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U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 3 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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1. Name and Address of Reporting Person*
Douglas Michael
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(Last) (First) (Middle)
4108 Sylvan Dr.
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(Street)
Floyds Knobs IN 47119
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(City) (State) (Zip)
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2. Date of Event Requiring Statement (Month/Day/Year)
05/20/98
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3. IRS or Social Security Number of Reporting Person (Voluntary)
###-##-####
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4. Issuer Name AND Ticker or Trading Symbol
Community Bank Shares of Indiana, Inc (CBIN)
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5. Relationship of Reporting Person(s) to Issuer:
(Check all applicable)
X Director Owner
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X Officer (give Other (Specify
----- title below) ------ below)
President and Chief Executive Officer
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6. If Amendment, Date of Original (Month/Day/Year)
N/A
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7. Individual or Joint/Group Filing (Check Applicable Line)
[X] Form filed by One Reporting Person
[ ] Form filed by More than One Reporting Person
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Table 1 -- Non-Derivative Securities Beneficially Owned
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1. Title of Security 2. Amount of Securities 3. Ownership Form: 4. Nature of Indirect Beneficial Ownership
(Instr. 4) Beneficially Owned Direct (D) or (Instr. 4)
(Instr. 4) Indirect (I)
(Instr. 5)
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<S> <C> <C> <C>
Common Stock None N/A None
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FORM 3 (continued)
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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 Exer- 3. Title and Amount of Securities 4. Conversion 5. Ownership 6. Nature of
cisable and Underlying Derivative Security or Exercise Form of Indirect
Expiration Price of Derivative Beneficial
Date Derivative Security: Ownership
(Month/Day/ Security Direct (D) (Instr. 5)
Year) or
------- ------- --------------------------------- Indirect (I)
Date Expira- Amount (Instr. 5)
Exer- tion or
cisable Date Title Number
of
Shares
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<S> <C> <C> <C> <C> <C> <C> <C>
None N/A N/A N/A N/A N/A N/A N/A
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Explanation of Responses:
N/A
/s/ Michael Douglas 6/2/98
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**Signature of Reporting Person Date
