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SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
FORM 10-K/A
Annual report pursuant to Section 13 of the
Securities Exchange Act of 1934, as amended
For the fiscal year ended September 30, 1996
Commission File No.: 1-12141
DELPHOS CITIZENS BANCORP, INC.
(exact name of registrant as specified in its charter)
DELAWARE 34-1840187
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(State or other jurisdiction of (I.R.S. Employer I.D. No.)
incorporation or organization)
114 East 3rd Street, Delphos, Ohio 45833
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(Address of principal executive offices)
Registrant's telephone number, including area code: (419) 692-2010
Securities registered pursuant to Section 12(b) of the Act: None
Securities registered pursuant to Section 12(g) of the Act:
Common Stock, par value $0.01 per share
(Title of class)
Indicate by check mark whether the registrant (1) has filed all reports
required to be filed by Section 13 or 15(d) of the Securities Exchange Act of
1934 during the preceding 12 months (or for such shorter period that the
registrant was required to file such reports), and (2) has been subject to such
filing requirements for the past 90 days. Yes X No .
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Indicate by check mark if disclosure of delinquent filers pursuant to Item
405 of Regulation S-K is not contained herein, and will not be contained, to the
best of the registrant's knowledge, in definitive proxy or information
statements incorporated by reference in Part III of the Form 10-K or any
amendment to this Form 10-K. |X|
The aggregate market value of the voting stock held by non-affiliates of
the registrant, i.e., persons other than the directors and executive officers of
the registrant, was $21,486,100, based upon the last sales price as quoted on
The Nasdaq Stock Market for December 16, 1996.
The number of shares of Common Stock outstanding as of December 16, 1996:
2,038,719.
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PART IV
ITEM 14. EXHIBITS, FINANCIAL STATEMENT SCHEDULES AND REPORTS ON FORM 8-K.
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(a)(3) Exhibits
(a) The following exhibits are filed as part of this report:
3.1 Certificate of Incorporation of Delphos Citizens Bancorp, Inc. (1)
3.2 Bylaws of Delphos Citizens Bancorp, Inc. (1)
4.0 Stock Certificate of Delphos Citizens Bancorp, Inc.(1)
10.1 Form of Employment Agreement between Citizens Federal Savings and
Loan Bank of Delphos and the President and Chief Executive Officer
(1)
10.2 Form of Employment Agreement between Delphos Citizens Bancorp, Inc.
and The President and Chief Executive Officer(1)
16.0 Letter re Change in Certifying Accountant
21.0 Subsidiary information is incorporated herein by reference to
"Part I - Subsidiary Activities."
27.0 Financial Data Schedule
99.0 Independent Auditors Report of Lentol, Violet, Kienitz & Company
for the years ended September 30, 1995 and 1994
(b) Report on Form 8-K
None.
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(1) Incorporated herein by reference from the Exhibits to the Registration
Statement on Form S-1, as amended, filed on August 22, 1996, Registration
No. 333-10639.
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SIGNATURES
Pursuant to the requirements of Section 13 of the Securities Exchange Act
of 1934, the Registrant has duly caused this report to be signed on its behalf
by the undersigned, thereunto duly authorized.
DELPHOS CITIZENS BANCORP, INC.
/s/ Joseph R. Reinemeyer
By:------------------------------------
Joseph R. Reinemeyer
Dated: April 3, 1997 President, Chief Executive Officer
and Director