0001104659-21-136388.txt : 20211109 0001104659-21-136388.hdr.sgml : 20211109 20211109172649 ACCESSION NUMBER: 0001104659-21-136388 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211031 FILED AS OF DATE: 20211109 DATE AS OF CHANGE: 20211109 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HYATT ALAN J CENTRAL INDEX KEY: 0001218591 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-22345 FILM NUMBER: 211393402 MAIL ADDRESS: STREET 1: SEVERN SAVINGS BANK FSB STREET 2: 200 WESTGATE CIRCLE, SUITE 500 CITY: ANNAPOLIS STATE: MD ZIP: 21401 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SHORE BANCSHARES INC CENTRAL INDEX KEY: 0001035092 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 521974638 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 18 EAST DOVER STREET CITY: EASTON STATE: MD ZIP: 21601-3013 BUSINESS PHONE: 4108221400 MAIL ADDRESS: STREET 1: 18 EAST DOVER STREET CITY: EASTON STATE: MD ZIP: 21601-3013 4/A 1 tm2132464-1_4aseq1.xml OWNERSHIP DOCUMENT X0306 4/A 2021-10-31 2021-11-02 0 0001035092 SHORE BANCSHARES INC SHBI 0001218591 HYATT ALAN J 218 EAST DOVER STREET EASTON MD 21601 1 0 0 0 Common Stock 2021-10-31 4 A 0 1066970 A 1067420 D Common Stock 2021-10-31 4 A 0 388306 A 388306 I By Trust Common Stock 2021-10-31 4 A 0 170692 A 170692 I By Trust Common Stock 2021-10-31 4 A 0 75333 A 75333 I By Trust Common Stock 2021-10-31 4 A 0 53749 A 53749 I By Trust Common Stock 2021-10-31 4 A 0 7603 A 7603 I By Partnership The original Form 4 failed to include additional shares of Severn Bancorp, Inc.("SVBI") common stock converted in connection with the merger of SVBI into the Issuer (the "Merger"). Received in exchange for a total of 1,718,979 shares of SVBI common stock in connection with the Merger. On the effective date of the Merger, the closing price of SVBI's common stock was $13.63 per share, and the closing price of the Issuer's common stock was $18.48 per share. Includes 853,191 shares jointly owned by Alan J. Hyatt and his spouse Sharon G. Hyatt. Received in exchange for 625,594 shares of SVBI common stock in connection with the Merger. On the effective date of the Merger, the closing price of SVBI's common stock was $13.63 per share, and the closing price of the Issuer's common stock was $18.48 per share. Shares are held in the Frances G. Hyatt State Exempt Marital Trust, of which the reporting person is a co-trustee and disclaims ownership except to the extent of his pecuniary interest. Received in exchange for 275,000 shares of SVBI common stock in connection with the Merger. On the effective date of the Merger, the closing price of SVBI's common stock was $13.63 per share, and the closing price of the Issuer's common stock was $18.48 per share. Shares are held in the Frances G. Hyatt Residuary Trust, of which the reporting person is a co-trustee and disclaims ownership except to the extent of his pecuniary interest. Received in exchange for 121,368 shares of SVBI common stock in connection with the Merger. On the effective date of the Merger, the closing price of SVBI's common stock was $13.63 per share, and the closing price of the Issuer's common stock was $18.48 per share. Shares are held in the Louis Hyatt Revocable Trust, of which the reporting person is a co-trustee and disclaims ownership except to the extent of his pecuniary interest. Received in exchange for 86,595 shares of SVBI common stock in connection with the Merger. On the effective date of the Merger, the closing price of SVBI's common stock was $13.63 per share, and the closing price of the Issuer's common stock was $18.48 per share. Shares are held in the Frances G. Hyatt Fed GST EX MED Trust, of which the reporting person is a co-trustee and disclaims ownership except to the extent of his pecuniary interest. Received in exchange for 12,250 shares of SVBI common stock in connection with the Merger. On the effective date of the Merger, the closing price of SVBI's common stock was $13.63 per share, and the closing price of the Issuer's common stock was $18.48 per share. Shares are held in the Crownsville Family Limited Partnership, of which the reporting person is the general partner and disclaims ownership except to the extent of his pecuniary interest. /s/ Edward C. Allen/POA 2021-11-09