0000950159-11-000383.txt : 20110517 0000950159-11-000383.hdr.sgml : 20110517 20110517144557 ACCESSION NUMBER: 0000950159-11-000383 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20110517 DATE AS OF CHANGE: 20110517 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: REPUBLIC FIRST BANCORP INC CENTRAL INDEX KEY: 0000834285 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 232486815 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-39824 FILM NUMBER: 11851097 BUSINESS ADDRESS: STREET 1: TWO LIBERTY PLACE STREET 2: 50 S. 16TH STREET SUITE 2400 CITY: PHILADELPHIA STATE: PA ZIP: 19102 BUSINESS PHONE: 215-735-4422 MAIL ADDRESS: STREET 1: TWO LIBERTY PLACE STREET 2: 50 S. 16TH STREET SUITE 2400 CITY: PHILADELPHIA STATE: PA ZIP: 19102 FORMER COMPANY: FORMER CONFORMED NAME: FIRST REPUBLIC BANCORP INC /DE/ DATE OF NAME CHANGE: 19960617 FORMER COMPANY: FORMER CONFORMED NAME: EXECUFIRST BANCORP INC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: FIRST EXECUTIVE BANCORP INC DATE OF NAME CHANGE: 19881113 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Evergreen Trust B CENTRAL INDEX KEY: 0001520940 IRS NUMBER: 256918286 STATE OF INCORPORATION: PA FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 1320 NORTH AVIGNON DRIVE CITY: GLADWYNE STATE: PA ZIP: 19035 BUSINESS PHONE: 215-435-2349 MAIL ADDRESS: STREET 1: 1320 NORTH AVIGNON DRIVE CITY: GLADWYNE STATE: PA ZIP: 19035 SC 13G 1 rfb13g.htm THE EVERGREEN TRUST B FORM SC 13G rfb13g.htm
 
 

 
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C.  20549
 
 
SCHEDULE 13G
 
Under the Securities Exchange Act of 1934
(Amendment No. )*
 
 
Republic First Bancorp, Inc.
(Name of Issuer)
 
 
Common Stock, $.01 Par Value Per Share
(Title of Class of Securities)
 
 
760416107
(CUSIP Number)
 
 
June 24, 2010
(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).
 
 
 
 
 

 


CUSIP NO.     760416107     
Schedule 13G
Page 2 of 10

1
NAMES OF REPORTING PERSONS
 
The Evergreen Trust B
   
2
 
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP  (SEE INSTRUCTIONS)
 
 
(a) [   ]
(b) [   ]
 
3
 
SEC USE ONLY
 
 
4
CITIZENSHIP OR PLACE OF ORGANIZATION
 
Pennsylvania
   
 
 
NUMBER OF SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH:
 
5
SOLE VOTING POWER
0
6
SHARED VOTING POWER
2,019,438 (1)
7
SOLE DISPOSITIVE POWER
0
8
SHARED DISPOSITIVE POWER
2,019,438 (1)
9
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
2,019,438 (1)
10
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
[   ]
11
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
7.6% (1) (2)
12
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
OO (Trust)
___________________
(1) 
See Item 4.
(2)
The percentage of Common Stock reported herein as being beneficially owned by the Reporting Person is based on the sum of (i) 25,972,897 shares of Common Stock outstanding as of December 31, 2010, which information has been provided to the Reporting Person by the Issuer, and (ii) 461,538 shares issuable upon the conversion of 3,000 trust preferred securities of Republic First Bancorp Capital Trust IV, which trust preferred securities are currently convertible.
 
 
 
 
 
 
 

 
CUSIP NO.  760416107
Schedule 13G
Page 3 of 10

1
NAMES OF REPORTING PERSONS
 
Brooke C. Madonna
 
2
 
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP  (SEE INSTRUCTIONS)
 
 
(a) [   ]
(b) [   ]
 
3
 
SEC USE ONLY
 
 
4
CITIZENSHIP OR PLACE OF ORGANIZATION
 
Pennsylvania
 
 
NUMBER OF SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH:
 
 
5
 
SOLE VOTING POWER
0
6
SHARED VOTING POWER
2,019,438 (1)
7
SOLE DISPOSITIVE POWER
0
8
SHARED DISPOSITIVE POWER
2,019,438 (1)
   
9
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
2,019,438 (1)
10
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
[   ]
11
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
7.6% (1) (2)
12
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
IN
________________________
(1) 
See Item 4.
(2) 
The percentage of Common Stock reported herein as being beneficially owned by the Reporting Person is based on the sum of (i) 25,972,897 shares of Common Stock outstanding as of December 31, 2010, which information has been provided to the Reporting Person by the Issuer, and (ii) 461,538 shares issuable upon the conversion of 3,000 trust preferred securities of Republic First Bancorp Capital Trust IV, which trust preferred securities are currently convertible.
 
 
 
 
 
 
 

 
CUSIP NO.     760416107 
Schedule 13G
Page 4 of 10

1
NAMES OF REPORTING PERSONS
 
Harry Dillon Madonna
 
2
 
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP  (SEE INSTRUCTIONS)
 
 
(a) [   ]
(b) [   ]
 
3
 
SEC USE ONLY
 
 
4
CITIZENSHIP OR PLACE OF ORGANIZATION
 
Pennsylvania
 
 
NUMBER OF SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH:
 
 
5
 
SOLE VOTING POWER
11,934
6
SHARED VOTING POWER
2,019,438 (1)
7
SOLE DISPOSITIVE POWER
11,934
8
SHARED DISPOSITIVE POWER
2,019,438 (1)
9
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
2,031,372 (1)
10
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
[   ]
11
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
7.7% (1) (2)
12
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
IN
____________________
(1)
See Item 4.
(2) 
The percentage of Common Stock reported herein as being beneficially owned by the Reporting Person is based on the sum of (i) 25,972,897 shares of Common Stock outstanding as of December 31, 2010, which information has been provided to the Reporting Person by the Issuer, and (ii) 461,538 shares issuable upon the conversion of 3,000 trust preferred securities of Republic First Bancorp Capital Trust IV, which trust preferred securities are currently convertible.
 
 
 
 
 
 

 
CUSIP NO.     760416107 
Schedule 13G
Page 5 of 10

1
NAMES OF REPORTING PERSONS
 
Brandy C. Madonna
 
2
 
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP  (SEE INSTRUCTIONS)
 
 
(a) [   ]
(b) [   ]
 
3
 
SEC USE ONLY
 
 
4
CITIZENSHIP OR PLACE OF ORGANIZATION
 
Pennsylvania
 
 
NUMBER OF SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH:
 
 
5
 
SOLE VOTING POWER
8,795
6
SHARED VOTING POWER
2,019,438 (1)
7
SOLE DISPOSITIVE POWER
8,795
8
SHARED DISPOSITIVE POWER
2,019,438 (1)
9
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
2,028,233 (1)
10
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
[   ]
11
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
7.7% (1) (2)
12
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
IN
__________________
(1) 
See Item 4.
(2) 
The percentage of Common Stock reported herein as being beneficially owned by the Reporting Person is based on the sum of (i) 25,972,897 shares of Common Stock outstanding as of December 31, 2010, which information has been provided to the Reporting Person by the Issuer, and (ii) 461,538 shares issuable upon the conversion of 3,000 trust preferred securities of Republic First Bancorp Capital Trust IV, which trust preferred securities are currently convertible.
 
 
 
 
 
 
 

 
CUSIP NO.     760416107 
Schedule 13G
Page 6 of 10

1
NAMES OF REPORTING PERSONS
 
Lucas Prewett
 
  
2
 
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP  (SEE INSTRUCTIONS)
 
 
(a) [   ]
(b) [   ]
 
  
3
 
SEC USE ONLY
 
 
  
4
CITIZENSHIP OR PLACE OF ORGANIZATION
 
Pennsylvania
  
 
 
NUMBER OF SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH:
 
 
5
 
SOLE VOTING POWER
0
  
6
SHARED VOTING POWER
2,019,438 (1)
  
7
SOLE DISPOSITIVE POWER
0
  
8
SHARED DISPOSITIVE POWER
2,019,438 (1)
  
9
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
2,019,438 (1)
  
10 
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
[   ]
  
11 
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
7.6% (1) (2)
  
12 
TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
IN
  
_____________________
(1) 
See Item 4.
(2) 
The percentage of Common Stock reported herein as being beneficially owned by the Reporting Person is based on the sum of (i) 25,972,897 shares of Common Stock outstanding as of December 31, 2010, which information has been provided to the Reporting Person by the Issuer, and (ii) 461,538 shares issuable upon the conversion of 3,000 trust preferred securities of Republic First Bancorp Capital Trust IV, which trust preferred securities are currently convertible.
 
 
 
 
 
 
 

 
CUSIP NO.     760416107 
Schedule 13G
Page 7 of 10
 
Item 1(a).
Name of Issuer:
   
 
Republic First Bancorp, Inc. (the “Issuer”)
   
Item 1(b).
Address of Issuer’s Principal Executive Offices:
   
 
50 South 16th Street, Suite 2400
 
Philadelphia, Pennsylvania 19102
   
Item 2(a).
Name of Person Filing:
   
 
The Evergreen Trust B
 
Brooke C. Madonna
 
Harry Dillon Madonna
 
Brandy C. Madonna
 
Lucas Prewett
 
  
Item 2(b).
Address of Principal Business Office or, if None, Residence:
   
 
1320 North Avignon Drive
 
Gladwyne, Pennsylvania 19035
   
Item 2(c).
Citizenship:
   
 
Pennsylvania
   
Item 2(d).
Title of Class of Securities:
   
 
Common stock, par value $0.01 per share (“Common Stock”)
   
Item 2(e).
CUSIP Number:
   
 
760416107
   
Item 3.
If this statement is filed pursuant to §§ 240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:
   
 
The Reporting Person is not a person or group specified in Item 3 to Schedule 13G.
 
 
 
 
 
 
 

 
CUSIP NO.     760416107 
Schedule 13G
Page 8 of 10

Item 4.
Ownership.

(a)         Amount beneficially owned:  As of December 31, 2010, The Evergreen Trust B beneficially owned in the aggregate 2,019,438 shares of Common Stock, consisting of (i) 1,557,900 shares of Common Stock held by The Evergreen Trust B directly; and (ii) 461,538 shares issuable upon the conversion of 3,000 trust preferred securities of Republic First Bancorp Capital Trust IV, which trust preferred securities are currently convertible.  The co-trustees of The Evergreen Trust B are Brooke C. Madonna, Harry Dillon Madonna, Brandy C. Madonna and Lucas Prewett. The co-trustees have voting and dispositive power over the shares of the Issuer held by The Evergreen Trust B.  In addition, Harry Dillon Madonna beneficially owns 11,934 shares of Common Stock which are held directly and Brandy Madonna beneficially owns 8,795 shares of Common Stock which are held directly.
 
(b)           Percent of class: The response provided in Row 11 on the cover page is hereby incorporated by reference herein in response to this Item 4(b).

(c)           Number of shares as to which each Reporting Person has:

 
With respect to The Evergreen Trust B, Brooke C. Madonna and Lucas Prewett:

 
(A)
sole power to vote or to direct the vote: 0 shares of Common Stock

 
(B)
shared power to vote or to direct the vote:  2,019,438 shares of Common Stock

 
(C)
sole power to dispose or to direct the disposition of: 0 shares of Common Stock

 
(D)
shared power to dispose or to direct the disposition of:  2,019,438 shares of Common Stock

 
With respect to Harry Dillon Madonna:

 
(A)
sole power to vote or to direct the vote: 11,934 shares of Common Stock

 
(B)
shared power to vote or to direct the vote:  2,019,438 shares of Common Stock

 
(C)
sole power to dispose or to direct the disposition of: 11,934 shares of Common Stock

 
(D)
shared power to dispose or to direct the disposition of:  2,019,438 shares of Common Stock

 
With respect to Brandy Madonna:

 
(A)
sole power to vote or to direct the vote: 8,795 shares of Common Stock

 
(B)
shared power to vote or to direct the vote:  2,019,438 shares of Common Stock
 
 
 
 
 
 

 
CUSIP NO.     760416107 
Schedule 13G
Page 9 of 10

 
(C)
sole power to dispose or to direct the disposition of: 8,795 shares of Common Stock

 
(D)
shared power to dispose or to direct the disposition of:  2,019,438 shares of Common Stock

Item 5.
Ownership of Five Percent or Less of a Class:
   
 
If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than 5 percent of the class of securities, check the following:   [  ]
   
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
   
 
By signing below, each Reporting Person certifies that, to the best of the Reporting Person’s knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the Issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.
 
 
 
 
 
 
 

 
CUSIP NO.     760416107 
Schedule 13G
Page 10 of 10

  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:  May 17, 2011
    
       
The Evergreen Trust B
    
       
       
By:
 /s/ Brooke C. Madonna    /s/ Brooke C. Madonna   
 
Brooke C. Madonna, as Trustee
  
Brooke C. Madonna
       
       
By:
 /s/ Harry Dillon Madonna    /s/ Harry Dillon Madonna   
 
Harry Dillon Madonna, as Trustee
  
Harry Dillon Madonna
     
 
       
By:
 /s/ Brandy C. Madonna    /s/ Brandy C. Madonna   
 
Brandy C. Madonna, as Trustee
  
Brandy C. Madonna
       
       
By:
 /s/ Lucas Prewett    /s/ Lucas Prewett   
 
Lucas Prewett, as Trustee
  
Lucas Prewett

 

 
 
 
 
Exhibit 99.1

Joint Filing Agreement


In accordance with Rule 13d-1(k)(1) under the Securities Exchange Act of 1934, as amended, the undersigned hereby agree that the Schedule 13G being filed with the Securities and Exchange Commission to report their beneficial ownership of shares of common stock of Republic First Bancorp, Inc. shall be filed on behalf of each of the undersigned, and that this Joint Filing Agreement shall be included as an exhibit to the Schedule 13G.  Pursuant to Rule 13d-1(k)(1)(ii), each person filing this Schedule 13G is responsible for the timely filing of this Schedule 13G and any amendments thereto, and for the completeness and accuracy of the information contained therein concerning itself, and is not responsible for the completeness or accuracy of the information concerning the other filing persons unless such person knows or has reason to believe that such information is inaccurate.  This Joint Filing Agreement may be executed in two or more counterparts, each of which shall be deemed an original, but all of which together shall constitute one and the same instrument.
 
 
Date:  May 17, 2011
    
       
The Evergreen Trust B
    
       
       
By:
 /s/ Brooke C. Madonna    /s/ Brooke C. Madonna   
 
Brooke C. Madonna, as Trustee
  
Brooke C. Madonna
       
       
By:
 /s/ Harry Dillon Madonna    /s/ Harry Dillon Madonna   
 
Harry Dillon Madonna, as Trustee
  
Harry Dillon Madonna
     
 
       
By:
 /s/ Brandy C. Madonna    /s/ Brandy C. Madonna   
 
Brandy C. Madonna, as Trustee
  
Brandy C. Madonna
       
       
By:
 /s/ Lucas Prewett    /s/ Lucas Prewett   
 
Lucas Prewett, as Trustee
  
Lucas Prewett