Sec Form 13G Filing - Molepske Richard S filing for Bank First Corp (BFC) - 2019-05-09

Insider filing report for Changes in Beneficial Ownership

  • Schedule 13G & 13D forms are used to report a party's ownership of stock which exceeds 5% of a company's total stock issue.
  • Schedule 13G is a shorter version of Schedule 13D with fewer reporting requirements.
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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

________________

  

SCHEDULE 13G

 

Under the Securities Exchange Act of 1934

(Amendment No. )*

  

bank first national corporation

 

(Name of Issuer)

 

Common Stock, par value $ $0.01 per share

 

(Title of Class of Securities)

 

06211J100

 

(CUSIP Number)

  

December 31, 2018

 

(Date of Event which Requires Filing of this Statement)

 

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

 

¨Rule 13d-1(b)

 

¨Rule 13d-1(c)

 

xRule 13d-1(d)

 

* 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 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 that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

 

 

 

 

 

CUSIP No.  06211J100
1

Name of reporting persons.

 

Richard S. Molepske

2

Check the appropriate box if a member of a group.

(See instructions)

(a) ¨

(b) x

 

3

SEC use only.

 

4

Citizenship or place of organization.

 

United States

 NUMBER OF

SHARES

BENEFICIALLY

OWNED BY

EACH

REPORTING

PERSON

WITH:

5

Sole voting power.

 

497,100

6

Shared voting power.

 

-0-

7

Sole dispositive power.

 

497,100

8

Shared dispositive power.

 

-0-

9

Aggregate amount beneficially owned by each reporting person.

 

497,100

10

Check box if the aggregate amount in row (9) excludes certain shares ¨

(see instructions).

 

11

Percent of class represented by amount in row (9).

 

7.5%

12

Type of reporting person

 

IN

 

 

 

 

Item 1(a).Name of Issuer:

 

Bank First National Corporation.

 

Item 1(b).Address of Issuer’s Principal Executive Offices:

 

402 N. 8th Street, Manitowoc, WI 54220.

 

Item 2(a).Name of Person Filing:

 

This Schedule 13G is filed by Richard S. Molepske. All of the above-referenced shares are held in a trust, entitled the Restated Richard S. Molepske Revocable Trust, dated January 4, 1994.

 

Item 2(b).Address of Principal Business Office, or, if none, Residence:

 

1308 Washington St., Suite 201, Two Rivers, WI 54241.

                                            

Item 2(c).Citizenship:

 

United States.

 

Item 2(d).Title of Class of Securities:

 

Common Stock, par value $0.01 per share (the “Common Stock”).

 

Item 2(e).CUSIP Number:

 

06211J100.

 

Item 3.If this statement is filed pursuant to Rule 13d-1(b), or 13d-2(b) or (c), check whether the person filing is a:

 

Not applicable.

 

Item 4.Ownership.

 

(a)Amount beneficially owned:

 

497,100.

 

(b)Percent of class:

 

7.5%.

 

(c)Number of shares as to which such person has:

 

(i)Sole power to vote or direct the vote:

 

497,100.

 

(ii)Shared power to vote or to direct the vote:

 

0.

 

(iii)Sole power to dispose or to direct the disposition of:

 

497,100.

 

(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.

 

Only Richard S. Molepske has an ownership interest in the shares described herein. See Item 2(a) above.

 

Item 7.Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company or Control Person.

 

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.

 

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, other than activities solely in connection with a nomination under § 240.14a-11.

 

 

 

 

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.

 

May 9, 2019

 

  RICHARD S. MOLEPSKE  
       
  By: /s/Richard S. Molepske  
    Richard S. Molepske, Individually