0001127602-22-003506.txt : 20220207 0001127602-22-003506.hdr.sgml : 20220207 20220207145032 ACCESSION NUMBER: 0001127602-22-003506 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211231 FILED AS OF DATE: 20220207 DATE AS OF CHANGE: 20220207 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WELCH M SCOTT CENTRAL INDEX KEY: 0001189422 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11487 FILM NUMBER: 22596997 MAIL ADDRESS: STREET 1: 6 LONGWOOD COURT CITY: ELKHART STATE: IN ZIP: 46516 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: LAKELAND FINANCIAL CORP CENTRAL INDEX KEY: 0000721994 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 351559596 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 202 E CENTER ST STREET 2: P O BOX 1387 CITY: WARSAW STATE: IN ZIP: 46581-1387 BUSINESS PHONE: 5742676144 MAIL ADDRESS: STREET 1: 202 E CENTER ST STREET 2: PO BOX 1387 CITY: WARSAW STATE: IN ZIP: 46581 5 1 form5.xml PRIMARY DOCUMENT X0306 5 2021-12-31 0 0 0000721994 LAKELAND FINANCIAL CORP LKFN 0001189422 WELCH M SCOTT 6 LONGWOOD COURT ELKHART IN 46516 1 Common Stock 2021-11-19 5 G 0 13500 0 D 6500 I By Corporation Common Stock 1257 D Common Stock 34000 I By LLP Common Stock 162091 I By Spouse Phantom Stock Common Stock 51384 51384 D Each phantom stock unit exersises into 1 share of Common Stock. Phantom stock is exercisable after the directors' retirement as a Board member. Phantom shares expire after the directors' retirement as a Board member. /s/ Matt VanDeWielle, Attorney-in-Fact 2022-02-07