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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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 8)*
AMES NATIONAL CORPORATION
(Name of Issuer)
COMMON STOCK
(Title of Class of Securities)
031001100
(CUSIP Number)
June 7, 2009
(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) |
|
x |
Rule 13d-1(c) |
|
o |
Rule 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 disclosure 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).
CUSIP No. 031001100 |
SCHEDULE 13G |
Page 2 of 8 Pages |
1. |
Name of Reporting Person |
Robert W. Stafford Estate
I.R.S. Identification No. of Above Person (entities only)
Not Applicable
2. |
Check the appropriate box if a member of a group |
|
(a) |
______ |
|
(b) |
______ |
3. |
SEC Use Only |
4. |
Citizenship or Place of Organization |
Iowa
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH:
5. |
Sole Voting Power |
257,661
6. |
Shared Voting Power |
257,661
7. |
Sole Dispositive Power |
257,661
8. |
Shared Dispositive Power |
257,661
Page 3 of 8 Pages
9. |
Aggregate Amount Beneficially Owned by Each Reporting Person |
257,661
10. |
Check box if the aggregate amount in Row (9) excludes certain shares |
11. |
Percent of Class Represented by Amount in Row 9 |
2.73%
12. |
Type of Reporting Person |
IN
Page 4 of 8 Pages
1. |
Name of Reporting Person |
Charlotte H. Stafford
I.R.S. Identification No. of Above Person (entities only)
Not Applicable
2. |
Check the appropriate box if a member of a group |
|
(a) |
______ |
|
(b) |
______ |
3. |
SEC Use Only |
4. |
Citizenship or Place of Organization |
Texas
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH:
5. |
Sole Voting Power |
34,140
6. |
Shared Voting Power |
414,932
7. |
Sole Dispositive Power |
34,140
8. |
Shared Dispositive Power |
414,932
9. |
Aggregate Amount Beneficially Owned by Each Reporting Person |
449,072
Page 5 of 8 Pages
10. |
Check box if the aggregate amount in Row (9) excludes certain shares |
11. |
Percent of Class Represented by Amount in Row 9 |
4.76
12. |
Type of Reporting Person |
IN
Page 6 of 8 Pages
ITEM 1(a). |
NAME OF ISSUER. |
Ames National Corporation
ITEM 1(b). |
ADDRESS OF ISSUER’S PRINCIPAL EXECUTIVE OFFICES. |
P.O. Box 846
Ames, IA 50010
ITEM 2(a). |
NAME OF PERSON FILING. |
This filing is made on behalf of the Robert W. Stafford Estate and Charlotte H. Stafford. The Mr. Stafford Estate and Ms. Stafford each disclaim membership in a group. The Mr. Stafford Estate disclaims beneficial ownership of the 34,140 shares over which Ms. Stafford has sole voting and dispositive power and the
414,932 shares over which Ms. Stafford has shared voting and disposition power. Ms. Stafford disclaims beneficial ownership of the 257,661 shares over which the Mr. Stafford Estate has sole voting and dispositive power.
ITEM 2(b). |
ADDRESS OF THE PRINCIPAL OFFICES OR RESIDENCE: |
The Robert W. Stafford Estate’s business address is 405 5th Street, Ames, Iowa 50010 and Charlotte H. Stafford’s residence address is 9701 Meyer Forest Drive, Apt. 12202, Houston, Texas 77096-4324.
ITEM 2(c). |
CITIZENSHIP. |
The Robert W. Stafford Estate – Iowa
Charlotte H. Stafford – Texas
ITEM 2(d). |
TITLE OF CLASS OF SECURITIES. |
Common Stock.
ITEM 2(e). |
CUSIP NUMBER. |
031001100
Page 7 of 8 Pages
ITEM 3. |
IF THE STATEMENT IS BEING FILED PURSUANT TO SECTION 240.13d-1(b), CHECK WHETHER THE PERSON FILING IS A: |
Not Applicable
ITEM 4. |
OWNERSHIP. |
As of June 7, 2009, the Robert W. Stafford Estate owned 257,661 shares of common stock in Ames National Corporation, which represented 2.73% of the outstanding shares. Charlotte H. Stafford owned an aggregate of 449,072 shares of the common stock of Ames National Corporation, which represented approximately 4.76 percent of
the outstanding shares. The Mr. Stafford’s Estate and Ms. Stafford each disclaim membership in a group, and their individual share ownership and percentages and information regarding the manner in which the shares are beneficially owned are set forth in their respective cover pages. The Mr. Stafford Estate disclaims beneficial ownership of the 34,140 shares over which Ms. Stafford has sole voting and dispos
itive power and dispositive power and the 414,932 shares over which Ms. Stafford
has shared voting and disposition power. Ms. Stafford disclaims beneficial ownership of the 257,661 shares over which the Mr. Stafford Estate has sole voting and dispositive power.
ITEM 5. |
OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS. |
Robert W. Stafford passed away on June 7, 2009 and at that time Mr. Stafford’s personal shares were transferred into his estate. Upon Mr. Stafford’s death, Mr. Stafford and Ms. Stafford were no longer co-trustees of the Charlotte H. Stafford Trust or the Richard C. Stafford Family Trust, thus the group has been
dissolved.
ITEM 6. |
OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON. |
Not Applicable
ITEM 7. |
IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY. |
Not Applicable
Page 8 of 8 Pages
ITEM 8. |
IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP. |
Not Applicable
ITEM 9. |
NOTICE OF DISSOLUTION OF A GROUP. |
The group was dissolved on June 7, 2009 upon the death of Robert W. Stafford. All further filings with respect to transactions in the security reported on will be filed, if required, by members of the group, in their individual capacity.
ITEM 10. |
CERTIFICATION. |
By signing below, I certify that, to the best of my knowledge and belief, the securities referred to above were acquired in the ordinary course of business and were not acquired for the purpose of and do not have the effect of changing or influencing the control of the issuer of such securities and were not acquired in connection with
or as a participant in any transaction having such purpose or effect.
SIGNATURE
After reasonable inquiry and to the best of its knowledge and belief, the undersigned certifies that the information set forth in this statement is true, complete and correct.
BY: |
/s/ Steve McLaughlin | |
Name |
Steve McLaughlin, Executor of | |
The Robert W. Stafford Estate | ||
BY: |
/s/ Charlotte H. Stafford | |
Name |
Charlotte H. Stafford |