-----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, D/0gEJEhrM3aAUxjPSilZrAWOveCGXLMnHMQKI3IelhddlaQ/00bxHxBfgj8ouXZ KukseLIL7ExJDQ6nkw9yPQ== 0000912057-97-023066.txt : 19970702 0000912057-97-023066.hdr.sgml : 19970702 ACCESSION NUMBER: 0000912057-97-023066 CONFORMED SUBMISSION TYPE: SC 13D/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970701 SROS: NASD SUBJECT COMPANY: 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: SC 13D/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-48511 FILM NUMBER: 97634344 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 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: MATHISEN DENNIS M CENTRAL INDEX KEY: 0001038601 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13D/A BUSINESS ADDRESS: STREET 1: 8433 E CAREFREE DRIVE STREET 2: P O BOX 5511 CITY: CAREFREE STATE: AZ ZIP: 85377 SC 13D/A 1 SCH 13D SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13D Under the Securities Exchange Act of 1934 (Amendment No. 1 )* COMMUNITY FIRST BANKSHARES, INC. (Name of Issuer) COMMON STOCK, $0.01 PAR VALUE (Title of Class of Securities) 203902 10 1 (CUSIP Number) Patrick Delaney Lindquist & Vennum P.L.L.P. 4200 IDS Center 80 South Eighth Street Minneapolis, Minnesota 55402 TELEPHONE: (612) 371-3211 (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) JUNE 6, 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 the disclosures provided in a prior cover page. The information required in 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). Page 1 of 4 Pages CUSIP No. 203902 10 1 ----------- - ------------------------------------------------------------------------------- (1) Names of Reporting Persons. S.S. or I.R.S. Identification Nos. of Above Persons Dennis M. Mathisen - ------------------------------------------------------------------------------- (2) Check the Appropriate Box if a Member (a) / / of a Group* (b) / / - ------------------------------------------------------------------------------- (3) SEC Use Only - ------------------------------------------------------------------------------- (4) Source of Funds* N/A - ------------------------------------------------------------------------------- (5) Check if Disclosure of Legal Proceedings is Required Pursuant to Items 2(d) or 2(e) / / - ------------------------------------------------------------------------------- (6) Citizenship or Place of Organization UNITED STATES - ------------------------------------------------------------------------------- Number of Shares (7) Sole Voting 1,481,705 Beneficially Owned Power by Each Reporting -------------------------------------------------- Person With (8) Shared Voting -0- Power -------------------------------------------------- (9) Sole Dispositive 1,481,705 Power -------------------------------------------------- (10) Shared Dispositive -0- Power - ------------------------------------------------------------------------------- (11) Aggregate Amount Beneficially Owned by Each Reporting Person 1,481,705 - ------------------------------------------------------------------------------- (12) Check if the Aggregate Amount in Row (11) Excludes Certain Shares* / / (See instructions) - ------------------------------------------------------------------------------- (13) Percent of Class Represented by Amount in Row (11) 7.9% - ------------------------------------------------------------------------------- (14) Type of Reporting Person* IN - ------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT! Page 2 of 4 Pages Item 1. SECURITY AND ISSUER The class of equity securities to which this Amendment No. 1 to Schedule 13D relates is the Common Stock, par value $.01 per share (the "Common Stock"), of Community First Bankshares, Inc. (the "Company"). The address of the principal executive office of the Company is 520 Main Avenue, Fargo, North Dakota 58124-0001. Item 5. INTEREST IN SECURITIES OF THE ISSUER (c) On June 6, 1997, Mr. Mathisen transferred 148,000 shares of Common Stock of the Company to a non-affiliated investment fund, and in exchange he received a corresponding interest in the fund. For purposes of the transaction, the Common Stock was valued at $35.125 per share, equal to the closing sale price of Common Stock of the Company on June 5, 1997. Page 3 of 4 Pages SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. Date: June 24, 1997 /s/ Dennis M. Mathisen ------------------------------------ Dennis M. Mathisen Page 4 of 4 Pages -----END PRIVACY-ENHANCED MESSAGE-----