SHORELINE FINANCIAL CORP
5, 2000-02-15
NATIONAL COMMERCIAL BANKS
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FORM 5

UNITED STATES SECURITIES AND EXCHANGE COMMISSION

 
OMB APPROVAL

[   ] Check this box if no longer subject to
       Section 16. Form 4 or Form 5 obli-
       gations may continue. See Instruc-
       tion 1(b).

Washington, D.C. 20549
 
STATEMENT OF CHANGES IN

OMB Number                  3235-0362
Expires:             December 31, 2001
Estimated average burden
hours per response                      1.0

[   ] Form 3 Holdings Reported

BENEFICIAL OWNERSHIP

 

[   ] Form 4 Transactions Reported

 

 

Filed pursuant to Section 16(a) of the Securities 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

1.    Name and Address of Reporting Person*
 
    Smith,                      Dan                        L.
        (Last)                                        (First)                                   (Middle)
4.    Statement for Month/Year
 
     Fiscal 1999
 
 
 
 
823 Riverview Drive
                                                        (Street)
5.    If Amendment, Date of Original (Month/Year)
 
 
 
 
 Benton Harbor,     Michigan                49022
        (City)                                        (State)                                   (Zip)
 

2.    Issuer Name and Ticker or Trading Symbol  
 

   Shoreline Financial Corporation ("SLFC")

6.    Relationship of Reporting Person(s) to Issuer
                                    (Check all applicable)
  X        Director                                          10% Owner
  X       Officer (give title                            Other (specify below)
                           below)
             Chief Executive Officer  

3.    IRS or Social Security Number of Reporting Person (Voluntary)
 
 
7.    Individual or Joint/Group Reporting
                    (check applicable line)
  X      Form Filed by One Reporting Person
           Form Filed by More than One Reporting Person

 
Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
 
1. Title of Security
    (Instr. 3)
2. Transaction
    Date
    (Month/
    Day/
    Year)
3. Transaction
    Code
    (Instr. 8)
4. Securities Acquired (A) or
    Disposed of (D)
    (Instr. 3, 4 and 5)
5. Amount of
    Securities
    Beneficially
    Owned at
    end of
    Issuer's
    Fiscal Year
    (Instr. 3 and
    4)
6. Ownership
    Form: Di-
    rect (D) or
    Indirect (I)
    (Instr. 4)
7. Nature of
    Indirect
    Beneficial
    Ownership
    (Instr. 4)
      Amount (A) or (D) Price      
Common Stock          
75,808.5(1) 
D
 
Common Stock           
18,250
I
By Spouse
Common Stock 
 7/15/99
 I
3,057.067   D 25.5 
8,753.7390
I
401(k)
                 
                 
 
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).

  Potential persons who are to respond to the collection of Information contained in this form are not required to respond unless the form displays a currently valid OMB control number.



Form 5 (continued) Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
 
1. Title of Derivative Security
    (Instr. 3)
2. Conversion
    of Exercise
    Price of
    Derivative
    Security
3. Transaction
    Date
    (Month/
    Day/
    Year)
4. Transaction
    Code
    (Instr. 8)
5. Number of Deriva-
    tive Securities Ac-
    quired (A) or Dis-
    posed of (D)
    (Instr. 3, 4, and 5)
6. Date Exercisable
    and Expiration Date
    (Month/Day/Year)
         
(A)
 
(D)
Date
Exercisable
Expiration
Date
               
               
               
               
               

7. Title and Amount of
    Underlying Securities
    (Instr. 3 and 4)
8. Price of Deriv-
    ative Security
    (Instr. 5)
9. Number of Deriv-
    ative Securities
    Beneficially owned
    at End of Year
    (Instr. 4)
10. Ownership of
      Derivative Sec-
      urity: Direct (D)
      or Indirect (I)
      (Instr. 4)
11. Nature of
      Indirect Bene-
      ficial Ownership
      (Instr. 4)
 
Title
Amount or
Number of
Shares
       
           
           
           
           
           
Explanation of Responses:





**Intentional misstatements or omissions of facts constitute   /s/ Dan L. Smith   February 14, 2000
    Federal Criminal Violations.   **Signature of Reporting Person   Date
    See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).   Dan L. Smith
By Jeffrey A. Ott
Attorney-in-Fact  
   

Note: File three copies of this Form, one of which must be manually signed.
          If space provided is insufficient, see Instruction 6 for procedure.

Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.


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