Form 1-Z Issuer Information |
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 1-Z EXIT REPORT UNDER REGULATION A | OMB APPROVAL |
| OMB Number: 3235-0723 Estimated average burden hours per response: 1.5 |
1-Z: Filer Information
Issuer CIK | 0000910492 |
Issuer CCC | XXXXXXXX |
File Number | |
Is this filing by a successor company pursuant to Rule 257(b)(5) resulting from a merger or other business combination? | Yes No |
Successor File Number |
Is this a LIVE or TEST Filing? | LIVE TEST |
Is this an electronic copy of an official filing submitted in paper format? | |
Would you like a Return Copy? |
Submission Contact Information
Name | |
Phone | |
E-Mail Address |
Notify via Filing Website only? |
1-Z: PRELIMINARY INFORMATION
Exact name of issuer as specified in the issuer's charter | FIDELITY FEDERAL BANCORP |
Address of Principal Executive Offices | |
Address 1 | 18 NW Fourth St. |
Address 2 | |
City | EVANSVILLE |
State/Country |
INDIANA
|
Mailing Zip/ Postal Code | 47708 |
Phone | 812-429-0550 |
Commission File Number(s) | 024-11585 |
1-Z: PART I Summary Information Regarding the Offering and Proceeds
Summary Information
Date of qualification of the offering statement | 11-16-2021 |
Date of commencement of the offering | 11-16-2021 |
Amount of securities qualified to be sold in the offering | 48867 |
Amount of securities sold in the offering | 29776 |
Price per security: |
$
78.0000 |
The portion of aggregate sales attributable to securities sold on behalf of the issuer |
$
2322528.00 |
The portion of aggregate sales attributable to securities sold on behalf of selling securityholders: |
$
0.00 |
Fees in connection with this offering and names of service providers.
Underwriters - Name of Service Provider | Underwriters - Fees |
$
| |
Sales Commissions - Name of Service Provider | Sales Commissions - Fee |
$
| |
Finders' Fees - Name of Service Provider | Finders' Fees - Fees |
$
| |
Accounting or Audit - Name of Service Provider | Accounting or Audit - Fees |
$
| |
Legal - Name of Service Provider | Amundsen Davis LLC | Legal - Fees |
$
60000.00 |
Promoters - Name of Service Provider | Promoters - Fees |
$
| |
Blue Sky Compliance - Name of Service Provider | Amundsen Davis LLC | Blue Sky Compliance - Fees |
$
15000.00 |
CRD Number of any broker or dealer listed |
Net proceeds to the issuer |
$
|
Clarification of responses (if necessary): | Shares were issued in a share exchange in conjunction with the merger of American Capital Bancorp with and into Fidelity Federal Bancorp. |
1-Z: PART II Certification of Suspension of Duty to File Reports
Certification
Title of each class of securities covered by this Form | Common Stock |
Commission File Number(s) | 024-11585 |
Approximate number of holders of record as of the certification date | 12 |
1-Z: Signature
Signature
Pursuant to the requirements of Regulation A,
Cik | 0000910492 |
(Name of issuer as specified in charter) | FIDELITY FEDERAL BANCORP |
certifies that it meets all of the conditions for termination of Regulation A reporting specified in Rule 257(d) and that there are no classes of securities other than those that are the subject to this Form 1-Z regarding which the issuer has Regulation A reporting obligations.
(Name of issuer as specified in charter) | FIDELITY FEDERAL BANCORP |
By | /s/ Donald R. Neel |
Date | 12-16-2022 |
Title | President and Chief Executive Officer |