0001104659-22-023249.txt : 20220214 0001104659-22-023249.hdr.sgml : 20220214 20220214172717 ACCESSION NUMBER: 0001104659-22-023249 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211231 FILED AS OF DATE: 20220214 DATE AS OF CHANGE: 20220214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HYATT ALAN J CENTRAL INDEX KEY: 0001218591 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22345 FILM NUMBER: 22635165 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 5 1 tm226752d2_5.xml OWNERSHIP DOCUMENT X0306 5 2021-12-31 0 0 0 0001035092 SHORE BANCSHARES INC SHBI 0001218591 HYATT ALAN J 18 EAST DOVER ST. EASTON MD 21601 1 0 0 0 Common Stock 2021-12-17 5 G 0 3000 0 D 1066128 D Common Stock 2021-12-28 5 G 0 500 0 D 1065628 D Common Stock 4802 I Spouse Common Stock 388306 I By Trust Common Stock 170692 I By Trust Common Stock 75333 I By Trust Common Stock 53749 I By Trust Common Stock 7603 I By Partnership Bonafide gift to a nonprofit organization. Include 1,341 of unvested restricted stock that will vest on 2/1/2023. Includes 94,819 shares held in the ESOP; 367 shares of which have been added since the last filing (shares have been rounded to the nearest whole share) Includes 849,691 shares jointly owned by Alan J. Hyatt and his spouse Sharon G. Hyatt. These shares erroneously excluded from the Form 4 filed February 2, 2022 due to a Scribner's error. 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. 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. 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. 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. 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 2022-02-14