- Amended Statement of Ownership (SC 13G/A)
April 06 2011 - 11:57AM
Edgar (US Regulatory)
SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
SCHEDULE 13G/A
(Rule 13d-102)
Information to be Included in Statements Filed Pursuant to Rule 13d-1(b), (c) and (d)
and Amendments Thereto Filed Pursuant to Rule 13d-2.
Under the Securities Exchange Act of 1934
(Amendment No. 6)*
Bank of Granite Corporation
(Name of Issuer)
Common Stock, $1.00 par value per share
(Title of Class of Securities)
062401 10 4
(CUSIP Number)
December 31, 2010
(Date of Event Which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
o
Rule 13d-1(b)
þ
Rule 13d-1(c)
o
Rule 13d-1(d)
* The remainder of this cover page shall be filled out for a reporting persons initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.
The information required in 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 the Act, but shall be subject to all other provisions of the Act (however, see the Notes).
SCHEDULE 13G
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CUSIP No.
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062401 10 4
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Page
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2
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of
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9
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1
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NAME OF REPORTING PERSON/I.R.S. IDENTIFICATION NOS. OF ABOVE PERSON (ENTITIES ONLY)
John A. Forlines, Jr., Revocable Trust under Agreement dated January 15, 1992, as restated by Sixth Amendment dated June 15, 2010
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
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(a)
o
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(b)
o
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3
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SEC USE ONLY
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4
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CITIZENSHIP OR PLACE OF ORGANIZATION
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North Carolina
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5
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SOLE VOTING POWER
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NUMBER OF
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799,639
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SHARES
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6
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SHARED VOTING POWER
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BENEFICIALLY
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OWNED BY
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None
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EACH
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7
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SOLE DISPOSITIVE POWER
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REPORTING
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PERSON
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799,639
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WITH
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8
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SHARED DISPOSITIVE POWER
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None
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9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
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799,639
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10
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CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES
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o
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11
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
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5.17%
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12
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TYPE OF REPORTING PERSON
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00
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CUSIP No.
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062401 10 4
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Page
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3
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of
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9
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1
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NAME OF REPORTING PERSON/I.R.S. IDENTIFICATION NOS. OF ABOVE PERSON (ENTITIES ONLY)
John A. Forlines, III
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
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(a)
o
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(b)
o
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3
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SEC USE ONLY
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4
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CITIZENSHIP OR PLACE OF ORGANIZATION
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United States
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5
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SOLE VOTING POWER
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NUMBER OF
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799,639
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SHARES
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6
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SHARED VOTING POWER
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BENEFICIALLY
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OWNED BY
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None
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EACH
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7
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SOLE DISPOSITIVE POWER
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REPORTING
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PERSON
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799,639
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WITH
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8
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SHARED DISPOSITIVE POWER
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None
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9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
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799,639
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10
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CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES
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o
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11
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
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5.17%
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12
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TYPE OF REPORTING PERSON
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IN
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Page 4 of 9
Item
1(a)
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Name of Issuer:
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Bank of Granite Corporation
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Item
1(b)
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Address of Issuers Principal Executive Offices:
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23 North Main Street
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Granite Falls, North Carolina 28630
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Item
2(a)
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Name of Person Filing:
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John A. Forlines, Jr., Revocable Trust under Agreement dated January 15, 1992, as
restated by Sixth Amendment dated June 15, 2010
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Item
2(b)
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Address of Principal Business Office or, if None, Residence:
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P.O. Box 737
Locust Valley, New York 11560
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Item
2(c)
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Citizenship:
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North Carolina
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Item
2(d)
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Title of Class of Securities
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Common Stock, $1.00 par value per share
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Item
2(e)
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CUSIP Number
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062401 10 4
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Item 3
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None
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Item 4.
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Ownership:
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The securities reported herein are beneficially owned by the John A. Forlines, Jr. Revocable Trust
under Agreement dated January 15, 1992, as restated by Sixth Amendment dated June 15, 2010 (the
Trust) and by John A. Forlines, III, in his capacity as Successor Trustee under the Trust. The
reported shares were previously beneficially owned by John A. Forlines, Jr., who died on July 6,
2010.
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(a)
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Amount Beneficially Owned: 799,639 shares of Common Stock
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(b)
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Percent of Class: 5.17%
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(c)
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Number of shares to which the person has:
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(i)
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Sole power to vote or to direct the vote:
799,639 shares of Common Stock
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(ii)
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Shared power to vote or to direct the vote:
No shares of Common Stock
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(iii)
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Sole power to dispose or to direct the disposition of:
799,639 shares of Common Stock
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(iv)
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Shared power to dispose or to direct the disposition of:
No shares of Common Stock
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Item 5.
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Ownership of Five Percent or Less of a Class:
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Page 5 of 9
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Not applicable.
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Item 6.
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Ownership of More than Five Percent on Behalf of Another Person:
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Not applicable.
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Item 7.
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Identification and Classification of the Subsidiary Which Acquired the Security Being
Reported on by the Parent Holding Company or Control Person:
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Not applicable.
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Item 8.
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Identification and Classification of Members of the Group:
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Not applicable.
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Item 9.
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Notice of Dissolution of Group:
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Not applicable.
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Item 10.
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Certification:
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By signing below, I certify that, to the best of my knowledge and belief, the
securities referred to above were not acquired and are not held for the purpose of or
with the effect of changing or influencing the control of the issuer of the securities
and were not acquired and are not held in connection with or as a participant in any
transaction having that purpose or effect.
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Page 6 of 9
Item
1(a)
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Name of Issuer:
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Bank of Granite Corporation
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Item
1(b)
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Address of Issuers Principal Executive Offices:
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23 North Main Street
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Granite Falls, North Carolina 28630
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Item
2(a)
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Name of Person Filing:
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John A. Forlines, III
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Item
2(b)
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Address of Principal Business Office or, if None, Residence:
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P.O. Box 737
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Locust Valley, New York 11560
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Item
2(c)
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Citizenship:
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United States
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Item
2(d)
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Title of Class of Securities
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Common Stock, $1.00 par value per share
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Item
2(e)
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CUSIP Number
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062401 10 4
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Item 3
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None
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Item 4.
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Ownership:
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The securities reported herein are beneficially owned by the John A. Forlines, Jr. Revocable Trust
under Agreement dated January 15, 1992, as restated by Sixth Amendment dated June 15, 2010 (the
Trust) and by John A. Forlines, III, in his capacity as Successor Trustee under the Trust. The
reported shares were previously beneficially owned by John A. Forlines, Jr., who died on July 6,
2010.
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(a)
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Amount Beneficially Owned: 799,639 shares of Common Stock
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(b)
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Percent of Class: 5.17%
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(c)
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Number of shares to which the person has:
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(i)
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Sole power to vote or to direct the vote:
799,639 shares of Common Stock
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(ii)
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Shared power to vote or to direct the vote:
No shares of Common Stock
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(iii)
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Sole power to dispose or to direct the disposition of:
799,639 shares of Common Stock
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(iv)
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Shared power to dispose or to direct the disposition of:
No shares of Common Stock
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Item 5.
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Ownership of Five Percent or Less of a Class:
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Page 7 of 9
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Not applicable.
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Item 6.
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Ownership of More than Five Percent on Behalf of Another Person:
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Not applicable.
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Item 7.
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Identification and Classification of the Subsidiary Which Acquired the Security Being
Reported on by the Parent Holding Company or Control Person:
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Not applicable.
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Item 8.
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Identification and Classification of Members of the Group:
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Not applicable.
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Item 9.
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Notice of Dissolution of Group:
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Not applicable.
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Item 10.
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Certification:
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By signing below, I certify that, to the best of my knowledge and belief, the
securities referred to above were not acquired and are not held for the purpose of or
with the effect of changing or influencing the control of the issuer of the securities
and were not acquired and are not held in connection with or as a participant in any
transaction having that purpose or effect.
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Page 8 of 9
SIGNATURE
After reasonable 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.
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Date: April 4, 2011
John A. Forlines, Jr., Revocable Trust under
Agreement dated January 15, 1992, as restated by
Sixth Amendment dated June 15, 2010
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By:
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/s/ John A. Forlines, III, Successor Trustee
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John A. Forlines, III, Successor Trustee
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Date: April 4, 2011
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/s/ John A. Forlines, III
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John A. Forlines, III
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