FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 02/02/2009 |
3. Issuer Name and Ticker or Trading Symbol
CITIZENS REPUBLIC BANCORP, INC. [ CRBC ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 2,070 | I | Jt. w/ Spouse |
Restricted Stock | 411(1) | D | |
Restricted Stock | 3,150(2) | D | |
Restricted Stock | 3,150(3) | D | |
Restricted Stock | 3,150(4) | D | |
Restricted Stock | 3,150(5) | D | |
Restricted Stock | 3,150(6) | D | |
Restricted Stock | 5,250(7) | D | |
Restricted Stock | 24,167(8) | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Stock Option (Right to Buy) | 06/01/2005 | 06/01/2015 | Common Stock | 2,000 | $29.34 | D |
Explanation of Responses: |
1. The restrictions as the transferability of these shares will lapse on June 28, 2009, assuming the recipients continued employment with Citizens Republic Bancorp, Inc. |
2. In general, the transfer restrictions on these shares will lapse 100% on July 31, 2010 assuming the recipient's continued employment with Citizens Republic Bancorp, Inc. |
3. In general, the transfer restrictions on these shares will lapse 100% on October 31, 2010 assuming the recipient's continued employment with Citizens Republic Bancorp, Inc. |
4. In general, the transfer restrictions on these shares will lapse 100% on December 31, 2010 assuming the recipient's continued employment with Citizens Republic Bancorp, Inc. |
5. In general, the transfer restrictions on these shares will lapse 100% on March 31, 2011 assuming the recipient's continued employment with Citizens Republic Bancorp, Inc. |
6. In general, the transfer restrictions on these shares will lapse 100% on May 31, 2011 assuming the recipient's continued employment with Citizens Republic Bancorp, Inc. |
7. In general, the transfer restrictions on these shares will lapse 100% on July 31, 2011 assuming the recipient's continued employment with Citizens Republic Bancorp, Inc. |
8. Generally, the restrictions as to 50% of these shares will lapse on January 29, 2011 if both of the following performance measures are met: i) the Corporation is profitable in 2010 (based on net income); and ii) the Corporation's 2010 pre-tax/pre-provision income is improved over 2009. On January 29, 2012, the restrictions on the remaining 50% of these shares, or in the event that either of the aforementioned performance measures are not achieved in 2010, the restrictions on the full 100% of these shares will lapse if: i) the Corporation is profitable in 2011 (based on net income); and ii) 2011 pre-tax/pre-provision income is improved over 2010. If both of the aforementioned performance measures are not met for 2011, then 100% of these shares will be canceled. |
By: /s/ Mark W. Widawski | 02/11/2009 | |
** 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 5 (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). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |