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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 3
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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
(Print or Type Responses)
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1. Name and Address of Reporting Person* 2. Date of Event Re- 4.Issuer Name and Ticker or Trading Symbol
quiring Statement Premier Financial Bancorp, Inc. - PFBI
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Burns Edsel R (Month/Day/Year)
---------------------------------------- 06/21/00 5.Relationship of Reporting Person(s) 6. If Amendment, Date
to Issuer (Check all applicable) of Original
(Last) (First) (Middle) 3. IRS or Social Se- X Director 10% Owner
curity Number of --- --- --------------------
4350 County Road 31 Reporting Person Officer (give Other (specify
---------------------------------------- (Voluntary) title below) below) 7. Individual or
(Street) --- --- Joint/Group Filing
(Check Applicable
Line)
---------------------------- Form filed by One
X Reporting Person
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Form filed by
More than One
Reporting Person
Chesapeake OH 45619 ---
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(City) (State) (Zip Code)
TABLE I - NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED
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1. Title of Security 2. Amount of Securities 3. Ownership 4. Nature of Indirect Beneficial
(Instr. 4) Beneficially Owned Form: Direct Ownership (Instr. 5)
(Instr. 4) (D)or Indirect
(I) (Instr. 5)
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Common Stock 787 I Jointly with spouse
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*If the form is filed by more than one reporting person, see instruction 4(b)(v). (Over)
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. SEC 1473 (7/97)
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FORM 3 (CONTINUED) TABLE II - DERIVATIVE SECURITIES BENEFICIALLY OWNED
(e.g., puts, calls, warrants, options, convertible securities)
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1.Title of Derivative Security 2.Date Exercisable and 3.Title and Amount of Securities 4.Conversion or 5.Ownership 6. Nature of
(Instr. 4) Expiration Date Derivative Security Exercise Price Form of Indirect
(Month/Day/Year) (Instr.4) of Derivative Derivative (Instr. 5)
Security Security
Direct (D) or
Date Expiration Title Amount or Indirect (I)
Exercisable Date Number of Shares (Instr. 5)
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Explanation of Responses:
/s/ Edsel R Burns 07/07/00
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**Intentional misstatements or omissions of facts constitute Federal Criminal Violations **Signature of Reporting Person Date
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
SEC 1473 (7-97)
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