-----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, HPl0onQ2wfS1Aea4nUVRBIGaGRrlgr3umVuvSFqJ4x6FA9rOzXjf/t9HTPootA06 70w2jgUVmXmfrij7U3HQ7A== 0000721994-95-000011.txt : 19951208 0000721994-95-000011.hdr.sgml : 19951208 ACCESSION NUMBER: 0000721994-95-000011 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19951207 SROS: NONE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: LAKELAND FINANCIAL CORP CENTRAL INDEX KEY: 0000721994 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 351559596 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-36310 FILM NUMBER: 95599885 BUSINESS ADDRESS: STREET 1: 202 E CENTER ST STREET 2: P O BOX 1387 CITY: WARSAW STATE: IN ZIP: 46581-1387 BUSINESS PHONE: 2192676144 MAIL ADDRESS: STREET 1: 202 E CENTER ST STREET 2: PO BOX 1387 CITY: WARSAW STATE: IN ZIP: 46581 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: LAKELAND FINANCIAL CORP CENTRAL INDEX KEY: 0000721994 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 351559596 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 202 E CENTER ST STREET 2: P O BOX 1387 CITY: WARSAW STATE: IN ZIP: 46581-1387 BUSINESS PHONE: 2192676144 MAIL ADDRESS: STREET 1: 202 E CENTER ST STREET 2: PO BOX 1387 CITY: WARSAW STATE: IN ZIP: 46581 SC 13G/A 1 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 1)* LAKELAND FINANCIAL CORPORATION ------------------------------ (Name of Issuer) COMMON SHARES ------------------------------ (Title of Class of Securities) 511656100 ------------------------------ (CUSIP Number) Check the following box if a fee is being paid with this statement [ ]. (A fee is not required only if the filing person: (1) has a previous statement on file reporting beneficial ownership of more than five percent of the class of securities described in Item 1; and (2) has filed no amendment subsequent thereto reporting beneficial ownership of five percent or less of such class). (See Rule 13d-7). 1 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). - --------------------------------------------------------------------------- 1 - --------------------------------------------------------------------------- CUSIP NO. 511656100 - --------------------------------------------------------------------------- (1) Names of reporting persons....... | LAKE CITY BANK as Trustee of the S.S. or I.R.S. Identification Nos.| Lakeland Financial Corporation of above persons. | 401(k) Plan | Federal I.D. #35-0458180 - --------------------------------------------------------------------------- (2) Check the appropriate box if a | (a) Not applicable member of a group. | ---------------------------------- | (b) Not applicable - --------------------------------------------------------------------------- (3) SEC use only .................... | - --------------------------------------------------------------------------- (4) Citizenship or place of | Indiana organization. | - --------------------------------------------------------------------------- Number of shares beneficially owned | by each reporting person with: | (5) Sole voting power .......... | 0 | ---------------------------------- (6) Shared voting power ........ | 144,836 shares | ---------------------------------- (7) Sole dispositive power ..... | 3,385 shares | ---------------------------------- (8) Shared dispositive power ... | 141,451 shares - --------------------------------------------------------------------------- (9) Aggregate amount beneficially | owned by each reporting person. | 144,836 shares - --------------------------------------------------------------------------- (10) Check if the aggregate amount in | Row (9) excludes certain shares | (see instructions). | Not applicable - --------------------------------------------------------------------------- (11) Percent of class represented by | amount in Row (9). | 10.1% - --------------------------------------------------------------------------- (12) Type of reporting person (see | instructions). | EP - --------------------------------------------------------------------------- Page 1 of 1 Pages 2 Item 1. Name of Issuer: Lakeland Financial Corporation 202 E. Center Street P.O. Box 1387 Warsaw, IN 46580 Item 2. Name of Person Filing: Lake City Bank as Trustee of the Lakeland Financial Corporation 401(k) Plan 202 E. Center St. P.O. Box 1387 Warsaw, IN 46580 Citizenship: Indiana Financial Institution Title of Class of Securities: Common Stock CUSIP Number: 511656100 Item 3. If this statement is filed pursuant to Rule 13d-1(b), or 13d-2(b), check whether the person filing is a: (a) [ ] Broker or Dealer registered under Section 15 of the Act (b) [ ] Bank as defined in Section 3(a)(6) of the Act (c) [ ] Insurance Company as defined in Section 3(a)(19) of the Act (d) [ ] Investment Company registered under Section 8 of the Investment Company Act (e) [ ] Investment Adviser registered under Section 203 of the Investment Advisers Act of 1940 (f) [x] Employee Benefit Plan, Pension Fund which is subject to the provisions of the Employee Retirement Income Security Act of 1974 or Endowment Fund; see Section 240.13d-1(b)(1)(ii)(F) 3 (g) [ ] Parent Holding Company, in accordance with Section 240.13d- 1(b)(ii)(G) (Note: See Item 7) (h) [ ] Group, in accordance with Section 240.13d-1(b)(1)(ii)(H) Item 4. Ownership Amount Beneficially Owned: 144,836 shares Percent of Class: 10.1% Number of shares as to which such person has: (I) sole power to vote or to direct the vote: 0 shares (ii) shared power to vote or to direct the vote: 144,836 shares (iii) sole power to dispose or to direct the disposition of: 3,385 shares (iv) shared power to dispose or to direct the disposition of: 141,451 shares 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 Employees of Lakeland Financial Corporation and Lake City Bank, as participants, have the right to direct the receipt of dividends and the proceeds from the sale of the securities. 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 4 Item 9. Notice of Dissolution of Group Not Applicable Item 10. Certification By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were acquired in the ordinary course of business and were not acquired for the purpose of and do not have the effect of changing or influencing the control of the issuer of such securities and were not acquired in connection with or as a participant in any transaction having such purposes or effect. 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. December 7, 1995 --------------------------------------- Date Bradley C. Brail ---------------------------------------- Signature Bradley C. Brail, Senior Vice President and Trust Officer ---------------------------------------- Name/Title 5 -----END PRIVACY-ENHANCED MESSAGE-----