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FORM 4 OMB Approval
UNITED STATES SECURITIES AND EXCHANGE COMMISSION -------------------------
[ ] Check this box if no longer WASHINGTON, D.C. 20549 OMB Number: 3235-0287
subject to Section 16. Form Expires: September 30, 1998
4 or Form 5 obligations may STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Estimated average burden
continue. See Instruction 1(b). hours per response....... 0.5
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(f) of the Investment Company Act of 1940.
(Print or Type Responses)
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1.Name and Address of Reporting Person*| 2. Issuer Name and Ticker or Trading Symbol |6. Relationship of Reporting Person(s)
| | to Issuer (Check all applicable)
Tragasz Ronald W. | Success Bancshares, Inc. (SXNB) | Director 10% Owner
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(Last) (First) (Middle) | 3. IRS or Social | 4. Statement for | X Officer (give title below)
| Security Number | Month/Year | -----
| of Reporting | | Other (specify below)
| Person (Voluntary) | | -----
c/o Success Bancshares, Inc. | | 4/99 | (1)
One Marriott Drive | | | ---------------------------
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(Street) | | 5. If Amendment, |7. Individual or Joint/Group Filing
| | Date of Original | Applicable Line
| | (Month/Year) | X Form filed by One Reporting Person
| | | --
| | | Form filed by More than One
| | | Reporting Person
Lincolnshire IL 60069 | | | --
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(City) (State) (Zip) | Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1. Title of Security | 2. Transaction| 3. Transaction| 4. Securities Acquired(A)| 5. Amount of|6. Owner |7. Nature
(Instr. 3) | Date | Code | or Disposed of (D) | Securities | -ship | of
| | (Instr. 8) | (Instr. 3, 4 and 5) | Beneficially| Form: | Indirect
| | | | Owned at End| Direct | Bene-
| |---------------|--------------------------| of Month | (D) or | ficial
| | | | | (A) | | (Instr. 3 | Indirect| Owner-
|(Month/Day/ | | | | or | | and 4) | (I) | ship
| Year) | Code | V | Amount | (D) | Price | |(Instr.4)|(Instr.4)
- ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|---------
| | | | | | | | |
- ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|---------
| | | | | | | | |
- ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|---------
| | | | | | | | |
- ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|---------
| | | | | | | | |
- ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|---------
| | | | | | | | |
- ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|---------
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- ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|---------
| | | | | | | | |
- ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|---------
| | | | | | | | |
- ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|---------
| | | | | | | | |
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(1) Senior Vice President and Cashier of Success National Bank.
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (over)
*If the form is filed by more than one reporting person, see Instruction 4(b)(v). SEC 1474 (7-96)
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FORM 4 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(e.g., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
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1. Title of Derivative | 2. Conver- |3. Trans- |4. Trans- |5. Number of |6. Date Exer- |7. Title and Amount |8. Price
Security | sion or | action | action | Derivative | cisable and | of Underlying | of
(Instr. 3) | Exercise | Date | Code | Securities Ac- | Expiration | Securities | Deriv-
| Price of | | (Instr. 8)| quired (A) or | Date | (Instr. 3 and 4) | ative
| Deriv- | (Month/| | Disposed of (D)| (Month/Day/ | | Secur-
| ative | Day/ | | (Instr. 3, 4, | Year) | | ity
| Security | Year) | | and 5) | | | (Instr. 5)
| | | | |-------------------------------------|
| | | | |Date |Expira- | | Amount or |
| | |-------------------------------|Exer- |tion | Title | Number of |
| | | Code |V | (A) |(D) |cisable|Date | | Shares |
- ------------------------|-------------|----------|-------|----|--------|---------|-------|--------|--------|-----------|------------
| | | | | | | | | Common | |
Stock Option | 6.09 | 4/28/09 | J(2) | | N/A | 1,700 |1/28/93| | Stock | 1,700 | N/A
- ------------------------|-------------|----------|-------|----|--------|---------|-------|--------|--------|-----------|------------
| | | | | | | | | Common | |
Stock Option | 10.125 | 4/28/99 | A | V | 3,000 | N/A |4/28/99|4/28/09 | Stock | 3,000 | N/A
- ------------------------|-------------|----------|-------|----|--------|---------|-------|--------|--------|-----------|------------
| | | | | | | | | Common | |
Stock Option | 13.875 | 9/23/98 | N/A |N/A | N/A | N/A | (3) |9/23/08 | Stock | 5,000 | N/A
- ------------------------|-------------|----------|-------|----|--------|---------|-------|--------|--------|-----------|------------
| | | | | | | | | | |
- ------------------------|-------------|----------|-------|----|--------|---------|-------|--------|--------|-----------|------------
| | | | | | | | | | |
- ------------------------|-------------|----------|-------|----|--------|---------|-------|--------|--------|-----------|------------
| | | | | | | | | | |
- ------------------------|-------------|----------|-------|----|--------|---------|-------|--------|--------|-----------|------------
| | | | | | | | | | |
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9. Number of | 10. Ownership | 11. Nature of
Derivative | Form of | Indirect
Securities | Derivative | Beneficial
Beneficially | Security: | Ownership
Owned at End | Direct (D) | (Instr. 4)
of Month | or Indirect (I) |
(Instr. 4) | (Instr. 4) |
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0 | N/A |
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3,000 | D |
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5,000 | D |
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| |
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| |
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| |
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Explanation of Responses:
(2) Cancellation of option.
(3) 1,250 shares vest on each of the first four anniversaries of the date of
grant.
**Intentional misstatements or omissions of facts constitute Federal Criminal Violations. /s/ Ronald W. Tragasz May 25, 1999
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). -------------------------- ------------
**Signature of Reporting Person Date
Note: File three copies of this Form, one of which must be manually signed.
If space is insufficient, see Instruction 6 for procedure.
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 Number.
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