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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13D
Under the Securities Exchange Act of 1934
(Amendment No. ____)*
HEARTLAND BANCSHARES, INC.
________________________________________________________________________________
(Name of Issuer)
COMMON STOCK, PAR VALUE .01 PER SHARE
________________________________________________________________________________
(Title of Class of Securities)
421970 104
_______________________________________________________________
(CUSIP Number)
BARRETT ROCHMAN, 1345 E. PARK, CARBONDALE, IL 62902 (618-549-8221)
________________________________________________________________________________
(Name, Address and Telephone Number of Person Authorized to Receive Notices and
Communications)
7/17/96
_______________________________________________________________
(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 [_].
Check the following box if a fee is being paid with the statement [_]. (A fee is
not required only if the reporting person: (1) has a previous statement on file
reporting beneficial ownership of more than five percent of the class of
securities described in Item 1; and (2) has filed no amendment subsequent
thereto reporting beneficial ownership of five percent or less of such class.)
(See Rule 13d-7.)
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
disclosures provided in a prior cover page.
The information required on 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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SCHEDULE 13D
- ----------------------- ---------------------
CUSIP NO.__________ Page __ of __ Pages
- ----------------------- ---------------------
- ------------------------------------------------------------------------------
NAME OF REPORTING PERSON
1 S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
BARRETT ROCHMAN
###-##-####
- ------------------------------------------------------------------------------
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
2 (a) [_]
(b) [_]
- ------------------------------------------------------------------------------
SEC USE ONLY
3
- ------------------------------------------------------------------------------
SOURCE OF FUNDS*
4
PERSONAL FUNDS + BK LOANS (PF+BK)
- ------------------------------------------------------------------------------
CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT
TO ITEMS 2(d) or 2(e) [_]
5
- ------------------------------------------------------------------------------
CITIZENSHIP OR PLACE OF ORGANIZATION
6
U.S.
- ------------------------------------------------------------------------------
SOLE VOTING POWER
7
NUMBER OF 53,615
SHARES -----------------------------------------------------------
SHARED VOTING POWER
BENEFICIALLY 8
NONE
OWNED BY
-----------------------------------------------------------
EACH SOLE DISPOSITIVE POWER
9
REPORTING 53,615
PERSON -----------------------------------------------------------
SHARED DISPOSITIVE POWER
WITH 10
NONE
- ------------------------------------------------------------------------------
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
11
53,615
- ------------------------------------------------------------------------------
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES*
12
[_]
- ------------------------------------------------------------------------------
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
13
6.1%
- ------------------------------------------------------------------------------
TYPE OF REPORTING PERSON*
14
IN
- ------------------------------------------------------------------------------
*SEE INSTRUCTIONS BEFORE FILLING OUT!
INCLUDE BOTH SIDES OF THE COVER PAGE, RESPONSES TO ITEMS 1-7
(INCLUDING EXHIBITS) OF THE SCHEDULE, AND THE SIGNATURE ATTESTATION.
<PAGE>
INFORMATION ATTACHMENT TO SCHEDULE 13D:
- ---------------------------------------
ITEM 1. Security & Issuer
Security: Common Stock, Par Value .01 per share
Issuer: Heartland Bancshares, Inc.
318 S. Park Avenue
Herrin, IL 62948
ITEM 2. Identity & Background
a.) Name: Barrett Rochman
b.) Address: 1345 E. Park, Carbondale, IL 62902
c.) Occupation: Self-employed-Real estate investments
Business names and addresses:
Rochman Rentals - 1345 E. Park, Carbondale, IL 62902
(Sole-Prop.)
Investment Tax Cert. - 1345 E. Park, Carbondale, IL 62902
(Sole-Prop.)
S.I. Securities - 1345 E. Park, Carbondale, IL 62902
(Partnership)
F.B. Trust - 1345 E. Park, Carbondale, IL 62902 (Partnership)
S.I./P.I. - 1345 E. Park, Carbondale, IL 62902 (Partnership)
Northern IL Securities - 1345 E. Park, Carbondale, IL 62902
(S-Corp.)
None of the businesses above have or will have any investment in the
stock of the issuer listed in item 1. Also, none of these businesses
deal in publicly-traded securities.
d.) Applicant has not had any criminal convictions during the last 5 years.
e.) Applicant has not been a party in any judgment prohibiting or limiting
activities subject to federal and/or state securities laws during the last
5 years.
f.) Applicant is a U.S. citizen.
<PAGE>
INFORMATION ATTACHMENT TO SCHEDULE 13D (Continued)
- ---------------------------------------------------
ITEM 3. Sources of Funds
Sources of funds: Bank loans and personal funds
Bank Loans:
Charter Bank $179,375.00
114 S. Broadway
Sparta, IL 62286
(618)443-2166
Pledged 25,000 shares of Heartland
Bancshares, Inc. stock as collateral.
First National Bank & Trust Company $240,625.00
509 South University Avenue
P.O. Box 2227
Carbondale, IL 62902-2227
(618)457-3381
Pledged 25,000 shares of Heartland
Bancshares, Inc. stock as collateral.
Personal Funds Used: $124,032.50
-----------
Total Funds Used in Purchase: $544,032.50
===========
ITEM 4. Purpose of Transaction
The purpose of transaction is investment-purchase and hold securities of
issuer.
<PAGE>
INFORMATION ATTACHMENT TO SCHEDULE 13D (Continued):
- ---------------------------------------------------
ITEM 5. Interest in Securities of the Issuer
a.) Aggregate number of shares beneficially owned: 53,615
Percentage of class of securities owned: 6.1%
b.) Number of shares beneficially owned with sole power to vote: 53,615
c.) All transactions by applicant in this security during the past sixty
days are described on attached Exhibit 5(c). All purchases were
transacted through a broker-dealer.
d.) No other person has any right or power to direct the receipt of
dividends from, or the proceeds from the sale of the securities listed.
e.) Not applicable.
ITEM 6. Contracts, Arrangements, Understandings or Relationships with Respect to
Securities of the Issuer
There are no contracts, arrangements or relationships regarding the
purchase of these securities other than the bank loans disclosed in Item 3
(Sources of Funds).
ITEM 7. Material to Be Filed as Exhibits
Exhibit 5(c) - Transactions in the Common Stock effected during the past
sixty days.
<PAGE>
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.
7/29/96 /s/ Barrett Rochman
- ------------------- -------------------------------
Date Signature
BARRETT ROCHMAN
-------------------------------
Name/Title
6
