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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. 2)*
Heartland Bancshares, Inc.
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(Name of Issuer)
Common Stock
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(Title of Class of Securities)
421970 104
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(CUSIP Number)
Barrett Rochman, 1343 E. Park, Carbondale, Illinois 62902
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(Name, Address and Telephone Number of Person Authorized to Receive Notices
and Communications)
October 2, 1996
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(Date of Event which Requires Filing of this Statement)
If the filing person has previously filed a statement on Schedule 13D 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).
<PAGE>
SCHEDULE 13D
CUSIP NO. 421970104 PAGE 2 OF 4 PAGES
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- ------------------------------------------------------------------------------
1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Barrett Rochman
Social Security Number not provided
- ------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
(a) [ ]
(b) [_]
- ------------------------------------------------------------------------------
3 SEC USE ONLY
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4 SOURCE OF FUNDS*
Not applicable
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5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT
TO ITEMS 2(d) or 2(e) [_]
- ------------------------------------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION
United States
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7 SOLE VOTING POWER
NUMBER OF
67,924 (1)
SHARES -----------------------------------------------------------
8 SHARED VOTING POWER
BENEFICIALLY
OWNED BY 2,940 (2)
-----------------------------------------------------------
EACH 9 SOLE DISPOSITIVE POWER
REPORTING
67,924 (1)
PERSON -----------------------------------------------------------
10 SHARED DISPOSITIVE POWER
WITH
2,940 (2)
- ------------------------------------------------------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
69,438
- ------------------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES*
[X]
- ------------------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
7.9%
- ------------------------------------------------------------------------------
14 TYPE OF REPORTING PERSON*
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.
1) Mr. Rochman beneficially owns 66,498 shares directly, and 1,426 shares are
beneficially owned by Marilyn Rochman, the wife of Mr. Rochman. Mr.
Rochman disclaims any beneficial interest in the 1,426 shares owned by
Marilyn Rochman.
2) The Boo Rochman Charitable Corporation owns 940 shares, and the Barrett
Rochman Family Investment owns 2,000 shares. Mr. Rochman and Marilyn
Rochman have shared voting and investment power over these shares.
<PAGE>
INFORMATION ATTACHMENT TO SCHEDULE 13D
ITEM 1. SECURITY AND ISSUER
Unchanged from initial Schedule 13D.
ITEM 2. IDENTITY AND BACKGROUND
Unchanged from initial Schedule 13D.
ITEM 3. SOURCE AND AMOUNT OF FUNDS OR OTHER CONSIDERATION
No shares of Heartland Bancshares, Inc. were purchased. Therefore,
Item 3 is inapplicable.
ITEM 4. PURPOSE OF TRANSACTION
No additional shares of the issuer have been acquired and, therefore,
Item 4 is inapplicable.
ITEM 5. INTEREST IN SECURITIES OF THE ISSUER
(a) The aggregate number of shares beneficially owned by Mr. Rochman
is 69,438, or 7.9%, of the outstanding common stock of the
issuer.
(b) Mr. Rochman has sole power to vote and dispose of 67,924 shares,
as identified on Lines 7 and 9 of the Cover Page of this
Amendment No. 2 to Schedule 13D, other than the 1,426 shares
beneficially owned by Marilyn Rochman. Mr. Rochman and Marilyn
Rochman share the power to vote and dispose of 2,940 shares, as
identified on Lines 8 and 10 of the Cover Page of this Amendment
No. 2 to Schedule 13D. The identity and background information
for Marilyn Rochman is as follows:
(1) Name: Marilyn Rochman
(2) Residence Address: 1355 East Park Street
Carbondale, Illinois 62901
(3) Occupation: Housewife
(4) During the past (5) years, Mrs. Rochman has not been
convicted in a criminal proceeding.
(5) During the past (5) years, Mrs. Rochman has not been a
party to a civil proceeding of a judicial or
administrative body of competent jurisdiction, which as a
result of such proceeding she was or is subject to a
judgment, decree or final order enjoining future
violations of, or prohibiting or
<PAGE>
mandating activities subject to, federal or state
securities laws or finding any violation with respect to
such laws.
(6) Citizenship: United States
(c) The only transaction effected during the past sixty (60) days is
as follows:
1. On October 2, 1997, the Boo Rochman Charitable Corporation
sold 9,000 shares of common stock of the Issuer at
$14-13/16 per share. This transaction was effected
through a broker-dealer.
(d) Not applicable.
(e) Not applicable.
ITEM 6. CONTRACTS, ARRANGEMENTS, UNDERSTANDINGS OR RELATIONSHIPS WITH RESPECT
TO SECURITIES OF THE ISSUER
Unchanged from initial Schedule 13D.
ITEM 7. MATERIAL TO BE FILED AS EXHIBITS
There are no contracts, arrangements, understandings or relationships
of Mr. Rochman with respect to the securities identified in this
Amendment No. 2 to Schedule 13D.
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.
October 27, 1997 /s/ Barrett Rochman
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Date Signature
Barrett Rochman
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Name/Title