-----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, LMkpdFrkDcPW3GJ+84Nh5yb1qcnWG4uGImQBU8ZlYEt8PTVGAfeivxfmMpUvoTUv Qw8ewiXw25lwF1t7XOLLmg== 0000950137-04-000616.txt : 20040206 0000950137-04-000616.hdr.sgml : 20040206 20040206100334 ACCESSION NUMBER: 0000950137-04-000616 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20040206 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: FIRST BUSEY CORP /NV/ CENTRAL INDEX KEY: 0000314489 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 371078406 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-41440 FILM NUMBER: 04571951 BUSINESS ADDRESS: STREET 1: 201 W MAIN STREET CITY: URBANA STATE: IL ZIP: 61801 BUSINESS PHONE: 2173844513 MAIL ADDRESS: STREET 1: 201 W MAIN STREET STREET 2: PO BOX 123 CITY: URBANA STATE: IL ZIP: 61801 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: KLINGEL ALLEN B JR CENTRAL INDEX KEY: 0001007617 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 319 WEST SECOND AVENUE CITY: SPOKANE STATE: WA ZIP: 99204 BUSINESS PHONE: 2173844513 MAIL ADDRESS: STREET 1: 319 WEST SECOND AVENUE CITY: SPOKANE STATE: WA ZIP: 99204 SC 13G/A 1 c82716sc13gza.txt AMENDMENT TO SCHEDULE 13G OMB APPROVAL -------------------------- OMB Number: 3235-0145 Expires: December 31, 2005 Estimated average burden hours per response......11 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 SCHEDULE 13G UNDER THE SECURITIES EXCHANGE ACT OF 1934 (AMENDMENT NO. 6 )* ----------- FIRST BUSEY CORPORATION - -------------------------------------------------------------------------------- (Name of Issuer) COMMON STOCK - -------------------------------------------------------------------------------- (Title of Class of Securities) 319383105 - -------------------------------------------------------------------------------- (CUSIP Number) *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 4 PAGES CUSIP NO. 319383105 - -------------------------------------------------------------------------------- 1. Names of Reporting Persons. I.R.S. Identification Nos. of above persons (entities only). A. BARCLAY KLINGEL ###-##-#### - -------------------------------------------------------------------------------- 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 - -------------------------------------------------------------------------------- Number of 5. Sole Voting Power Shares 163,156 ----------------------------------------------------- Beneficially 6. Shared Voting Power Owned by 552,000(1) ----------------------------------------------------- Each 7. Sole Dispositive Power Reporting 163,156 ----------------------------------------------------- Person With: 8. Shared Dispositive Power 552,000(1) - -------------------------------------------------------------------------------- 9. Aggregate Amount Beneficially Owned by Each Reporting Person 715,156 - -------------------------------------------------------------------------------- 10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions) - -------------------------------------------------------------------------------- 11. Percent of Class Represented by Amount in Row (9) 5.229% - -------------------------------------------------------------------------------- 12. Type of Reporting Person (See Instructions) IN - -------------------------------------------------------------------------------- PAGE 2 OF 4 PAGES ITEM 1(a) NAME OF ISSUER: FIRST BUSEY CORPORATION ITEM 1(b) ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES: P.O. BOX 17125 URBANA, IL 61803-17125 ITEM 2(a) NAME OF PERSON FILING: A. BARCLAY KLINGEL ITEM 2(b) ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE 1528 S. HAYFORD RD. AIRWAY HTS., WA 99001 ITEM 2(C) CITIZENSHIP: UNITED STATES ITEM 2(d) TITLE AND CLASS OF SECURITIES: COMMON STOCK ITEM 2(e) CUSIP NUMBER: 319383105 ITEM 3 STATEMENT FILED PURSUANT TO RULE 13d-1(b) OR 13d-2(b): NOT APPLICABLE ITEM 4 OWNERSHIP: (a) AMOUNT BENEFICIALLY OWNED: 715,156 (b) PERCENT OF CLASS: 5.229% (c) NUMBER OF SHARES AS TO WHICH SUCH PERSON HAS: (i) SOLE POWER TO VOTE OR TO DIRECT THE VOTE: 163,156 (ii) SHARED POWER TO VOTE OR TO DIRECT THE VOTE: 552,000 (iii) SOLE POWER TO DISPOSE OR TO DIRECT THE DISPOSITION OF: 163,156 (iv) SHARED POWER TO DISPOSE OR TO DIRECT THE DISPOSITION OF: 552,000 PAGE 3 OF 4 PAGES ITEM 5 OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS: NOT APPLICABLE 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: NOT APPLICABLE ITEM 8 IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP: NOT APPLICABLE ITEM 9 NOTICE OF DISSOLUTION OF A GROUP: NOT APPLICABLE ITEM 10 CERTIFICATION: NOT APPLICABLE 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 5, 2004 //A. Barclay Klingel// - -------------------------- ---------------------------- Date Signature FOOTNOTE: (1) These shares are held by the Martin A. Klingel Estate for which A. Barclay Klingel, Jr. shares voting and dispositive powers with Douglas C. Mills, as co-executor. PAGE 4 OF 4 PAGES -----END PRIVACY-ENHANCED MESSAGE-----