-----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, K05UOrq3m5/tJsYdVJv1ayy5WhAerAerXr777Wnat3cxVW+Ltu/izcySvRhQNtQu jQPpPXcmzvGKcx+DEEzPIg== 0000912057-97-001466.txt : 19970123 0000912057-97-001466.hdr.sgml : 19970123 ACCESSION NUMBER: 0000912057-97-001466 CONFORMED SUBMISSION TYPE: S-4 PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970122 SROS: NASD FILER: COMPANY DATA: COMPANY CONFORMED NAME: COMMUNITY FIRST BANKSHARES INC CENTRAL INDEX KEY: 0000857593 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 460391436 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: S-4 SEC ACT: 1933 Act SEC FILE NUMBER: 333-20193 FILM NUMBER: 97509192 BUSINESS ADDRESS: STREET 1: 520 MAIN AVENUE CITY: FARGO STATE: ND ZIP: 58124-0001 BUSINESS PHONE: 7012985600 MAIL ADDRESS: STREET 1: 520 MAIN AVENUE CITY: FARGO STATE: ND ZIP: 58124-0001 S-4 1 FORM S-4 As filed with the Securities and Exchange Commission on January 22, 1997 Registration No. 333-_____ - -------------------------------------------------------------------------------- SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 _____________________ FORM S-4 Registration Statement Under The Securities Act of 1933 _____________________ COMMUNITY FIRST BANKSHARES, INC. (Exact name of registrant as specified in its charter) DELAWARE 6022 46-0391436 (State or other jurisdiction of (Primary Standard Industrial (I.R.S. Employer incorporation or organization) Classification Code Number) Identification No.) 520 Main Avenue Fargo, North Dakota 58124-0001 (701) 298-5600 (Address, including zip code, and telephone number, including area code, of registrant's principal executive office) _____________________ Donald R. Mengedoth President Community First Bankshares, Inc. 520 Main Avenue Fargo, North Dakota 58124-0001 (701) 298-5600 (Name, address, including zip code, and telephone number, including area code, of agent for service) _____________________ Copies to: Patrick Delaney, Esq. John W. Low Martin R. Rosenbaum, Esq. Sherman & Howard L.L.C. Lindquist & Vennum P.L.L.P. 633 Seventeenth Street 4200 IDS Center Suite 3000 80 South 8th Street Denver, Colorado 80202 Minneapolis, Minnesota 55402 Telephone: (303) 297-2900 Telephone: (612) 371-3211 Approximate date of commencement of proposed sale to public: As soon as practicable after this Registration Statement becomes effective. If the securities being registered on this Form are being offered in connection with the formation of a holding company and there is compliance with General Instruction G, check the following box./ / If this Form is filed to register additional securities for an offering pursuant to Rule 462(b) under the Securities Act, check the following box and list the Securities Act registration statement number of earlier effective registration statement for the same offering./X/ 333-14439 ---------
CALCULATION OF REGISTRATION FEE - -------------------------------------------------------------------------------------------------------------------------- - -------------------------------------------------------------------------------------------------------------------------- Proposed Proposed Maximum Maximum Title of Each Class of Amount to be Offering Price Aggregate Amount of Securities to be Registered Registered(1) Per Share(2) Offering Price(2) Registration Fee(3) - -------------------------------------------------------------------------------------------------------------------------- Common Stock, $.01 par value......... 5,844 shares Not Applicable Not Applicable $100 - -------------------------------------------------------------------------------------------------------------------------- - --------------------------------------------------------------------------------------------------------------------------
(1) Represents additional shares issued upon consummation of the Merger described in Registration Statement No. 333-14439. (2) Pursuant to Rule 457(f)(1), the fee is calculated based on the market value of the additional 4,584 shares of Mountain Parks Common Stock cancelled in the Merger, based upon the average of the high and low sale prices of Mountain Parks Common Stock as reported on the Nasdaq National Market on October 14, 1996, resulting in an aggregate market value of approximately $140,000. (3) Pursuant to Section 6(b) of the Securities Act, the minimum filing fee is $100. ----------------------------------------------------------------------------- ----------------------------------------------------------------------------- SIGNATURES Pursuant to the requirements of the Securities Act of 1933, the Registrant has duly caused this Amendment to be signed on its behalf by the undersigned, thereunto duly authorized, in the City of Fargo and the State of North Dakota, on this 17th day of January, 1997. COMMUNITY FIRST BANKSHARES, INC. By:/s/ Mark A. Anderson -------------------------------- Mark A. Anderson Executive Vice President, Chief Financial Officer, Secretary and Treasurer Pursuant to the requirements of the Securities Act of 1933, this Amendment has been signed below on the 17th day of January, 1997, by the following persons in the capacities indicated. Signature Title * President, Chief Executive Officer, Chairman - ------------------------------ of the Board of Directors and Director Donald R. Mengedoth (principal executive officer) /s/ Mark A. Anderson Executive Vice President, Chief Financial - ------------------------------ Officer, Secretary and Treasurer (principal Mark A. Anderson financial and accounting officer) * - ------------------------------ Director Patricia A. Adam * - ------------------------------ Director James T. Anderson * - ------------------------------ Director Patrick E. Benedict * - ------------------------------ Director Patrick Delaney * - ------------------------------ Director John H. Flittie * - ------------------------------ Director Cargill MacMillan, Jr. * - ------------------------------ Director Dean E. Smith * - ------------------------------ Director Thomas C. Wold * - ------------------------------ Director Harvey L. Wollman *By: /s/ Mark A. Anderson -------------------------- Mark A. Anderson Attorney-In-Fact 2 -----END PRIVACY-ENHANCED MESSAGE-----