-----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, Bg+2pxY5olzfSBjm4C1hdi5MGU9htxat/ERo3TqQoeUSErCZvKHPYZZ7vyL5zw3m ID6k2kK0H2DAYZ7b10y0tQ== 0000950144-00-001916.txt : 20000214 0000950144-00-001916.hdr.sgml : 20000214 ACCESSION NUMBER: 0000950144-00-001916 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20000211 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: HABERSHAM BANCORP CENTRAL INDEX KEY: 0000754597 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 581563165 STATE OF INCORPORATION: GA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: SEC FILE NUMBER: 005-35757 FILM NUMBER: 535747 BUSINESS ADDRESS: STREET 1: P O BOX 1980 STREET 2: HIGHWAY 441 N CITY: CORNELIA STATE: GA ZIP: 30531 BUSINESS PHONE: 4045726600 MAIL ADDRESS: STREET 1: P.O. BOX 1980 CITY: CORNELIA STATE: GA ZIP: 30531 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: ARRENDALE THOMAS A III CENTRAL INDEX KEY: 0000900927 STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 0000 [0000] STATE OF INCORPORATION: GA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: P.O. BOX 558 CITY: BALDWIN STATE: GA ZIP: 305111 BUSINESS PHONE: 706-778-5100 MAIL ADDRESS: STREET 1: P.O. BOX 558 CITY: BALDWIN STATE: GA ZIP: 305111 SC 13G/A 1 HABERSHAM BANCORP / THOMAS A. ARRENDALE, III 1 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 7)* HABERSHAM BANCORP - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock - -------------------------------------------------------------------------------- (Title of Class of Securities) 404459109 -------------- (CUSIP Number) December 31, 1999 ------------------------------------------------------------- (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) [ X] Rule 13d-1(c) [ ] Rule 13d-1(d) *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 2 CUSIP NO. 404459109 - ------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Thomas A. Arrendale, III ###-##-#### - ------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) [ ] N/A (b) [ ] - ------------------------------------------------------------------------------- 3 SEC USE ONLY - ------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States of America - ------------------------------------------------------------------------------- NUMBER OF SHARES 5 SOLE VOTING POWER BENEFICIALLY OWNED BY EACH 188,620* REPORTING PERSON WITH -------------------------------------------------- 6 SHARED VOTING POWER 485,000* -------------------------------------------------- 7 SOLE DISPOSITIVE POWER 188,620* -------------------------------------------------- 8 SHARED DISPOSITIVE POWER 485,000* - ------------------------------------------------------------------------------ 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 673,620* - ------------------------------------------------------------------------------- 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 24.9% - ------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON IN - ------------------------------------------------------------------------------- Page 2 of 4 pages 3 ITEM 1(A). NAME OF ISSUER: Habersham Bancorp ITEM 1(B). ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES: P.O. Box 1980 Highway 441 North Cornelia, Georgia 30531 ITEM 2(A). NAME OF PERSON FILING: Thomas A. Arrendale, III ITEM 2(B). ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE: P.O. Box 558 Baldwin, Georgia 30511 ITEM 2(C). CITIZENSHIP: United States of America ITEM 2(D). TITLE OF CLASS OF SECURITIES: Common Stock, $1.00 par value ITEM 2(E). CUSIP NUMBER: 404459109 ITEM 3. IF THIS STATEMENT IS FILED PURSUANT TO RULES 13D-1(B), OR 13D-2(B), CHECK WHETHER THE PERSON FILING IS A: Not Applicable ITEM 4. OWNERSHIP: (a) Amount beneficially owned: 673,620* (b) Percent of class: 24.9% (c) Number of shares as to which such person has (i) sole power to vote or direct the vote: 188,620* (ii) shared power to vote or direct the vote: 485,000* (iii) sole power to dispose or to direct the disposition of: 188,620* (iv) shared power to dispose or direct the disposition of: 485,000* Page 3 of 4 pages 4 * Mr. Arrendale III has sole voting and dispositive power with respect to 188,620* shares of Common Stock, which includes 2,500 shares subject to exercisable options. He shares voting and dispositive power with Cyndae A. Bussey as a general partner of the following partnerships, which hold the indicated number of shares: (i) Arrendale Undiversified Family Limited Partnership: 400,000 shares; (ii) Thomas A. Arrendale, Jr. Family Limited Partnership: 85,000 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: 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 THE MEMBERS OF THE GROUP: Not Applicable ITEM 9. NOTICE OF DISSOLUTION OF GROUP: Not Applicable ITEM 10. CERTIFICATION: Not Applicable 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. Date: February 10, 2000 Signature: /s/ Thomas A. Arrendale, III ------------------------------------------ Name: Thomas A. Arrendale, III Page 4 of 4 pages -----END PRIVACY-ENHANCED MESSAGE-----