Filing Details

Accession Number:
0001269214-10-000002
Form Type:
5
Zero Holdings:
No
Publication Time:
2010-02-05 12:00:00
Reporting Period:
2009-12-31
Filing Date:
2010-02-05
Accepted Time:
2010-02-05 15:02:49
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
895541 Dearborn Bancorp Inc DEAR State Commercial Banks (6022) 383073622
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1182692 J Michael Ross 1360 Porter St
Dearborn MI 48124
President & Cfo Yes Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Acquisiton 2009-12-31 3,241 $1.41 15,007 No 5 P Indirect by Fidelity Bank 401(k) plan trust
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 5 P Indirect by Fidelity Bank 401(k) plan trust
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common 15,768 Direct
Reported Derivative Holdings
Sec. Name Sec. Type Price Date Expiration Date Amount Remaning Holdings Nature of Ownership
Common ISO $0.00 2008-12-31 2018-09-16 0 126,034 Direct
Common NQ $13.06 2009-06-30 2016-08-29 0 3,754 Direct
Expiration Date Amount Remaning Holdings Nature of Ownership
2018-09-16 0 126,034 Direct
2016-08-29 0 3,754 Direct
Footnotes
  1. Shares acquired throughout 2009 in Fidelity Bank 401(k) plan trust FBO Michael J Ross at an average price of $1.41