Filing Details

Accession Number:
0001181431-11-039676
Form Type:
4
Zero Holdings:
No
Publication Time:
2011-07-05 15:25:19
Reporting Period:
2011-06-30
Filing Date:
2011-07-05
Accepted Time:
2011-07-05 15:25:19
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1370914 Florida Bank Group Inc. NONE State Commercial Banks (6022) 208732828
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1342366 Robert Rothman 201 N. Franklin Street
Suite 100
Tampa FL 33602
Chairman Yes Yes Yes No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Series C Convertible Preferred Stock Acquisiton 2011-06-30 262 $1,000.00 0 No 4 P Indirect By Robert Rothman 2006 GST Exempt Family Trust
Series C Convertible Preferred Stock Acquisiton 2011-06-30 1,214 $1,000.00 0 No 4 P Indirect By Robert Rothman Revocable Trust
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect By Robert Rothman 2006 GST Exempt Family Trust
No 4 P Indirect By Robert Rothman Revocable Trust
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Common Stock Warrant (right to buy) Acquisiton 2011-06-30 327,500 $0.01 327,500 $0.01
Common Stock Common Stock Warrant (right to buy) Acquisiton 2011-06-30 1,517,500 $0.01 1,517,500 $0.01
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
327,500 2011-06-30 2012-03-31 No 4 J Indirect
1,517,500 2011-06-30 2012-03-31 No 4 J Indirect
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 3,697,435 Indirect By Robert Rothman Revocable Trust
Common Stock 250,000 Indirect By Robert Rothman 2006 GST Exempt Family Trust
Reported Derivative Holdings
Sec. Name Sec. Type Price Date Expiration Date Amount Remaning Holdings Nature of Ownership
Common Stock Options $16.50 2008-12-31 2016-12-15 7,500 7,500 Direct
Common Stock Options $16.50 2008-12-31 2017-01-11 100,000 100,000 Direct
Expiration Date Amount Remaning Holdings Nature of Ownership
2016-12-15 7,500 7,500 Direct
2017-01-11 100,000 100,000 Direct
Footnotes
  1. Beneficial ownership disclaimed
  2. The shares of Preferred Stock are convertible into common stock at the holder's option after December 31, 2011 and are mandatorily convertible in certain events. The stock is convertible at a per share price based upon the Company's tangible common stock book value per share as of the end of the calendar quarter prior to conversion, as calculated in accordance with the Company's Articles of Incorporation, as amended.
  3. The shares of Preferred Stock are convertible into common stock at the holder's option after December 31, 2011 and are mandatorily convertible in certain events. The stock is convertible at a per share price based upon the Company's tangible common stock book value per share as of the end of the calendar quarter prior to conversion, as calculated in accordance with the Company's Articles of Incorporation, as amended.
  4. Beneficial ownership disclaimed
  5. One non-transferrable stock purchase warrant for each share of Series C Convertible Preferred Stock purchased, each such warrant exercisable for 1,250 shares of common stock at $.01 per share.
  6. One non-transferrable stock purchase warrant for each share of Series C Convertible Preferred Stock purchased, each such warrant exercisable for 1,250 shares of common stock at $.01 per share.
  7. Beneficial ownership disclaimed