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SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Schedule 13G
Under the Securities Exchange Act of 1934
HORIZON BANCORP, INC.
______________________________________________________________________________
(Name of Issuer)
COMMON STOCK
______________________________________________________________________________
(Title of Class of Securities)
440406 10 6
______________________________________________________________________________
(CUSIP Number)
Check the following box if a fee is being paid with this statement
CUSIP No.
1) Names of Reporting Person S.S. or I.R.S. Identification No. of
above person
CAROLYN HEDRICK McCULLOCH
###-##-####
2) Check the Appropriate Box if a Member of a Group (See Instructions)
a)
b)
3) SEC USE ONLY
4) Citizenship or Place of Organization
UNITED STATES OF AMERICA
Number of Shares 5) Sole Voting Power 15,138
Beneficially Owned
By Each Reporting
Person With 6) Shared Voting Power (See Exhibit A) 161,608
7) Sole Dispositive Power 15,138
8) Shared Dispositive Power 55,078
9) Aggregate Amount Beneficially Owned by Each Reporting Person 213,004
10) Check box if the Aggregate Amount in Row (9) Excludes Certain
Shares (See Instructions)
11) Percent of Class Represented by Amount in Row (9) 7.5%
12) Type of Reporting Person (See Instructions) IN
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Item 1(a) - Name of Issuer:
HORIZON BANCORP, INC.
Item 1(b) - Address of Issuer's Principal Executive Officers:
P.O. Box D
BECKLEY, WEST VIRGINIA 25802-2803
Item 2(a) - Name of Person Filing:
CAROLYN HEDRICK McCULLOCH
Item 2(b) - Address of Principal Business Office, or if None, Residence:
536 WOODLAWN AVENUE
BECKLEY, WV 25801
Item 2(c) - Citizenship:
UNITED STATES OF AMERICA
Item 2(d) - Title of Class of Securities:
COMMON STOCK
Item 2(e) - CUSIP No.:
440406 10 6
Item 3 - If this statement is filed Pursuant to Rules 13d-1(b), or
13d-2(b), check whether the person filing is a:
(Not Applicable)
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Item 4 - Ownership:
(a) Amount Beneficially Owned:
213,004
(b) Percent of Class:
7.5%
(c) Number of shares as to which such person has:
(i) sole power to vote or to direct the vote 15,138
(ii) shared power to vote or to direct the vote 161,608
(iii) sole power to dispose or to direct the disposition of 15,138
(iv) shared power to dispose or to direct the disposition of 55,078
Item 5 - Ownership of Five Percent of Less of a Class:
(Not Applicable)
Item 6 - Ownership of More than Five Percent on Behalf of Another Person:
(Not Applicable)
Item 7 - Identification and Classification of the Subsidiary Which Acquired
the Security Being Reported on by the Parent Holding Company:
(Not Applicable)
Item 8 - Identification and Classification of Members of the Group:
(Not Applicable)
Item 9 - Notice of Dissolution of Group:
(Not Applicable)
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Item 10 - Certification.
(Not Applicable)
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.
JANUARY 30, 1995
_____________________________________________________________________
Date
Carolyn Hedrick McCulloch
_____________________________________________________________________
Signature
CAROLYN HEDRICK McCULLOCH
_____________________________________________________________________
Name/Title
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EXHIBIT A
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That I, POLLY JO MASTERS, have made,
constituted and appointed, and by these presents do hereby make, constitute and
appoint CAROLYN HEDRICK McCULLOCH my true and lawful attorney, to serve with
full power and authority, for me and in my name, place and stead, with the
unrestricted right and power to act in my behalf, as my attorney-in-fact for
any and all matters involving the Bank of Raleigh stock owned by me, including,
but not limited to the right to vote the same, to execute proxies to other
persons for the same, to surrender the same in exchange for stock to which I am
entitled from Raleigh Bankshares, Inc., a corporation, and to receive in its
place and stead stock for the number of shares to which I am entitled in said
Raleigh Bankshares, Inc., a corporation, and, in general, to do in my name and
on my behalf any and all acts or deeds necessary to protect my interest in the
ownership, voting and management of said stock, except that my attorney shall
not have the power or authority to encumber sell or transfer the said stock to
other persons, firms or corporations other than the exchange of the same as set
forth above.
My said attorney shall have the same power and authority with regard to
the Raleigh Bankshares, Inc. stock as is granted hereinabove for the Bank of
Raleigh stock.
I hereby ratify and confirm all lawful acts done by my said attorney
by virtue hereof.
This Power of Attorney shall not be affected or terminated by the
subsequent disability or incompetence of the principal.
WITNESS the following signature and seal, this 26th day of January,
1984.
Polly Jo Masters
---------------------- (Seal)
POLLY JO MASTERS
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STATE OF WEST VIRGINIA
COUNTY OF RALEIGH, TO WIT:
I, Karen E. Lilly, a Notary Public of the said County of RALEIGH, in
and for the County and State aforesaid, do hereby certify that POLLY JO
MASTERS, whose name is signed to the foregoing writing, bearing date the 2nd
day of January, 1984 has this day acknowledged the same before me in my said
County and State.
Given under my hand this 20th day of January, 1984.
---- -------
KAREN E. LILLY
--------------------
Notary Public
My commission expires: August 13, 1985
----------------------------------
Commissioned as:
KAREN E. BREEDEN
