Owner
X	Officer (give title below)	Other (specify below)
	President & CEO

3. Date of Earliest Transaction (Month/Day/Year)
11/01/2004

4. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	3. Transaction Code (Instr. 8)		4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5)			5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	Code	V	Amount	(A) or (D)	Price		6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
Common Stock	11/01/2004		M		47,800	A	$7.606	285,148⁽¹⁾	D
Common Stock	11/02/2004		M		15,072	A	$7.606	285,148⁽¹⁾	D
Common Stock	11/02/2004		M		12,607	A	$7.599	285,148⁽¹⁾	D
Common Stock	11/02/2004		M		24,436	A	$7.684	285,148⁽¹⁾	D
Common Stock	11/03/2004		M		13,400	A	$6.908	285,148⁽¹⁾	D
Common Stock	11/01/2004		S		47,800	D	$16.706	285,148⁽¹⁾	D
Common Stock	11/02/2004		S		52,115	D	$16.728	285,148⁽¹⁾	D
Common Stock	11/03/2004		S		13,400	D	$15.412	285,148⁽¹⁾	D

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	4. Transaction Code (Instr. 8)		5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)		6. Date Exercisable and Expiration Date (Month/Day/Year)		7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)		8. Price of Derivative Security (Instr. 5)	9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)	10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	8. Price of Derivative Security (Instr. 5)		10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
Stock Option	$7.606	11/01/2004		M		47,800		01/21/1999	01/21/2009	Common Stock	47,800	$16.706	402,351	D
Stock Option	$7.606	11/02/2004		M		15,072		01/21/1999	01/21/2009	Common Stock	15,072	$16.728	402,351	D
Stock Option	$7.599	11/02/2004		M		12,607		01/20/2000	01/20/2010	Common Stock	12,607	$16.728	402,351	D
Stock Option	$7.684	11/02/2004		M		24,436		02/04/1999	02/04/2009	Common Stock	24,436	$16.728	402,351	D
Stock Option	$6.908	11/03/2004		M		13,400		01/20/2000	01/20/2010	Common Stock	13,400	$15.412	402,351	D

Explanation of Responses:

1. Includes 60,391 restricted shares. Reporting person also indirectly owns 29,140 shares held in a 401(k) account and 4,392 shares held in Childrens' accounts. Reporting person also owns 402,351 derivative securities (stock options) after all transactions.

	Dana M. Cluckey	11/03/2004
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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