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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G/A
Under the Securities Exchange Act of 1934
(Amendment No. 3)*
Delphos Citizens Bancorp, Inc.
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(Name of Issuer)
Common Stock, par value $.01 per share
----------------------------------------------------
(Title of Class of Securities)
247179-10-4
--------------------------------
(CUSIP Number)
December 31, 1999
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(Date of Event Which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule
is filed:
|X| Rule 13d-1(b)
|_| Rule 13d-1(c)
|_| Rule 13d-1(d)
*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 ("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).
SEC 1745 (2-95)
Page 2 of 5 pages
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- -------------------------- ------------------------ ---------------------------
CUSIP NO. 247179-10-4 13G Page 2 of 5 Pages
- -------------------------- ------------------------ ---------------------------
- --------------------------------------------------------------------------------
1 NAME OF REPORTING PERSON
S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Citizens Bank of Delphos
Employee Stock Ownership Plan
- ---- ------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
(a) /__/
(b) /__/
- ---- ------------------------------------------------------------------------
3 SEC USE ONLY
- ---- ------------------------------------------------------------------------
4 CITIZENSHIP OR PLACE OF ORGANIZATION
Federally chartered stock savings institution's employee stock
benefit plan organized in Ohio.
- ---------------- ---- ------------------------------------------------------
NUMBER OF 5 SOLE VOTING POWER
SHARES 117,872
BENEFICIALLY
OWNED BY ---- ------------------------------------------------------
EACH 6 SHARED VOTING POWER
REPORTING 45,139
PERSON
WITH ---- ------------------------------------------------------
7 SOLE DISPOSITIVE POWER
163,011
---- ------------------------------------------------------
8 SHARED DISPOSITIVE POWER
-0-
- ---- ------------------------------------------------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
163,011
- ---- ------------------------------------------------------------------------
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
- ---- ------------------------------------------------------------------------
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
10.3 % of 1,584,783 shares of Common Stock outstanding
as of December 31, 1999.
- ---- ------------------------------------------------------------------------
12 TYPE OF REPORTING PERSON*
EP
- --------------------------------------------------------------------------------
*SEE INSTRUCTION BEFORE FILLING OUT!
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CITIZENS BANK OF DELPHOS
EMPLOYEE STOCK OWNERSHIP PLAN
SCHEDULE 13G/A
Item 1(a) Name of Issuer:
Delphos Citizens Bancorp, Inc.
Item 1(b) Address of Issuer's Principal Executive Offices:
114 East 3rd Street
Delphos, Ohio 45833
Item 2(a) Name of Person Filing:
Citizens Bank of Delphos
Employee Stock Ownership Plan
Trustee: First Bankers Trust Company
1201 Broadway 12th Street, P.O. Box 3566
Quincy, IL 62305
Item 2(b) Address of Principal Business Offices or, if none, Residence:
114 East 3rd Street
Delphos, Ohio 45833
Item 2(c) Citizenship: Federally chartered stock savings institution's
employee stockbenefit plan organized in Ohio.
Item 2(d) Title of Class of Securities: Common Stock, par value $.01 per share
Item 2(e) CUSIP Number: 247179-10-4
Item 3 The person filing this statement is an employee benefit plan
which is subject to the provisions of the Employee Retirement
Income Security Act of 1974.
Item 4 Ownership. As of December 31, 1999, the reporting person
beneficially owned 163,011 shares of the issuer. This number of
shares represents 10.3% of the common stock, par value $.01, of the
issuer, based upon 1,584,783 shares of such common stock outstanding
as of December 31, 1999. As of December 31, 1999, the reporting
person has sole power to vote or to direct the vote of 117,872 of
the shares and shares voting power over 45,139 shares. The
reporting person has the sole power to dispose or direct the
disposition of 163,011 shares of common stock.
Page 3 of 5 pages
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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
Item 9 Notice of Dissolution of Group.
N/A
Page 4 of 5 pages
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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 are not acquired in connection
with or as a participant in any transaction having such purpose or
effect.
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.
February 7, 2000
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(Date)
/s/ Carmen Walch
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(Signature)
Carmen Walch
First Bankers Trust, Co., N.A., as Trustee
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(Name/Title)
Page 5 of 5 pages
