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FORM 4 OMB Approval
U.S. SECURITIES AND EXCHANGE COMMISSION -------------------------
[ ] Check this box if no longer WASHINGTON, D.C. 20549 OMB Number
subject to Section 16. Form Expires:
4 or Form 5 obligations may STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Estimated average burden
continue. See Instruction 1(b). hours per response
Filed pursuant to Section 16(a) of the Securities and 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
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1. Name and Address of Reporting Person| 2. Issuer Name and Ticker or Trading Symbol | 6. Relationship of Reporting Person
| | to Issuer (Check all applicable)
Hylton, II Tracy W | Horizon Bancorp Inc (HZWV) | __X__ Director _____ 10% Owner
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(Last) (First) (Middle) | 3. IRS or Social | 4. Statement for | _____ Other (specify below)
| Security Number | Month/Year |
P.O. Box 1109 | of Reporting | 6/96 |
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(Street) | | 5. If Amendment, | ________________________________
| | Date of Original |
| | (Month/Year) |
Beckley WV 25802-1109 | ###-##-#### | |
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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
| (Month/Day/ | (Instr. 8) | (Instr. 3, 4, and 5) | Beneficially| Form: | Indirect
| Year) | | | Owned at End| Direct | Bene-
| | --------------|--------------------------| of Month | (D) or | ficial
| | | | Amount | (A) | Price | (Instr. 3 | Indirect| Owner-
| | Code | V | | or | | and 4) | (I) | ship
| | | | | (D) | | |(Instr.4)|(Instr.4)
- ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|---------
Common | 6/24/96 | P | | 304 | A | 40.75 | 3,504 | D | SELF
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| | | | | | | | |
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| | | | | | | | |
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- ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|---------
| | | | | | | | |
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Reminder: Report on a separate line for each class of securities beneficially owned, directly or indirectly. (over)
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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 Security 2.Conversion 3.Transaction 4.Transaction 5.Number of 6.Date Exer- 7.Title and Amount
(Instr. 3) or Exercise Date Code Derivative cisable and of Underlying
Price of (Instr. 8) Securities Expiration Date Securities
Derivative (Month/Day/ Acquired (A) (Month/Day/Year) (Instr. 3 and 4)
Security Year) or Disposed
of (D) --------------------------------------
(Instr. 3, Date Expir- Amount or
4, and 5) Exer- ation Title Number of
----------------------------- cisable Date Shares
Code V (A) (D)
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8.Price of 9.Number of 10.Ownership 11.Nature of
Derivative Derivative Form of Indirect
Security Securities Derivative Beneficial
(Instr. 5) Beneficially Security; Ownership
Owned at End Direct (D) or (Instr. 4)
of Month Indirect (I)
(Instr. 4) (Instr. 4)
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Explanation of Responses:
ABIGAIL SCOTT
Senior Vice President
Power of Attorney for
Tracy Hylton, II 7/5/96
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**Signature of Reporting Person Date
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed.
If space provided is insufficient, see Instruction 6 for procedure. Page 2
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LIMITED POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That I, TRACY W. HYLTON II, of Beckley, do by these presents hereby make,
constitute and appoint Horizon Bancorp, Inc. through its authorized
representatives, my true and lawful Attorney-in-Fact for me in may name, place
and stead, to prepare and file any all statements whatsoever of my ownership in
Horizon Bancorp, Inc., requisite or necessary to be filed under Section 16 of
the Securities Exchange Act of 1934 as fully to all intents and purposes as I
might or could do if personally acting, and I hereby ratify all that my said
Attorney shall do or cause to be done in this capacity by virtue hereof. This
limited power of attorney shall continue in full force and effect until revoked
by me in writing.
IN WITNESS WHEREOF: I have hereunto set my hand and seal on the 7th day of
April, 1993.
/s/ TRACY WARREN HYLTON II
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(Signature)
STATE OF WEST VIRGINIA
COUNTY OF RALEIGH, TO WIT:
I, PAMELA K. DANIEL, a Notary Public in and for the County and State
aforesaid, do hereby certify that TRACY W. HYLTON II, whose name is signed to
the foregoing Limited Power of Attorney, bearing the date of the 7th day of
April, 1993, has this day acknowledged the same before me in my said County.
Given under my hand this 7th day of April, 1993.
My commission expires 12-2-97.
/s/ PAMELA K. DANIEL
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Notary Public
SEAL
