UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. _____)*
GOLD BANC CORPORATION, INC.
(Name of Issuer)
Common Stock, par value $1.00 per share
(Title of Class of Securities)
379907 10 8
(CUSIP Number)
Check the following box if a fee is being paid with this statement /X/ (A fee
is not required only if the filing 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.)
*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 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 (the "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>
CUSIP No. 379907 10 8 13G
1. NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE
PERSON
Betty J. Dam I.D. NO.__________________
2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) /__/
(b) /__/
3. SEC USE ONLY:
4. CITIZENSHIP OR PLACE OF ORGANIZATION: United States
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON
WITH:
5. SOLE VOTING POWER: 262,974
6. SHARED VOTING POWER:
7. SOLE DISPOSITIVE POWER: 262,974
8. SHARED DISPOSITIVE POWER:
9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING
PERSON: 262,974
10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN
SHARES*
11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9: 6.1%
12. TYPE OF REPORTING PERSON: IN
*SEE INSTRUCTION BEFORE FILLING OUT!
<PAGE>
Item 1(a). Name of Issuer:
Gold Banc Corporation, Inc.
Item 1(b). Address of Issuer's Principal Executive Offices:
11301 Nall Avenue
Leawood, KS 66211
Item 2(a). Name of Persons Filing:
Betty J. Dam
Item 2(b). Address of Principal Business Office or, if None, Residence:
1506 Calhoun
Marysville, KS 66508
Item 2(c). Citizenship:
United States Citizen
Item 2(d). Title of Class of Securities:
Common Stock, par value $1.00 per share
Item 2(e). CUSIP Number:
379907 10 8
Item 3. If This Statement is Filed Pursuant to Rules 13d-1(b) or 13d-
2(b), Check Whether the Person Filing Is a:
(a) [ ] Broker or Dealer registered under Section 15 of the Act
(b) [ ] Bank as defined in section 3(a)(6) of the Act
(c) [ ] Insurance Company as defined in section 3(a)(19) of the act
(d) [ ] Investment Company registered under section 8 of the
Investment Company Act
(e) [ ] Investment Adviser registered under section 203 of the
Investment Advisers Act of 1940
(f) [ ] Employee Benefit Plan, Pension Fund which is subject to the
provisions of the Employee Retirement Income Security Act
of 1974 or Endowment Fund; see Section 240.13d-
(b)(1)(ii)(F)
(g) [ ] Parent Holding Company, in accordance with Section 240.13d-
(b)(ii)(G) (Note: See Item 7)
<PAGE>
(h) [ ] Group, in accordance with Section 240.13d-1(b)(1)(ii)(H)
N/A
Item 4. Ownership:
(a) Amount Beneficially Owned: 262,974 Shares
(b) Percent of Class: 6.1%
(c) Number of Shares as to which such person has:
(i) sole power to vote or to direct the vote-
262,974
(ii) shared power to vote or to direct the vote-
N/A
(iii) sole power to dispose or to direct the disposition of -
262,974
(iv) shared power to dispose or to direct the disposition of -
N/A
Item 5. Ownership of Five Percent or Less of a Class:
N/A
Item 6. Ownership of More than Five Percent on Behalf of Another Person:
N/A
Item 7. Identification and Classification of the Subsidiary Which Acquired
the Security Being Reported on By the Parent Holding Company:
N/A
Item 8. Identification and Classification of Members of the Group:
N/A
<PAGE>
Item 9. Notice of Dissolution of Group:
N/A
Item 10. Certification:
By signing below I certify that, to the best of my knowledge and belief,
the securities referred to above were acquired in the ordinary course of
business and were not acquired for the purpose of and do not have the effect
of changing or influencing the control of the issuer of such securities and
were not acquired in connection with or as a participant in any transaction
having such purposes or effect.
SIGNATURE
After reasonable inquiry and to the best of the knowledge and belief of
the undersigned, the undersigned certifies that the information set forth in
this statement is true, complete and correct.
Dated: February 13, 1997
/s/ Betty J. Dam
---------------------------------------------
Betty J. Dam, Individually
