UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 1)*
FIRST COMMUNITY BANCSHARES, INC.
- ------------------------------------------------------------------------------
(Name of Issuer)
COMMON STOCK
- ------------------------------------------------------------------------------
(Title of Class of Securities)
319964102
- ------------------------------------------------------------------------------
(CUSIP Number)
*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 disclosures provided in a prior cover page.
The information required on 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 1746 (12-91) Page 1 of 5
<PAGE>
CUSIP No. 319964102 13G Page 2
---------
- ------------------------------------------------------------------------------
1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON:
Merrill M. Wesemann, M.D.
- ------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
(a) [ ]
(b) [ ]
- ------------------------------------------------------------------------------
3 SEC USE ONLY
- ------------------------------------------------------------------------------
4 CITIZENSHIP OR PLACE OF ORGANIZATION
U.S.A.
- ------------------------------------------------------------------------------
NUMBER OF 5 SOLE VOTING POWER
84,925 (including 15,686 shares subject
SHARES to options exercisable within 60 days
of December 31, 1997)
--------------------------------------------
BENEFICIALLY 6 SHARED VOTING POWER
OWNED BY 0
--------------------------------------------
EACH 7 SOLE DISPOSITIVE POWER
84,925 (including 15,686 shares subject
REPORTING to options exercisable within 60 days
of December 31, 1997)
--------------------------------------------
PERSON 8 SHARED DISPOSITIVE POWER
WITH 0
- ------------------------------------------------------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
84,925 (including 15,686 shares subject to options exercisable within 60
days of December 31, 1997)
- ------------------------------------------------------------------------------
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
[ ]
- ------------------------------------------------------------------------------
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
8.9%
- ------------------------------------------------------------------------------
12 TYPE OF REPORTING PERSON*
IN
- ------------------------------------------------------------------------------
* SEE INSTRUCTIONS BEFORE FILLING OUT!
<PAGE>
Page 3
This Schedule 13G is being filed pursuant to Rule 13d-1(c) under the
Securities Exchange Act of 1934, as amended (the "Exchange Act"). This filing
reflects a change in the beneficial ownership of the Filing Person. However,
the Filing Person has acquired less than two percent (2%) of the Issuer's
Common Stock in any twelve (12) month time period.
ITEM 1.
(a) NAME OF ISSUER
First Community Bancshares, Inc.
(b) ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES
210 East Harriman Street
Bargersville, Indiana 46106
ITEM 2.
(a) NAME OF PERSON(S) FILING
Merrill M. Wesemann, M.D.
(b) ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE
251 East Jefferson Street
Franklin, Indiana 46131
(c) CITIZENSHIP
United States of America
(d) TITLE OF CLASS OF SECURITIES
Common
(e) CUSIP NUMBER
319964102
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
<PAGE>
ITEM 4. OWNERSHIP Page 4
(a) Amount Beneficially Owned:
84,925 (including 15,686 shares subject to options exercisable within
60 days of December 31, 1997)
(b) Percent of Class:
8.9%
(c) Number of shares as to which such person has:
(i) sole power to vote or to direct the vote
84,925
(ii) shared power to vote or to direct the vote
0
(iii) sole power to dispose or to direct the disposition of
84,925
(iv) shared power to dispose or to direct the disposition of
0
ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS
Not Applicable
ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON
None
ITEM 7. IDENTIFICATIOON 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
ITEM 10. CERTIFICATION
Not Applicable
<PAGE>
SIGNATURE
After resonable 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 12, 1998
---------------------------------------
Date
/s/ Merrill M. Wesemann, M.D.
---------------------------------------
Signature
Merrill M. Wesemann, M.D.
---------------------------------------
Name/Title
<PAGE>
APPENDIX OF PREVIOUSLY FILED SCHEDULES
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. )*
FIRST COMMUNITY BANCSHARES, INC.
- ------------------------------------------------------------------------------
(Name of Issuer)
COMMON STOCK
- ------------------------------------------------------------------------------
(Title of Class of Securities)
319964102
- ------------------------------------------------------------------------------
(CUSIP Number)
*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 disclosures provided in a prior cover page.
The information required on 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 1746 (12-91) Page 1 of 5
<PAGE>
CUSIP No. 319964102 13G Page 2
---------
- ------------------------------------------------------------------------------
1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON:
Merrill M. Wesemann, M.D.
- ------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
(a) [ ]
(b) [ ]
- ------------------------------------------------------------------------------
3 SEC USE ONLY
- ------------------------------------------------------------------------------
4 CITIZENSHIP OR PLACE OF ORGANIZATION
U.S.A.
- ------------------------------------------------------------------------------
NUMBER OF 5 SOLE VOTING POWER
82,398 (includes 14,686 options
SHARES exercisable within 60 days of the date
hereof)
--------------------------------------------
BENEFICIALLY 6 SHARED VOTING POWER
OWNED BY 0
--------------------------------------------
EACH 7 SOLE DISPOSITIVE POWER
82,398 (includes 14,686 options
REPORTING exercisable within 60 days of the date
hereof)
--------------------------------------------
PERSON 8 SHARED DISPOSITIVE POWER
WITH 0
- ------------------------------------------------------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
82,398 (includes 14,686 options exercisable within 60 days of the date
hereof)
- ------------------------------------------------------------------------------
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
[ ]
- ------------------------------------------------------------------------------
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
8.6%
- ------------------------------------------------------------------------------
12 TYPE OF REPORTING PERSON*
IN
- ------------------------------------------------------------------------------
* SEE INSTRUCTIONS BEFORE FILLING OUT!
<PAGE>
Page 3
This Schedule 13G is being filed pursuant to Rule 13d-1(c) under the
Securities Exchange Act of 1934, as amended (the "Exchange Act"). This filing
reflects a change in the beneficial ownership of the Filing Person. However,
the Filing Person has acquired less than two percent (2%) of the Issuer's
Common Stock in any twelve (12) month time period.
ITEM 1.
(a) NAME OF ISSUER
First Community Bancshares, Inc.
(b) ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES
210 East Harriman Street
Bargersville, Indiana 46106
ITEM 2.
(a) NAME OF PERSON(S) FILING
Merrill M. Wesemann, M.D.
(b) ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE
251 East Jefferson Street
Franklin, Indiana 46131
(c) CITIZENSHIP
United States of America
(d) TITLE OF CLASS OF SECURITIES
Common
(e) CUSIP NUMBER
319964102
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
<PAGE>
ITEM 4. OWNERSHIP Page 4
(a) Amount Beneficially Owned:
82,398
(b) Percent of Class:
8.6% (includes 14,686 options exercisable within 60 days of the
date hereof)
(c) Number of shares as to which such person has:
(i) sole power to vote or to direct the vote
82,398 (includes 14,686 options exercisable within 60 days of
the date hereof)
(ii) shared power to vote or to direct the vote
0
(iii) sole power to dispose or to direct the disposition of
82,398 (includes 14,686 options exercisable within 60 days of
the date hereof)
(iv) shared power to dispose or to direct the disposition of
0
ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS
Not Applicable
ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON
None
ITEM 7. IDENTIFICATIOON 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
ITEM 10. CERTIFICATION
Not Applicable
<PAGE>
SIGNATURE
After resonable 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 12, 1997
---------------------------------------
Date
/s/ Merrill M. Wesemann, M.D.
---------------------------------------
Signature
Merrill M. Wesemann, M.D.
---------------------------------------
Name/Title
