SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Baack Jerry J.

(Last) (First) (Middle)
C/O BRIDGEWATER BANCSHARES, INC.
3800 AMERICAN BLVD WEST, SUITE 100

(Street)
BLOOMINGTON MN 55431

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Bridgewater Bancshares Inc [ BWB ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
President & CEO
3. Date of Earliest Transaction (Month/Day/Year)
07/31/2018
4. If Amendment, Date of Original Filed (Month/Day/Year)
07/31/2018
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 765,504(1)(2) D
Common Stock 4,000(1)(2) I By Roth IRA
Common Stock 260,000(1)(2) I By IRA
Common Stock 4,200(1)(2) I By dependent child
Common Stock 1,000(1)(2) I As custodian for child
Common Stock 1,000(1)(2) I As custodian for child
Common Stock 1,000(1)(2) I As custodian for child
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. On July 31, 2018, the reporting person filed a Form 4 which inadvertently reported that the reporting person beneficially owned 1,036,704 shares of common stock indirectly. In fact, as reported in this Amendment, on July 31, 2018 the reporting person beneficially owned 765,504 shares of common stock directly and beneficially owned a total of 271,200 shares of common stock indirectly (4,000 held in the reporting person's Roth IRA, 260,000 held in the reporting person's IRA, 4,200 held by reporting person's dependent child, 1,000 held by reporting person as custodian for child, 1,000 held by reporting person as custodian for child, and another 1,000 held by reporting person as custodian for child). This Amendment is also intended to correct the previous Form 4 filings filed by the reporting person on May 3, 2018 and on March 19,2018.
2. On March 19, 2018, the reporting person beneficially owned 765,504 shares of common stock directly and beneficially owned a total of 267,200 shares of common stock indirectly (260,000 held in the reporting person's IRA, 4,200 held by the reporting person's dependent child, 1,000 held by reporting person as custodian for child, 1,000 held by reporting person as custodian for child, and another 1,000 held by reporting person as custodian for child). On May 3, 2018, the reporting person beneficially owned 765,504 shares of common stock directly and beneficially owned a total of 269,200 shares of common stock indirectly (260,000 held in the reporting person's IRA, 2,000 held in the reporting person's Roth IRA, 4,200 held by the reporting person's dependent child, 1,000 held by reporting person as custodian for child, 1,000 held by reporting person as custodian for child, and another 1,000 held by reporting person as custodian for child).
/s/ Ben Klocke, attorney-in-fact 11/02/2018
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.