-----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, CSG2lr8cnt/zEld1tsXYcbf+6gpbEyk2Ye6pq06VSL3jxTET/iCIJnXzAaoer6AV Kjn/9ykOHjc9NMOvWIscZw== 0001193125-04-024306.txt : 20040217 0001193125-04-024306.hdr.sgml : 20040216 20040217095018 ACCESSION NUMBER: 0001193125-04-024306 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20040217 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: BOOTH HAROLD C CENTRAL INDEX KEY: 0001279745 FILING VALUES: FORM TYPE: SC 13G MAIL ADDRESS: STREET 1: 8600 MIDNIGHT PASS ROAD CITY: SARASOTA STATE: FL ZIP: 34242 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: BEVERLY NATIONAL CORP CENTRAL INDEX KEY: 0000742275 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 042832201 STATE OF INCORPORATION: MA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-58915 FILM NUMBER: 04603711 BUSINESS ADDRESS: STREET 1: 240 CABOT ST CITY: BEVERLY STATE: MA ZIP: 01915 BUSINESS PHONE: 9789222100 MAIL ADDRESS: STREET 1: 240 CABOT ST CITY: BEVERLY STATE: MA ZIP: 01915 SC 13G 1 dsc13g.htm SCHEDULE 13G SCHEDULE 13G

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

SCHEDULE 13G

(Rule 13d-102)

 

INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT

TO RULES 13d-1(b) (c), AND (d) AND AMENDMENTS THERETO FILED

PURSUANT TO RULE 13d-2(b)

(Amendment No.         )1

 

 

 

 

 

Beverly National Corporation


(Name of Issuer)

 

 

Common Stock


(Title of Class of Securities)

 

 

088115100


                                (CUSIP Number)                                

 

 

December 31, 2003


(Date of Event Which Requires Filing of this Statement)

 

 

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

 

¨ Rule 13d-1(b)

 

¨ Rule 13d-1(c)

 

x Rule 13d-1(d)

 

1   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 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


CUSIP No. 088115100  

13G    

   

 


  1.  

Names of Reporting Persons:

I.R.S. Identification No. of above person (entities only)

 

            HAROLD C. BOOTH REVOCABLE TRUST

            04-6837027

   

  2.  

Check the Appropriate Box if a Member of a Group*

(a)  ¨

(b)  ¨

 

            NOT APPLICABLE

   

  3.  

SEC Use Only

 

   

  4.  

Citizenship or Place of Organization

 

            MASSACHUSETTS, U.S.A.

   

NUMBER OF

SHARES

BENEFICIALLY

OWNED BY

EACH

REPORTING

PERSON

WITH

 

  5.    Sole Voting Power

 

                0


  6.    Shared Voting Power

 

                127,870


  7.    Sole Dispositive Power

 

                0


  8.    Shared Dispositive Power

 

                127,870


  9.  

Aggregate Amount Beneficially Owned by Each Reporting Person

 

            127,870

   

10.  

Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares*

 

            NOT APPLICABLE

   

11.  

Percent of Class Represented by Amount in Row 9

 

            6.98%

   

12.  

Type of Reporting Person

 

            OO

   

 

Page 2 of 4


Item 1.

 

(a)

   Name of Issuer:          
         BEVERLY NATIONAL CORPORATION          
   

(b)

   Address of Issuer’s Principal Executive Offices:          
         240 CABOT STREET, BEVERLY, MA 01915          

Item 2.

 

(a)

   Name of Person Filing:          
        

STEPHEN F. CURRAN, VICE PRESIDENT & TRUST OFFICER

BEVERLY NATIONAL BANK, TRUSTEE OF THE HAROLD C BOOTH REVOCABLE TRUST

         
   

(b)

   Address of Principal Business Office or, if none, Residence:          
         240 CABOT STREET, BEVERLY, MA 01915          
   

(c)

   Citizenship:          
         MASSACHUSETTS, U.S.A.          
   

(d)

   Title of Class of Securities:          
         COMMON STOCK          
   

(e)

   CUSIP Number:              
         088115100          

Item 3.

  If this statement is filed pursuant to Rule 13d-1(b), or Rule 13d-2(b) or (c), check whether the person filing is a:     
    NOT APPLICABLE     

 

 

 

Page 3 of 4


Item 4.

   Ownership.          
     Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1:          
     (a)    Amount beneficially owned: 127,870          
     (b)    Percent of class: 6.98%          
     (c)    Number of shares as to which such person has:          
          (i)    Sole power to vote or to direct the vote                                                                
          (ii)    Shared power to vote or to direct the vote 127,870          
          (iii)    Sole power to dispose or to direct the disposition of                                                                
          (iv)    Shared power to dispose or to direct the disposition of 127,870          

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 or Control Person.
     NOT APPLICABLE

Item 8.

   Identification and Classification of Members of the Group.          
     NOT APPLICABLE          

Item 9.

   Notice of Dissolution of Group.          
     NOT APPLICABLE          

Item 10.

   Certifications.          
     NOT APPLICABLE          

 

After reasonable inquiry and to the best of its knowledge and belief, each of the undersigned certifies that the information set forth in this statement is true, complete and correct.

 

 

2/13/04


Date


Signature

/s/    Stephen F. Curran        


Name   STEPHEN F. CURRAN  
Title   VICE PRESIDENT & TRUST OFFICER

 

Page 4 of 4

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