-----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, PjLO1pYYezoIKH7cyW4oEWY56lCh1iplLrm+zn9+2xgZptalFH3q5/4iZc7cKmKR gVQaNeOEugQBHtL+rbl3Kg== 0000741390-00-000003.txt : 20000215 0000741390-00-000003.hdr.sgml : 20000215 ACCESSION NUMBER: 0000741390-00-000003 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20000214 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MAHASKA INVESTMENT CO CENTRAL INDEX KEY: 0000741390 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 421003699 STATE OF INCORPORATION: IA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-52545 FILM NUMBER: 541456 BUSINESS ADDRESS: STREET 1: 222 FIRST AVENUE EAST CITY: OSKALOOSA STATE: IA ZIP: 52577 BUSINESS PHONE: 5156738448 MAIL ADDRESS: STREET 1: 222 FIRST AVDNUE EAST CITY: OSKALOOSA STATE: IA ZIP: 52577 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: MAHASKA INVESTMENT CO CENTRAL INDEX KEY: 0000741390 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 421003699 STATE OF INCORPORATION: IA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 222 FIRST AVENUE EAST CITY: OSKALOOSA STATE: IA ZIP: 52577 BUSINESS PHONE: 5156738448 MAIL ADDRESS: STREET 1: 222 FIRST AVDNUE EAST CITY: OSKALOOSA STATE: IA ZIP: 52577 SC 13G 1 MAHASKA INVESTMENT COMPANY ESOP SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 3) MAHASKA INVESTMENT COMPANY (Name of Issuer) COMMON STOCK (Title of Class of Securities) 559809108 (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.) *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 disclosures provided in a prior cover page. The information required on 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). CUSIP No. 559809108 SCHEDULE 13G Page 2 of 7 Pages 1. Name of Reporting Person I.R.S. Identification No. of Above Person (entities only) Mahaska Investment Company ESOP I.R.S. No. 42-1291120 2. Check the appropriate box if a member of a group N/A 3. SEC Use Only 4. Citizenship or Place of Organization Iowa NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH: 5. Sole Voting Power 0 6. Shared Voting Power 406,836* shares *Under the applicable ESOP documentation, each participant is entitled to direct the plan as to voting shares allocated to such participant's account. 7. Sole Dispositive Power 406,836 shares Page 3 of 7 Pages 8. Shared Dispositive Power N/A 9. Aggregate Amount Beneficially Owned by Each Reporting Person 406,836 shares 10. Check box if the aggregate amount in Row (9) excludes certain shares N/A 11. Percent of Class Represented by Amount in Row 9 9.4% 12. Type of Reporting Person EP Page 4 of 7 Pages ITEM 1(a). NAME OF ISSUER. Mahaska Investment Company ITEM 1(b). ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES. P. O. Box 1104 Oskaloosa, Iowa 52577 ITEM 2(a). NAME OF PERSON FILING. This filing is made on behalf of Mahaska Investment Company Employee Stock Ownership Plan and Trust (ESOP). ITEM 2(b). ADDRESS OF THE PRINCIPAL OFFICES: The principal business office is Mahaska State Bank Trust Department, P.O. Box Oskaloosa, Iowa 52577. ITEM 2(c). CITIZENSHIP. The Trust Agreement creating the ESOP is governed by the laws of the State of Iowa. ITEM 2(d). TITLE OF CLASS OF SECURITIES. Common Stock. ITEM 2(e). CUSIP NUMBER. 559809108 ITEM 3. IF THE STATEMENT IS BEING FILED PURSUANT TO RULE 13D-1(b) OR 13D-2(b), CHECK WHETHER THE PERSON FILING IS A: N/A Page 5 of 7 Pages ITEM 4. OWNERSHIP. (a) Amount of Beneficially Owned: The ESOP has direct control of the shares of Common Stock held for the benefit of the participating employees. (b) Percent of Class: 9.4% (c) (i) Sole power to vote or direct the vote: 0 (ii) Shared power to vote or direct the vote: 406,836 Under the ESOP Trust document, Mahaska State Bank ("the Trustee") is authorized in its discretion to vote directly and to vote indirectly by proxy on all matters pertaining to all securities held by the ESOP. Notwithstanding the foregoing, each participant is entitled to direct the Plan as to any Company stock considered allocated to such participant's account in accordance with IRC Section 409(e). (iii) Sole power to dispose or direct the disposition of: The Trustee has sole power to dispose or to direct the disposition of the 406,836 shares of Common Stock. (iv) Shared power to dispose or to direct the disposition of: 0 ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS. N/A Page 6 of 7 Pages ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON. See item 4 above. ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY. See items 3 and 4 above. ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP. N/A ITEM 9. NOTICE OF DISSOLUTION OF A GROUP. N/A ITEM 10. CERTIFICATION. By signing below the undersigned certifies that, to the best of its 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 purpose or effect. Page 7 of 7 Pages SIGNATURE After reasonable inquiry and to the best of its knowledge and belief, the undersigned certifies that the information set forth in this statement is true, complete and correct. MAHASKA STATE BANK, AS TRUSTEE /s/ Sherry Mattson ______ Date: February 14, 2000 Name: Sherry Mattson Title: Trust Officer -----END PRIVACY-ENHANCED MESSAGE-----