0001209191-18-003894.txt : 20180117
0001209191-18-003894.hdr.sgml : 20180117
20180117151143
ACCESSION NUMBER: 0001209191-18-003894
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171231
FILED AS OF DATE: 20180117
DATE AS OF CHANGE: 20180117
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: COLLETT LAWRENCE A
CENTRAL INDEX KEY: 0001220389
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-20827
FILM NUMBER: 18531274
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CASS INFORMATION SYSTEMS INC
CENTRAL INDEX KEY: 0000708781
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389]
IRS NUMBER: 431265338
STATE OF INCORPORATION: MO
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 12444 POWERSCOURT DRIVE
CITY: ST. LOUIS
STATE: MO
ZIP: 63131
BUSINESS PHONE: 314-506-5500
MAIL ADDRESS:
STREET 1: 12444 POWERSCOURT DRIVE
CITY: ST. LOUIS
STATE: MO
ZIP: 63131
FORMER COMPANY:
FORMER CONFORMED NAME: CASS COMMERCIAL CORP
DATE OF NAME CHANGE: 19950518
5
1
doc5.xml
FORM 5 SUBMISSION
X0306
5
2017-12-31
0
0
0
0000708781
CASS INFORMATION SYSTEMS INC
CASS
0001220389
COLLETT LAWRENCE A
12444 POWERSCOURT DRIVE
SUITE 550
ST. LOUIS
MO
63131
1
0
0
0
Common Stock
2017-12-11
5
G
0
4195
0.00
D
123512
D
Includes restricted stock bonus shares, subject to vesting and forfeiture.
NOTE: ALL SHARES AND SHARE PRICES HAVE BEEN ADJUSTED FOR THE 10% STOCK DIVIDEND PAID BY THE COMPANY ON
12/15/2017.
/s/ Lawrence A. Collett
2018-01-17