-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, HKple/YSzgcpU5Q/8LxHNOXyjNwNhEpxPMbbJOQlV9/nO3mAKYm7Es5XMeP4OM+p eBmgRTAnBh7v8S7X1+luPw== 0000950109-99-003416.txt : 19990920 0000950109-99-003416.hdr.sgml : 19990920 ACCESSION NUMBER: 0000950109-99-003416 CONFORMED SUBMISSION TYPE: SC 13D PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19990917 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: FIRST SAVINGS BANCORP INC CENTRAL INDEX KEY: 0000912836 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTIONS, NOT FEDERALLY CHARTERED [6036] IRS NUMBER: 560408240 STATE OF INCORPORATION: NC FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D SEC ACT: SEC FILE NUMBER: 005-53149 FILM NUMBER: 99713616 BUSINESS ADDRESS: STREET 1: P O BOX 1657 CITY: SOUTHERN PINES STATE: NC ZIP: 28388 BUSINESS PHONE: 9106926222 MAIL ADDRESS: STREET 1: P O BOX 1657 CITY: SOUTHERN PINES STATE: NC ZIP: 28388 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: SAMUELS WILLIAM E JR CENTRAL INDEX KEY: 0001095156 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13D BUSINESS ADDRESS: STREET 1: 205 S E BROAD ST STREET 2: PO BOX 1657 CITY: SOUTHERN PINES STATE: NC ZIP: 28388 BUSINESS PHONE: 9106926222 MAIL ADDRESS: STREET 1: 205 S E BROAD ST STREET 2: PO BOX 1657 CITY: SOUTHERN PINES STATE: NC ZIP: 28388 SC 13D 1 SCHEDULE 13D SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13 D Under the Securities Exchange Act of 1934 FIRST SAVINGS BANCORP, INC. --------------------------- (Name of Issuer) Common Stock, no par value ------------------------------- (Title of Class of Securities) 335939104 ------------- (CUSIP Number) Timothy S. Maples 205 S.E. Broad Street, P.O. Box 1657 Southern Pines, NC 28388 (910) 692-6222 -------------------------------------------------------- (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) September 1, 1999 ------------------------------------------- (Date of Event Which Requires Filing of this Statement) If the filing person has previously filed a statement on Schedule 13G to report the acquisition that is the subject of this Schedule 13D, and is filing this schedule because of Rule 13d-1(e), 13d-1(f) or 13d-1(g), check the following box.[_] NOTE: Schedules filed in the paper format shall include a signed original and five copies of the schedule, including all exhibits. See Rule 13d-7(b) for other parties to whom copies are to be sent. *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 the disclosures provided in a prior cover page. The information required in 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). (Cover Page Continued) CUSIP No. 335939104 13D - --------------------- 1 NAME OF REPORTING PERSON I.R.S. IDENTIFICATION NO. OF ABOVE PERSON William E. Samuels, Jr. - -------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions) (a) [_] (b) [X] - -------------------------------------------------------------------------------- 3 SEC USE ONLY - -------------------------------------------------------------------------------- 4 SOURCE OF FUNDS (SEE INSTRUCTIONS) 00 - -------------------------------------------------------------------------------- 5 CHECK IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) - -------------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION North Carolina - -------------------------------------------------------------------------------- 7 SOLE VOTING POWER NUMBER OF 87,421 Shares SHARES --------------------------------------------------------------- BENEFICIALLY 8 SHARED VOTING POWER OWNED BY EACH 88,355 Shares REPORTING --------------------------------------------------------------- PERSON 9 SOLE DISPOSITIVE WITH POWER 87,421 Shares --------------------------------------------------------------- 10 SHARED DISPOSITIVE POWER 88,355 Shares - -------------------------------------------------------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 175,776 Shares - -------------------------------------------------------------------------------- 12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (See Instructions) - -------------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 11 5.05% - -------------------------------------------------------------------------------- 14 TYPE OF REPORTING PERSON IN - -------------------------------------------------------------------------------- (End of Cover Page) Item 1. Security and Issuer: - ------ ------------------- Common Stock First Savings Bancorp, Inc 205 S.E. Broad Street, P.O. Box 1657 Southern Pines, NC 28388 Item 2. (a) Name: William E. Samuels, Jr. - ------ (b) Residence or business address: 205 S.E. Broad Street, P.O. Box 1657 Southern Pines, NC 28388 (c) Employment: Senior Vice President First Savings Bank of Moore County, Inc., SSB 205 S.E. Broad Street, P.O. Box 1657 Southern Pines, NC 28388 (d) No (e) No (f) United States Item 3. Source and Amount of Funds or Other Consideration. - ------ ------------------------------------------------- Filer's beneficial ownership exceeded 5% through a combination of (1) an increase in the number of shares allocated to the First Savings Bank of Moore County, Inc., SSB Employee Stock Ownership Plan and (2) the Issuer's repurchases of its capital stock reducing the number of shares outstanding. Item 4. Purpose of Transaction. - ------ ---------------------- See Item 3 Item 5. Interest in Securities of the Issuer. - ------ ------------------------------------ (a) 175,776 shares (5.05% of outstanding) (b) Sole voting power - 87,421 shares Shared voting power - 88,355 shares Sole dispositive power - 87,421 shares Shared dispositive power - 88,355 shares (c) None (d) Filer shares voting power and the power to direct the receipt of dividends of 70,355 shares with the First Savings Bank of Moore County, Inc. SSB Employee Stock Ownership Plan which is the registered owner of 70,355 of the shares disclosed herein. (e) Not applicable Item 6. Contracts, Assignments, Understandings or Relationships With Respect - ------ -------------------------------------------------------------------- to Securities of the Issuer. --------------------------- Not Applicable. Item 7. Material Filed as Exhibits. - ------ -------------------------- Not Applicable. -----END PRIVACY-ENHANCED MESSAGE-----