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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES 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 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who 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. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Common Stock Purchase Warrant | $ 6.26 | (3) | 04/20/2016 | Common Stock | 13,900 | 13,900 | I | See footnote (1) | |||||||
Common Stock Purchase Warrant | $ 6.26 | (3) | 04/20/2016 | Common Stock | 394,934 | 394,934 | I | See footnote (2) | |||||||
Series B-1 Convertible 8.4% Noncumulative Preferred Stock | $ 5.32 | (4) | (4) | Common Stock | 23,609 | 1,256 | I | See footnote (1) | |||||||
Series B-1 Convertible 8.4% Noncumulative Preferred Stock | $ 5.32 | (4) | (4) | Common Stock | 671,880 | 35,740 | I | See footnote (2) | |||||||
Series C 8.4% Noncumulative Preferred Stock | $ 5.32 | 12/31/2012 | J(5) | 90 | (5) | (5) | Common Stock | 1,691 | (5) | 90 | I | See footnote (1) | |||
Series C 8.4% Noncumulative Preferred Stock | $ 5.32 | 12/31/2012 | J(5) | 2,585 | (5) | (5) | Common Stock | 48,590 | (5) | 2,585 | I | See footnote (2) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Carpenter Fund Manager GP, LLC 5 PARK PLAZA SUITE 950 IRVINE, CA 92614 |
X | X | ||
Carpenter Community BancFund-A, L.P. 5 PARK PLAZA SUITE 950 IRVINE, CA 92614 |
X | X |
CARPENTER FUND MANAGER GP, LLC on behalf of itself and as General Partner of CARPENTER COMMUNITY BANCFUND-A, LP and CARPENTER COMMUNITY BANCFUND, LP, by John D. Flemming, Managing Member (by Robert Sjogren, attorney-in-fact) | 04/02/2010 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Held directly by Carpenter Community BancFund, LP and beneficially owned by Carpenter Fund Manager GP, LLC (the "General Partner") as general partner of such fund. The General Partner disclaims beneficial ownership of the securities, except to the extent that the General Partner has a pecuniary interest, if any, in such fund. |
(2) | Held directly by Carpenter Community BancFund-A, LP and beneficially owned by the General Partner as general partner of such fund. The General Partner disclaims beneficial ownership of the securities, except to the extent that the General Partner has a pecuniary interest, if any, in such fund. |
(3) | The warrants are not currently exercisable and would only become exercisable if the issuer completes an acquisition of an insured depository institution or its parent having assets of $250 million or more by merger, purchase of outstanding shares or the purchase and assumption of all or substantially all of its assets and liabilities. No transactions occurred with respect to these securities, intended only to reflect number of securities beneficially owned. |
(4) | Such preferred stock is convertible at any time at the holder's election and has no expiration date. No transactions occurred with respect to these securities, intended only to reflect number of securities beneficially owned. |
(5) | Received as a payment-in-kind dividend on shares of Series B-2 Convertible 8.4% Noncumulative Preferred Stock. Such preferred stock is not currently convertible but may become convertible upon transfer in a widely dispersed offering and has no expiration date. |
Remarks: This Form 4 is filed jointly by Carpenter Fund Manager GP, LLC (the "General Partner"), Carpenter Community BancFund, LP and Carpenter Community BancFund-A, LP. The General Partner is the sole general partner of each of these funds and may therefore be deemed to beneficially own the securities of the funds reported herein. The funds' addresses are the same as the General Partner's address indicated above. The funds have the right to designate three directors of the issuer under an Amended and Restated Investor Rights Agreement with the issuer. On May 17, 2012, the issuer appointed Edward J. Carpenter, John D. Flemming and Michael P. Hoopis as the funds' three designated directors. |