Northstar Bancshares, lnc.1 Estherville, Iowa Incorporated in Iowa. Northstar Bank1 Estherville, Iowa Incorporated in Iowa
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2 Form FR Y-6 Northstar Bancshares, Inc. Estherville, Iowa Fiscal Year Ending December 31, 2015 Report Item 1: a. The BHC is not required to prepare form 1 OK with the SEC 1: b. The BHC does not prepare an annual report for its shareholders. 2a: Organizational Chart Northstar Bancshares, lnc.1 Estherville, Iowa Incorporated in Iowa Established 10/13/1999 I 100% Northstar Bank1 Estherville, Iowa Incorporated in Iowa Established 4/1 / b: Domestic branch listing provided to the Federal Reserve Bank. Submitted via on 01 /23/ No LEI for the above entities
3 Results: A list of branches for your depository institution: NORTHSTAR BANK (ID_RSSD: ). This depository institution is held by NORTHSTAR BANCSHARES, INC ( ) of ESTHERVILLE,!A. The data are as of 12/31/2016. Data reflects information that was received and processed through 01/10/2017. Reconciliation and Verification Steps 1. In the Data Action column of each branch row, enter one or more of the actions specified below 2. If required, enter the date in the Effective Date column Actions OK: If the branch information is correct, enter 'OK' in the Data Action column. Change:!f the branch information is incorrect or incomplete, revise the data, enter 'Change' in the Data Action column and the date when this information first became valid in the Effective Date column. Close: If a branch listed was sold or dosed, enter 'Close' in the Data Action column and the sale or closure date in the Effective Date column. Delete: If a branch listed was never owned by this depository institution, enter 'Delete' in the Data Action column. Add: If a reportable branch is missing, insert a row, add the branch data, and enter 'Add' in the Data Action column and the opening or acquisition date in the Effective Date column. If printing this list, you may need to adjust your page setup in MS Ex.eel. Try using landscape orientation, page scaling, and/or legal sized paper. Submission Procedure When you are finished, send a saved copy to your FRB contact. See the detailed instructions on this site for more information. lf you are ing this to your FRB contact, put your institution name, city and state in the subject line of the . Note: To satisfy the FR Y-10 reporting requirements, you must also submit FR Y-10 Domestic Branch Schedules for each branch with a Data Action of Ch;mge, Close, Delete, or Add. The FR Y-10 report may be submitted in a hardcopy format or via the FR Y-10 Online application - "'FD!C UN!NUM, Office Number, and ID_RSSD columns are for reference only. Verification of these values is not required. Data Action Effective Date Branch Service TvPe Branch ID RSSD* Popular Name Street Address Citv State Zip Code County Countrv FCIC UNINUM* Office Number* Head Office Head Office ID RSSD* Comments OK Full Service (Head Office) NORTHSTAR BANK 2202 CENTRAL AVE ESTHERVILLE IA EMMET UNITED STATES NORTHSTAR BANK OK Full Service ARMSTRONG BRANCH 403 SOUTH 4TH AVENUE ARMSTRONG IA EMMET UNITED STATES NORTHSTAR BANK OK Full Service ESTHERVILLE DOWNTOWN BRANCH 101 NORTH 6TH STREET ESTHERVILLE IA EMMET UNITED STATES NORTHSTAR BANK OK Limited Service ESTHERVILLE DR!VEUP BRANCH 508 lst AVENUE NORTH ESTHERVILLE IA S1334 EMMET UNITED STATES NORTHSTAR BANK OK Full Service RINGSTED BRANCH 124 WEST MAPLE STREET RINGSTED IA EMMET UNITED STATES NORTHSTAR BANK
4 FRY-6 Northstar Bancshares, Inc. Estherville, IA Fiscal Year Ending December 31, 2016 Report Item 3: Securities Holders Current Securities Holders with ownership, control or holdings of 5% or more with power to vote as-of fiscal year ending 12/3 1/2016. Securities Holders not listed in 3(1)(a) through (3)(1)(c) that had ownership, control or holdings of 5% or more with power to vote during the fiscal year ending 12/31/2016. (1)(a) ( 1 )(b) (1)(c) (2)(a) (2)(b) (2)(c) Number and Number and Percentage of Each Percentage of Each Name & Address (City, Country of Citizenship Class of Voting Name & Address (City, Country of Citizenship Class of Voting State, Country) or Incorporation Securities State, Country) or Incorporation Securities Scott or Nancy Taylor USA 62, % N/A 1,000 - Stock Options Harold C. Hauber USA 26, % N/A Spirit Lake, IA, USA George or Judith Shadle USA 20, % N/A Estherville, IA, USA 1,000 -Stock Options George H. and Judith L. USA 1, % Shadle N/A George H. and Judith L. USA 6, % Shadle Revocable N/A George H Shadle, ee; Judith L. Shadle ee
5 Frederick or Susan Oster USA 1, % Grinnell, IA, USA N/A 29, % Total F.L. Miller USA 20, % N/A Spirit Lake, IA, USA 1,000 -Stock Options F. L. Miller Revocable USA 6, % N/A and Diane F. Miller Revocable FL Miller, ee and Diane F. Miller, ee for Both s Spirit Lake, IA USA FL Miller Revocable USA 1, % N/A FL Miller, ee and Diane F Miller, ee Spirit Lake, IA USA 28, % Total 1,000 - Stock Options John M. Greig USA 3, % N/A 1,500 - Stock Options Joe M Greig or Jodie L Greig USA 16, % N/A William Greig USA 12, % N/A
6 Janice R. Greig USA % N/A Hugh S. Greig Disclaimer USA % N/A Janice R. Greig, ee Hugh S. Greig Disclaimer USA % N/A Janice R. Greig, ee Hugh S. Greig Disclaimer USA % N/A Janice R. Greig, ee Taylor L. Greig USA % N/A Estherville, IA USA Clayton G. Greig USA % N/A Estherville, IA USA 35, % Total 2,500 - Stock Options Hugh E Thompson USA 20, % N/A Spirit Lake, IA, USA Virginia L Thompson USA 8, % N/A Spirit Lake, IA, USA 28, % Total
7 Dennis L. Tyrrell USA % NIA Spirit Lake, IA, USA Patricia L. Tyrrell USA % NIA Spirit Lake, IA, USA Annette M. Zebedee USA 8, % NIA Jackson, MN USA Tina J. Zebedee USA 8, % N/A Kenneth A. Tyrrell USA 8, % N/A Spirit Lake, IA, USA 28, % Total Janice R. Greig USA % NIA Susan G. Dare USA 12, % NIA Sarah A. Lichty USA % NIA Brent A. Wedebrand Dare USA % NIA Savannah C. Dare USA % NIA
8 Curtis E. Dare USA 6, % NIA Hugh S. Greig Disclaimer USA % NIA Janice R. Greig, ee Hugh S. Greig Disclaimer USA % NIA Janice R. Greig, ee Hugh S. Greig Disclaimer USA % NIA Janice R. Greig, ee John M. Greig USA 3, % NIA Estherville, IA USA 1,500 - Stock Options 27, % Total 1,500 - Stock Options Joe M Greig or Jodie L Greig USA 16, % N/A Taylor L. Greig USA % N/A Estherville, IA USA Clayton G. Greig USA % N/A Estherville, IA USA John M. Greig USA 3, % N/A
9 Estherville, IA. USA 1,500 - Stock Options William Greig USA 12, % N/A 32, % Total 2,500 - Stock Options William Greig USA 12, % N/A John M. Greig USA 3, % N/A 1,500 - Stock Options Joe M Greig or Jodie L Greig USA 16, % N/A 31, % 2,500 - Stock Options Susan G. Dare USA 12, % N/A Sarah A. Lichty USA % N/A Brent A. Wedebrand Dare USA % N/A Savannah C. Dare USA % N/A
10 Curtis E. Dare USA 6, % NIA Hugh S. Greig Disclaimer USA % NIA Janice R. Greig, ee Hugh S. Greig Disclaimer USA % NIA Janice R. Greig, ee Hugh S. Greig Disclaimer USA % NIA Janice R. Greig, ee Janice R. Greig USA % NIA j %
11 FRY-6 Northstar Bancshares, Inc. Estherville, IA Fiscal Year Ending December 31, 2016 Report Item 4: Insiders (l)(a)(b)(c) and (2)(a)(b)(c) (1) (2) (3)(a) (3)(b) (3)(c) (4)(a) (4)(b) (4)(c) List names of other companies (includes partnerships) if 25% or more of voting securities are held Percentage of (List names of Principal Title & Position with Title & Position with Voting Shares in companies and Occupation if other Subsidiaries Other Businesses Percentage of Subsidiaries percentage of Name, City, than with Holding Title & Position with (include names of (include names of Voting Shares in (include names of voting securities State, Country Company Holding Company subsidiaries) other businesses) Holding Company subsidiaries) held) Scott J. Taylor N/A President & Director President, CEO, & N/A 15.62% 0% N/A (Jointly with Director - (NorthStar Nancy A. Taylor) Bank) Estherville, IA USA Nancy A. Taylor Registered Nurse NIA N/A N/A 15.62% 0% N/A (Jointly with Scott J. Taylor) Estherville, IA USA George H. Shadle N/A Treasurer & Director Director - Sec/Treas/Director 7.24% 0% Center Township (Jointly with Judith L. (Northstar Bank) (Center Township Farm, Inc % Shadle) Estherville, IA USA Farm, Inc.) Judith L Shadle N/A N/A N/A President/Director 7.24% 0% Center Township 100% (Jointly with George (Center Township Farm, Inc. - H. Shadle) Farm, Inc.) Estherville, IA USA
12 George H. and Judith NIA NIA NIA NIA 7.24% 0% NIA L. Shadle Revocable Geroge H. Shadle, ee and Judith L. Shadle, ee Cheryl Houseman NIA Secretary SeniorV.P. NIA 0.07% 0% NIA Estherville, IA USA (Northstar Bank) Joe Greig Estherville, Farmer Director Director - CEO - (Greig & Co., 4.18% 0% Hillbrook, LLC - 50% IAUSA (Northstar Bank) Inc.) Greig & Co., Inc % John M. Greig Retired Farmer Vice President & Director - President - (Greig & 1.15% 0% Greig Brothers, LLC - 50% Estherville, IA USA Director (Northstar Bank) Co., Inc.) 50% Grow Ranch - (Partnership) F. L. Miller Spirit CEO - Manufacturing Director Director - CEO - (Aero Race 7.22% 0% Aero Race Wheels, Lake, IA USA (Northstar Bank) Wheels, Inc.) Inc % President -(FLM FLM Enterprises, Inc - Enterprises, Inc.) 100% F.L. Miller Revocable NIA NIA NIA NIA 7.22% 0% NIA - F.L. Miller, ee and Diane F. Miller, ee Diane F. Miller NIA NIA NIA NIA 7.22% 0% NIA Revocable - F.L. Miller, ee and Diane F. Miller, ee Hugh Thompson Farmer Director Director - President - H&V 5.17% 0% H & V Thompson Spirit Lake, IA USA (Northstar Bank) Thompson Farms, Farms, LTD - 50% LTD
13 Dennis Tyrrell Lake, IA USA Spirit General Manager - (Estherville Foods, Inc.) Director Director - (Northstar Bank) General Manager - (Estherville Foods, Inc.) 0.46% 0% N/A
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