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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 3235-0287
subject to Section 16. Form Expires: February 1, 1994
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 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)
Lilly Thomas Earl Horizon Bancorp Inc. of WV (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
100 Phil Avenue of Reporting October 1998
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(Street) 5. If Amendment, --------------------------------
###-##-#### Date of Original
(Month/Year)
Beckley WV 25801
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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/Year) (Instr. 8) (Instr. 3, 4, and 5) 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)
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Common Stock *2,800 I Lilly
Family Trust
TTET
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Common Stock 10-1-98 500 D $35 *568 D Self
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Common Stock *1,365 I Chairman/CEO
Lilly's Crown
Jewelers Corp
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over)
(Print or Type Responses) SEC 1474 (3/91)
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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:
* Increase in share amounts reflect a 100% stock dividend
payable 12-15-96, to shareholders of record on 12-1-96,
dividend reinvestment shares, and/or exerise of stock options. Thomas Earl Lilly 11-5-98
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**Intentional misstatements or omissions of facts constitute Federal **Signature of Reporting Person Date
Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). (POA on file)
Note: File three copies of this Form, one of which must be manually signed.
If space provided is insufficient, see Instruction 6 for procedure.
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SEC 1474 (3/91)
