-----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, QgdGeSQJT+bBR45QKUlbyIaV74gYm9K6gsBzmYXCtHrKLU4+UePBtLZ5ZwDyZvr6 eCWs75/1EWB1tNOmmxPl5g== 0000926274-03-000001.txt : 20030102 0000926274-03-000001.hdr.sgml : 20030101 20030102170444 ACCESSION NUMBER: 0000926274-03-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20021231 FILED AS OF DATE: 20030102 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: SCHNAKENBURG BARRY A CENTRAL INDEX KEY: 0001186130 RELATIONSHIP: DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: P.O. BOX 629 CITY: EVANSVILLE STATE: IN ZIP: 47704 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: FIDELITY FEDERAL BANCORP CENTRAL INDEX KEY: 0000910492 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035] IRS NUMBER: 351894432 STATE OF INCORPORATION: IN FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22880 FILM NUMBER: 03501282 BUSINESS ADDRESS: STREET 1: 700 S GREEN RIVER ROAD STREET 2: SUITE 2000 CITY: EVANSVILLE STATE: IN ZIP: 47715 BUSINESS PHONE: 8124692100 MAIL ADDRESS: STREET 1: 18 NW FOURTH ST STREET 2: PO BOX 1347 CITY: EVANSVILLE STATE: IN ZIP: 47706-1347 4 1 sch-12024.txt ------------------------------ OMB APPROVAL [ ] Check this box if no longer ------------------------------ subject to Section 16. Form 4 or OMB Number 3235-0287 Form 5 obligations may continue. Expires: January 31, 2005 See Instruction 1(b). Estimated average burden hours per response ....... 0.5 ------------------------------ UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 4 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 - -------------------------------------------------------------------------------- 1. Name and Address of Reporting Person* Schnakenburg Barry A. - -------------------------------------------------------------------------------- (Last) (First) (Middle) 8701 Petersburg Road - -------------------------------------------------------------------------------- (Street) Evansville IN 47725 - -------------------------------------------------------------------------------- (City) (State) (Zip) - -------------------------------------------------------------------------------- 2. Issuer Name and Ticker or Trading Symbol Fidelity Federal Bancorp (FFED) - -------------------------------------------------------------------------------- 3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary) ###-##-#### - -------------------------------------------------------------------------------- 4. Statement for Month/Day/Year December 31, 2002 - -------------------------------------------------------------------------------- 5. If Amendment, Date of Original (Month/Day/Year) - -------------------------------------------------------------------------------- 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) [X] Director [ ] 10% Owner [ ] Officer (give title below) [ ] Other (specify below) - -------------------------------------------------------------------------------- 7. Individual or Joint/Group Filing (Check applicable line) [X] Form filed by One Reporting Person [ ] Form filed by More than One Reporting Person - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned - --------------------------------------------------------------------------------
5. 6. 2A. 4. Amount of Owner- 2. Deemed 3. Securities Acquired (A) or Securities ship 7. Trans- Execution Trans- Disposed of (D) Beneficially Form: Nature of action Date, if action (Instr. 3, 4 and 5) Owned Direct Indirect Date any Code ----------------------------- Following (D) or Beneficial 1. (Month/ (Month/ (Instr. 8) (A) Reported Indirect Owner- Title of Security Day/ Day/ ----------- Amount or Price Transaction(s) (I) ship (Instr. 3) Year) Year) Code V (D) (Instr. 3 and 4) (Instr.4) (Instr. 4) - --------------------------------------------------------------------------------------------------------------------------- Common Stock 12/27/02 P V 100 A 1.48 51,038 D - --------------------------------------------------------------------------------------------------------------------------- Common Stock 12/27/02 P V 3800 A 1.50 51,038 D - --------------------------------------------------------------------------------------------------------------------------- Common Stock 40,378 I BOAH Assoc. - --------------------------------------------------------------------------------------------------------------------------- Common Stock 63,263 I Barry, Inc. - --------------------------------------------------------------------------------------------------------------------------- Common Stock 24,948 I U.S. Industries - --------------------------------------------------------------------------------------------------------------------------- Common Stock 5,775 I Spouse - --------------------------------------------------------------------------------------------------------------------------- Common Stock 26,487 I Father - POA - ---------------------------------------------------------------------------------------------------------------------------
Explanation of Responses: Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. * If the form is filed by more than one reporting person, see Instruction 4(b)(v). Table II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (e.g., puts, calls, warrants, options, convertible securities)
- ----------------------------------------------------------------------------------------------------------------------------------- 10. 9. Owner- Number ship of Deriv- Form ative of 5. 7. Secur- Deriv- 11. Number of Title and Amount ities ative Nature Derivative 6. of Underlying 8. Bene- Secur- of 2. 3a. 4. Securities Date Exer- Securities Price ficially ity: In- Conver- 3. Deemed Trans- Acquired (A) cisable and (Instr. 3 and 4) of Owned Direct direct sion or Trans- Execution action or Disposed Expiration Date ---------------- Deriv- Following (D) or Bene- 1. Exercise action Date, if Code of(D) (Month/Day/Year) Amount ative reported In- ficial Title of Price of Date any (Instr. (Instr. 3, ---------------- or Secur- Trans- direct Owner- Derivative Deri- (Month/ (Month/ 8) 4 and 5) Date Expira- Number ity action(s) (I) ship Security vative Day/ Day/ ------- ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr. (Instr. 3) Security Year) Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4) - ----------------------------------------------------------------------------------------------------------------------------------- Common Stock Warrants Right to Common Buy 2.50 03/01/02 P 19,193 Immed. 02/28/12 Stock 19,193 19,193 D - ----------------------------------------------------------------------------------------------------------------------------------- Director Stock Option Right to Common Buy 9.74 02/15/95 A 6,930 Immed. 02/15/05 Stock 6,930 6,930 D - ----------------------------------------------------------------------------------------------------------------------------------- Director Stock Option Right to Common Buy 11.81 11/19/97 A 6,567 Immed. 11/19/07 Stock 6,567 6,567 D - ----------------------------------------------------------------------------------------------------------------------------------- Director Stock Option Right to Common Buy 4.60 03/15/00 A 6,600 Immed. 03/15/10 Stock 6,600 6,600 D - ----------------------------------------------------------------------------------------------------------------------------------- Director Stock Option Right to Common Buy 4.42 05/01/02 A 10,000 Immed. 05/01/12 Stock 10,000 10,000 D - -----------------------------------------------------------------------------------------------------------------------------------
Explanation of Responses: /s/ Barry A. Schnakenburg January 02, 2003 - ------------------------------- ---------------- **Signature of Reporting Person Date ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). -----END PRIVACY-ENHANCED MESSAGE-----