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