-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, NqF/6w6hyT2ZoPJDQqTDFmE1lcRp25Cm4NVXB4D6z66VJ3ONdXf5VHde4uQg/kLk MZu362rfiPyystvHsOEAEQ== 0000941965-97-000036.txt : 19970415 0000941965-97-000036.hdr.sgml : 19970415 ACCESSION NUMBER: 0000941965-97-000036 CONFORMED SUBMISSION TYPE: SC 13D/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970414 SROS: NASD GROUP MEMBERS: BETH A. LETT GROUP MEMBERS: J. DAVID LETT GROUP MEMBERS: LETT MICHAEL B GROUP MEMBERS: MARY E. LETT SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: GERMAN AMERICAN BANCORP CENTRAL INDEX KEY: 0000714395 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 351547518 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-34703 FILM NUMBER: 97579367 BUSINESS ADDRESS: STREET 1: 711 MAIN ST STREET 2: P O BOX 810 CITY: JASPER STATE: IN ZIP: 47546 BUSINESS PHONE: 8124821314 MAIL ADDRESS: STREET 1: 711 MAIN STREET CITY: JASPER STATE: IN ZIP: 47546 FORMER COMPANY: FORMER CONFORMED NAME: GAB BANCORP DATE OF NAME CHANGE: 19950510 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: LETT MICHAEL B CENTRAL INDEX KEY: 0001037423 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13D/A BUSINESS ADDRESS: STREET 1: 711 MAIN STREET BOX CITY: JASPER STATE: IN ZIP: 47546 MAIL ADDRESS: STREET 1: LEGRE & BARNES STREET 2: 9100 KEYSTONE CROSSING SUITE 800 CITY: INDIANAPOLIS STATE: IN ZIP: 46240 SC 13D/A 1 AMENDMENT NO. 1 SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13D/A (Amendment No. 1)* Under the Securities Exchange Act of 1934 GERMAN AMERICAN BANCORP (Name of Issuer) Common Stock, $10.00 Par Value Title of Class of Securities 361334 10 5 (CUSIP Number) Michael B. Lett Mark B. Barnes 103 North Street Leagre & Barnes Loogootee, IN 47553 9100 Keystone Crossing, Ste. 800 Indianapolis, IN 46240 (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) March 4, 1997 (Date of Event which Requires Filing of this Statement) If the filing person has previously filed a statement on Schedule 13G to report the acquisition which is the subject of this Schedule 13D, and is filing this schedule because of Rule 13d-1(b)(3) or (4), check the following box [ ]. Note: Six copies of this statement, including all exhibits, should be filed with the Commission. See Rule 13d-1(a) for other parties to whom copies are to be sent. *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 disclosures provided in a prior cover page. The information required on 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). 2 SCHEDULE 13D CUSIP No. 361334 10 5 1 Name of Reporting Person S.S. or I.R.S. Identification No. of Above Person Mary E. Lett 2 Check the Appropriate Box if a Member of a Group (a) [X] (b) [ ] 3 SEC Use Only 4 Source of Funds* N/A 5 Check Box if Disclosure of Legal Proceedings is Required Pursuant to Items 2(d) or 2(e) [ ] 6 Citizenship or Place of Organization USA NUMBER OF 7 Sole Voting Power SHARES BENEFICIALLY 98,208 OWNED BY EACH 8 Shared Voting Power REPORTING PERSON WITH 0 9 Sole Dispositive Power 98,208 10 Shared Dispositive Power 0
11 Aggregate Amount Beneficially Owned by Each Reporting Person 98,208 12 Check Box if the Aggregate Amount in Row (11) Excludes Certain Shares* [ ] 13 Percent of Class Represented by Amount in Row (11) 3.9% 14 Type of Reporting Person* IN 3 SCHEDULE 13D CUSIP No. 361334 10 5 1 Name of Reporting Person S.S. or I.R.S. Identification No. of Above Person Michael B. Lett 314-446-6702 2 Check the Appropriate Box if a Member of a Group (a) [X] (b) [ ] 3 SEC Use Only 4 Source of Funds* N/A 5 Check Box if Disclosure of Legal Proceedings is Required Pursuant to Items 2(d) or 2(e) [ ] 6 Citizenship or Place of Organization USA NUMBER OF 7 Sole Voting Power SHARES BENEFICIALLY 1,878 OWNED BY EACH 8 Shared Voting Power REPORTING PERSON WITH 0 9 Sole Dispositive Power 1,878 10 Shared Dispositive Power 0
11 Aggregate Amount Beneficially Owned by Each Reporting Person 1,878 12 Check Box if the Aggregate Amount in Row (11) Excludes Certain Shares* [ ] 13 Percent of Class Represented by Amount in Row (11) 0.1% 14 Type of Reporting Person* IN 4 SCHEDULE 13D CUSIP No. 361334 10 5 1 Name of Reporting Person S.S. or I.R.S. Identification No. of Above Person J. David Lett ###-##-#### 2 Check the Appropriate Box if a Member of a Group (a) [X] (b) [ ] 3 SEC Use Only 4 Source of Funds* N/A 5 Check Box if Disclosure of Legal Proceedings is Required Pursuant to Items 2(d) or 2(e) [ ] 6 Citizenship or Place of Organization USA NUMBER OF 7 Sole Voting Power SHARES BENEFICIALLY 1,858 OWNED BY EACH 8 Shared Voting Power REPORTING PERSON WITH 0 9 Sole Dispositive Power 1,858 10 Shared Dispositive Power 0
11 Aggregate Amount Beneficially Owned by Each Reporting Person 1,858 12 Check Box if the Aggregate Amount in Row (11) Excludes Certain Shares* [ ] 13 Percent of Class Represented by Amount in Row (11) 0.1% 14 Type of Reporting Person* IN 5 SCHEDULE 13D CUSIP No. 361334 10 5 1 Name of Reporting Person S.S. or I.R.S. Identification No. of Above Person Beth A. Lett 2 Check the Appropriate Box if a Member of a Group (a) [X] (b) [ ] 3 SEC Use Only 4 Source of Funds* N/A 5 Check Box if Disclosure of Legal Proceedings is Required Pursuant to Items 2(d) or 2(e) [ ] 6 Citizenship or Place of Organization USA NUMBER OF 7 Sole Voting Power SHARES BENEFICIALLY 240 OWNED BY EACH 8 Shared Voting Power REPORTING PERSON WITH 171 9 Sole Dispositive Power 240 10 Shared Dispositive Power 171
11 Aggregate Amount Beneficially Owned by Each Reporting Person 411 12 Check Box if the Aggregate Amount in Row (11) Excludes Certain Shares* [ ] 13 Percent of Class Represented by Amount in Row (11) 0.0% 14 Type of Reporting Person* IN 6 AMENDMENT NO. 1 TO SCHEDULE 13D Items 1, 4 and 5 of the Statement on Schedule 13D, dated March 8, 1993, filed by the Reporting Persons with respect to the Common Stock, $10.00 par value, of German American Bancorp, are hereby amended as follows: Item 1. Security and Issuer. This Statement relates to the Common Stock, $10.00 par value per share (the "Common Stock"), of German American Bancorp, an Indiana corporation formerly named GAB Bancorp (the "Issuer" or the "Company"). The address of the Company's principal office is 711 Main Street, Box 810, Jasper, Indiana 47546. Item 4. Purpose of Transaction. The event that requires the filing of this Statement is the cessation of the Reporting Persons' aggregate beneficial ownership of more than five percent of the Issuer's Common Shares, as described more fully in response to Item 5(e) below. Item 5. Interest in Securities of the Issuer. (a) & (b) The following table sets forth the number and percentage of shares of the Common Stock of the Company beneficially owned by each reporting person, each of whom have sole voting and investment power over the shares registered in their names:
Beneficial Owner Number of Shares Percentage of Shares Mary E. Lett 98,208 3.9% Michael B. Lett 1,878 0.1% J. David Lett 1,858 0.1% Beth A. Lett 411(1) 0.0%
(1) Includes 171 shares that Beth A. Lett holds as custodian for her and Mr. Michael B. Lett's son. (c) Not applicable. (d) Not applicable. (e) On March 4, 1997, the Issuer completed its acquisition by merger (the "Merger") of Peoples Bancorp of Washington, an Indiana corporation ("Peoples"). In connection with the Merger, the Issuer issued approximately 615,417 Common Shares to the former shareholders of Peoples, and as a result of this issuance, the aggregate beneficial ownership of the Reporting Persons ceased to represent more than five percent of the Issuer's Common Shares. 7 Signature After reasonable inquiry, and to the best of my knowledge and belief, I certify that the information set forth in this amended statement is true, complete and correct. /s/ Mary E. Lett __________________________________ Mary E. Lett /s/ Michael B, Lett __________________________________ Michael B. Lett /s/ J. David Lett __________________________________ J. David Lett /s/ Beth A. Lett __________________________________ Beth A. Lett April 7, 1997 8 EXHIBIT INDEX Description Page Number Agreement Pursuant to Regulation Section 240.13d-1(f), N/A which was attached as an exhibit to the Reporting Persons' Schedule 13D, dated March 8, 1993, is incorporated herein by reference. -----END PRIVACY-ENHANCED MESSAGE-----