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HAWTHORN BANCSHARES, INC. — Major Shareholding Notification 2009
Feb 11, 2009
33650_mrq_2009-02-11_ad09f976-07ca-44b0-bbc1-86434ebc0981.zip
Major Shareholding Notification
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SC 13G/A 1 c49333bsc13gza.htm SC 13G/A sc13gza PAGEBREAK
SEC 1745 (02-02) Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934 (Amendment No. 14 )*
HAWTHORN BANCSHARES, INC.
(Name of Issuer)
COMMON STOCK $1.00 PAR VALUE
(Title of Class of Securities)
420476103
(CUSIP Number)
(Date of Event Which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
| o | Rule 13d-l(b) |
|---|---|
| o | Rule 13d- l(c) |
| o | Rule 13d- l(d) |
*The remainder of this cover page shall be filled out for a reporting persons 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).
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CUSIP No. 420 476103
| 1 | NAMES OF REPORTING PERSONS. I.R.S. Identification Nos. of above persons (entities only). DONALD L. CAMPBELL #500 24 0720 | |
|---|---|---|
| 2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) | |
| (a) NOT APPLICABLE | ||
| (b) NOT APPLICABLE | ||
| 3 | SEC USE ONLY | |
| 4 | CITIZENSHIP OR PLACE OF ORGANIZATION | |
| UNITED STATES CITIZEN | ||
| 5 | SOLE VOTING POWER | |
| NUMBER OF | 214,389 | |
| SHARES | 6 | SHARED VOTING POWER |
| BENEFICIALLY | ||
| OWNED BY | 0 | |
| EACH | 7 | SOLE DISPOSITIVE POWER |
| REPORTING | ||
| PERSON | 214,389 | |
| WITH | 8 | SHARED DISPOSITIVE POWER |
| 0 | ||
| 9 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON | |
| 214,389 | ||
| 10 | CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) | |
| N/A | ||
| 11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) | |
| 5.2% | ||
| 12 | TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) | |
| IN |
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TOC /TOC
Page 3 of 5 Pages
link2 "ITEM 1:"
ITEM 1:
| (a) | Name of Issuer: Hawthorn Bancshares, Inc. |
|---|---|
| (b) | Address of Issuers Principal Executive Offices: |
132 East High Street Jefferson City, Missouri 65101
link2 "ITEM 2:"
ITEM 2:
| (a) | Name of Person Filing: This Schedule 13G is filed Pursuant to Rule 13d-1 © of the
Securities and Exchange Act of 1934, as amended. It is filed by the following person: Donald L.
Campbell (Mr. Campbell). |
| --- | --- |
| (b) | Address of Principal Business Office or, if none, Residence: The business address for Mr.
Campbell is 132 East High Street, Jefferson City, Missouri 65101. |
| (c) | Citizenship: Mr. Campbell is a United States citizen |
| (d) | Title of Class of Securities: Common stock, par value $1.00 per share. |
| (e) | CUSIP No.: 420476103 |
link2 "ITEM 3: If this statement is filed pursuant to Rules 13d-1 (b), or 13d-2 (b), check whether the person filing is a"
ITEM 3: If this statement is filed pursuant to Rules 13d-1 (b), or 13d-2 (b), check whether the person filing is a:
Not applicable.
link2 "ITEM 4: Ownership (as of December 31, 2008)"
ITEM 4: Ownership (as of December 31, 2008)
Amount beneficially owned: Mr. Campbell may be deemed the beneficial owner of (i) 155,178 shares owned of record by Campbell Family L. P., which currently holds all shares previously owned of record by Mr. Campbell and his wife, and (ii) 56,211 shares held in the Donald L. Campbell Tr u/a Sept. 27, 1997 Donald L. Campbell Trust and (iii) 3,000 shares owned solely by Mr. Campbell. Mr. Campbell has sole voting and investment power over all the shares owned.
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Page 4 of 5 Pages
| (b) | Percent of class: The shares identified in paragraph (a) above as being beneficially
owned by Mr. Campbell represent 5.2% of the 4,136,495 shares outstanding on December 31, 2008. |
| --- | --- |
| (c) | Number of shares of which such person has: |
| (I) | sole power to vote or to direct the vote: |
|---|---|
| 214,389 shares. | |
| (ii) | shared power to vote or to direct the vote: - 0 - shares. |
| (iii) | sole power to dispose or to direct the disposition of: 214,389 shares. |
| (iv) | shared power to dispose or to direct the disposition of: |
| - 0 - shares. |
link2 "ITEM 5: Ownership of Five Percent or Less of a Class"
ITEM 5: Ownership of Five Percent or Less of a Class. Not applicable.
link2 "ITEM 6: Ownership of More than Five Percent on Behalf of Another Person"
ITEM 6: Ownership of More than Five Percent on Behalf of Another Person. Not applicable.
link2 "ITEM 7: Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company"
ITEM 7: Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company. Not applicable.
link2 "ITEM 8: Identification and Classification of Members of the Group"
ITEM 8: Identification and Classification of Members of the Group. Not applicable.
link2 "ITEM 9: Notice of Dissolution of Group"
ITEM 9: Notice of Dissolution of Group. Not applicable.
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Page 5 of 5 Pages
link2 "ITEM 10: Certification"
ITEM 10: Certification.
Not applicable.
link1 "SIGNATURE"
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.
Dated: February 10, 2009
BY: /s/ Donald L. Campbell Donald L. Campbell
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