<SEC-DOCUMENT>0000908834-22-000071.txt : 20220210
<SEC-HEADER>0000908834-22-000071.hdr.sgml : 20220210
<ACCEPTANCE-DATETIME>20220210113707
ACCESSION NUMBER:		0000908834-22-000071
CONFORMED SUBMISSION TYPE:	SC 13G/A
PUBLIC DOCUMENT COUNT:		1
FILED AS OF DATE:		20220210
DATE AS OF CHANGE:		20220210

SUBJECT COMPANY:	

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			LANDMARK BANCORP INC
		CENTRAL INDEX KEY:			0001141688
		STANDARD INDUSTRIAL CLASSIFICATION:	NATIONAL COMMERCIAL BANKS [6021]
		IRS NUMBER:				431930755
		STATE OF INCORPORATION:			CA
		FISCAL YEAR END:			1231

	FILING VALUES:
		FORM TYPE:		SC 13G/A
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	005-78860
		FILM NUMBER:		22612238

	BUSINESS ADDRESS:	
		STREET 1:		701 POYNTZ AVENUE
		CITY:			MANHATTAN
		STATE:			KS
		ZIP:			66502
		BUSINESS PHONE:		7855652000

	MAIL ADDRESS:	
		STREET 1:		701 POYNTZ AVENUE
		CITY:			MANHATTAN
		STATE:			KS
		ZIP:			66502

	FORMER COMPANY:	
		FORMER CONFORMED NAME:	LANDMARK MERGER CO
		DATE OF NAME CHANGE:	20010530

FILED BY:		

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			Brilley Michael C.
		CENTRAL INDEX KEY:			0001693158

	FILING VALUES:
		FORM TYPE:		SC 13G/A

	MAIL ADDRESS:	
		STREET 1:		3300 IDS CENTER
		STREET 2:		80 SOUTH EIGHTH STREET
		CITY:			MINNEAPOLIS
		STATE:			MN
		ZIP:			55402
</SEC-HEADER>
<DOCUMENT>
<TYPE>SC 13G/A
<SEQUENCE>1
<FILENAME>13g_brilley.htm
<DESCRIPTION>AMENDMENT #4
<TEXT>
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    <div style="text-align: center; margin-top: 6pt; font-size: 14pt; font-weight: bold;">UNITED STATES<br>
      SECURITIES AND EXCHANGE COMMISSION</div>
    <div style="text-align: center; font-size: 12pt;">Washington, D.C.&#160; 20549</div>
    <div style="text-align: center; margin-top: 12pt; font-size: 12pt; font-weight: bold;">SCHEDULE 13G</div>
    <div style="text-align: center; margin-top: 12pt; font-size: 12pt; font-weight: bold;">UNDER THE SECURITIES EXCHANGE ACT OF 1934</div>
    <div style="text-align: center; font-size: 12pt;">(Amendment No. 4)*</div>
    <div style="text-align: center; margin-top: 12pt; font-size: 18pt; font-weight: bold;">Landmark Bancorp, Inc.</div>
    <div style="text-align: center; font-size: 12pt;">(Name of Issuer)</div>
    <div style="text-align: center; margin-top: 12pt; font-size: 12pt; font-weight: bold;">Common Stock, par value $0.01 per share</div>
    <div style="text-align: center; font-size: 12pt;">(Title of Class of Securities)</div>
    <div style="text-align: center; margin-top: 12pt; font-size: 12pt; font-weight: bold;">51504L107</div>
    <div style="text-align: center; font-size: 12pt;">(CUSIP Number)</div>
    <div style="text-align: center; margin-top: 12pt; font-size: 12pt; font-weight: bold;">December 31, 2021</div>
    <div style="text-align: center; font-size: 12pt;">(Date of Event Which Requires Filing of this Statement)</div>
    <div style="text-align: justify; margin-top: 24pt; margin-bottom: 12pt; font-size: 12pt;">Check the appropriate box to designate the rule pursuant to which this Schedule is filed:</div>
    <table cellspacing="0" cellpadding="0" style="font-family: 'Times New Roman', Times, serif; font-size: 10pt; width: 100%; text-align: left; color: #000000;" id="zb9bb0b5c762d4f4896a0806efedd0b47">

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          <td style="width: 4.48%; vertical-align: top;">&#160;</td>
          <td style="width: 4.59%; vertical-align: middle;">
            <div style="font-family: 'Segoe UI Symbol', sans-serif; font-size: 12pt;">&#9744;</div>
          </td>
          <td style="width: 90.93%; vertical-align: middle;">
            <div style="font-size: 12pt;">Rule 13d-1(b)</div>
          </td>
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          <td style="width: 4.48%; vertical-align: top;">&#160;</td>
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            <div style="font-family: 'Wingdings 2', serif; font-size: 12pt;">S</div>
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            <div style="font-size: 12pt;">Rule 13d-1(c)</div>
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          <td style="width: 4.48%; vertical-align: top;">&#160;</td>
          <td style="width: 4.59%; vertical-align: middle;">
            <div style="font-family: 'Segoe UI Symbol', sans-serif; font-size: 12pt;">&#9744;</div>
          </td>
          <td style="width: 90.93%; vertical-align: middle;">
            <div style="font-size: 12pt;">Rule 13d-1(d)</div>
          </td>
        </tr>

    </table>
    <div style="text-align: justify; text-indent: 18pt; margin-top: 12pt; font-size: 12pt;">*The remainder of this cover page shall be filled out for a reporting person&#8217;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.</div>
    <div style="text-align: justify; text-indent: 18pt; margin-top: 6pt; font-size: 12pt;">The information required on the remainder of this cover page shall not be deemed to be &#8220;filed&#8221; for the purpose of Section 18 of the Securities Exchange Act of 1934
      (&#8220;<u>Act</u>&#8221;) 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).</div>
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      <div id="DSPFPageNumberArea" style="text-align: center;"><font id="DSPFPageNumber" style="font-family: 'Times New Roman',Times,serif; font-size: 8pt; font-weight: normal; font-style: normal;">Page 1 of 6</font></div>
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            <div style="text-align: justify; font-size: 14pt; font-weight: bold;">CUSIP No. 51504L107</div>
          </td>
          <td style="width: 63.69%; vertical-align: top; padding-bottom: 2px;">&#160;</td>
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    <div style="border: 2px solid rgb(0, 0, 0); padding: 5px; width: 99%;">
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              <div style="margin-left: 7.2pt; font-family: 'Times New Roman', Times, serif; font-size: 14pt; font-weight: bold;">1</div>
            </td>
            <td colspan="2" style="vertical-align: middle; border-top: 2px solid rgb(0, 0, 0); border-left: 2px solid rgb(0, 0, 0);">
              <div style="font-family: 'Times New Roman', Times, serif; font-size: 8pt;">NAME OF REPORTING PERSON</div>
              <div>&#160;</div>
              <div style="font-family: 'Times New Roman', Times, serif; font-weight: bold;">Michael C. Brilley</div>
            </td>
            <td style="width: 18.88%; vertical-align: middle; border-top: 2px solid rgb(0, 0, 0); border-right: 2px solid rgb(0, 0, 0);">&#160;</td>
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              <div style="margin-left: 7.2pt; font-family: 'Times New Roman', Times, serif; font-size: 14pt; font-weight: bold;">2</div>
            </td>
            <td colspan="2" style="vertical-align: middle; border-top: 2px solid rgb(0, 0, 0); border-left: 2px solid rgb(0, 0, 0);">
              <div style="font-family: 'Times New Roman', Times, serif; font-size: 8pt;">CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (see instructions)</div>
            </td>
            <td style="width: 18.88%; vertical-align: middle; border-top: 2px solid rgb(0, 0, 0); border-right: 2px solid rgb(0, 0, 0);">
              <div style="text-align: center; font-family: 'Times New Roman', Times, serif; font-size: 8pt;">(a)&#160;&#160;<font style="font-size: 10pt;">&#9744;</font></div>
              <div>&#160;</div>
              <div style="text-align: center; font-family: 'Times New Roman', Times, serif; font-size: 8pt;">(b)&#160; <font style="font-size: 10pt;">&#9744;</font></div>
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              <div style="margin-left: 7.2pt; font-family: 'Times New Roman', Times, serif; font-size: 14pt; font-weight: bold;">3</div>
            </td>
            <td colspan="2" style="vertical-align: middle; background-color: rgb(192, 192, 192); border-top: 2px solid rgb(0, 0, 0); border-left: 2px solid rgb(0, 0, 0);">
              <div style="font-family: 'Times New Roman', Times, serif; font-size: 8pt;">SEC USE ONLY</div>
            </td>
            <td style="width: 18.88%; vertical-align: middle; background-color: rgb(192, 192, 192); border-top: 2px solid rgb(0, 0, 0); border-right: 2px solid rgb(0, 0, 0);">&#160;</td>
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              <div style="margin-left: 7.2pt; font-family: 'Times New Roman', Times, serif; font-size: 14pt; font-weight: bold;">4</div>
            </td>
            <td colspan="2" style="vertical-align: middle; border-top: 2px solid rgb(0, 0, 0); border-left: 2px solid rgb(0, 0, 0);">
              <div style="font-family: 'Times New Roman', Times, serif; font-size: 8pt;">CITIZENSHIP OR PLACE OF ORGANIZATION</div>
            </td>
            <td style="width: 18.88%; vertical-align: middle; border-top: 2px solid rgb(0, 0, 0); border-right: 2px solid rgb(0, 0, 0);">
              <div style="text-align: center; font-family: 'Times New Roman', Times, serif; font-weight: bold;">United States</div>
            </td>
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            <td rowspan="4" style="width: 17.63%; vertical-align: middle; border-top: 2px solid rgb(0, 0, 0); border-left: 2px solid rgb(0, 0, 0);">
              <div style="font-family: 'Times New Roman', Times, serif;">NUMBER OF SHARES<font style="display: inline-block; text-indent: 0px; font-size: 1px; width: 12pt" id="TRGRRTFtoHTMLTab">&#160;</font>BENEFICIALLY OWNED BY EACH<font style="display: inline-block; text-indent: 0px; font-size: 1px; width: 12pt" id="TRGRRTFtoHTMLTab">&#160;</font>REPORTING PERSON WITH:</div>
            </td>
            <td style="width: 8%; vertical-align: middle; border-top: 2px solid rgb(0, 0, 0); border-left: 2px solid rgb(0, 0, 0);">
              <div style="margin-left: 7.2pt; font-family: 'Times New Roman', Times, serif; font-size: 14pt; font-weight: bold;">5</div>
            </td>
            <td style="width: 55%; vertical-align: middle; border-top: 2px solid rgb(0, 0, 0); border-left: 2px solid rgb(0, 0, 0);">
              <div style="font-family: 'Times New Roman', Times, serif; font-size: 8pt;">SOLE VOTING POWER</div>
            </td>
            <td style="width: 18.88%; vertical-align: middle; border-top: 2px solid rgb(0, 0, 0); border-right: 2px solid rgb(0, 0, 0);">
              <div style="text-align: center; font-family: 'Times New Roman', Times, serif; font-weight: bold;">259,462</div>
            </td>
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            <td style="width: 8%; vertical-align: middle; border-top: 2px solid rgb(0, 0, 0); border-left: 2px solid rgb(0, 0, 0);">
              <div style="margin-left: 7.2pt; font-family: 'Times New Roman', Times, serif; font-size: 14pt; font-weight: bold;">6</div>
            </td>
            <td style="width: 55%; vertical-align: middle; border-top: 2px solid rgb(0, 0, 0); border-left: 2px solid rgb(0, 0, 0);">
              <div style="font-family: 'Times New Roman', Times, serif; font-size: 8pt;">SHARED VOTING POWER</div>
            </td>
            <td style="width: 18.88%; vertical-align: middle; border-top: 2px solid rgb(0, 0, 0); border-right: 2px solid rgb(0, 0, 0);">
              <div style="text-align: center; font-family: 'Times New Roman', Times, serif; font-weight: bold;">0</div>
            </td>
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            <td style="width: 8%; vertical-align: middle; border-top: 2px solid rgb(0, 0, 0); border-left: 2px solid rgb(0, 0, 0);">
              <div style="margin-left: 7.2pt; font-family: 'Times New Roman', Times, serif; font-size: 14pt; font-weight: bold;">7</div>
            </td>
            <td style="width: 55%; vertical-align: middle; border-top: 2px solid rgb(0, 0, 0); border-left: 2px solid rgb(0, 0, 0);">
              <div style="font-family: 'Times New Roman', Times, serif; font-size: 8pt;">SOLE DISPOSITIVE POWER</div>
            </td>
            <td style="width: 18.88%; vertical-align: middle; border-top: 2px solid rgb(0, 0, 0); border-right: 2px solid rgb(0, 0, 0);">
              <div style="text-align: center; font-family: 'Times New Roman', Times, serif; font-weight: bold;">259,462</div>
            </td>
          </tr>
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            <td style="width: 8%; vertical-align: middle; border-top: 2px solid rgb(0, 0, 0); border-left: 2px solid rgb(0, 0, 0);">
              <div style="margin-left: 7.2pt; font-family: 'Times New Roman', Times, serif; font-size: 14pt; font-weight: bold;">8</div>
            </td>
            <td style="width: 55%; vertical-align: middle; border-top: 2px solid rgb(0, 0, 0); border-left: 2px solid rgb(0, 0, 0);">
              <div style="font-family: 'Times New Roman', Times, serif; font-size: 8pt;">SHARED DISPOSITIVE POWER</div>
            </td>
            <td style="width: 18.88%; vertical-align: middle; border-top: 2px solid rgb(0, 0, 0); border-right: 2px solid rgb(0, 0, 0);">
              <div style="text-align: center; font-family: 'Times New Roman', Times, serif; font-weight: bold;">0</div>
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              <div style="margin-left: 7.2pt; font-family: 'Times New Roman', Times, serif; font-size: 14pt; font-weight: bold;">9</div>
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            <td colspan="2" style="vertical-align: middle; border-top: 2px solid rgb(0, 0, 0); border-left: 2px solid rgb(0, 0, 0);">
              <div style="font-family: 'Times New Roman', Times, serif; font-size: 8pt;">AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON</div>
            </td>
            <td style="width: 18.88%; vertical-align: middle; border-top: 2px solid rgb(0, 0, 0); border-right: 2px solid rgb(0, 0, 0);">
              <div style="text-align: center; font-family: 'Times New Roman', Times, serif; font-weight: bold;">259,462<sup style="vertical-align: text-top; line-height: 1; font-size: smaller;">(1)</sup></div>
            </td>
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              <div style="margin-left: 7.2pt; font-family: 'Times New Roman', Times, serif; font-size: 14pt; font-weight: bold;">10</div>
            </td>
            <td colspan="2" style="vertical-align: middle; border-top: 2px solid rgb(0, 0, 0); border-left: 2px solid rgb(0, 0, 0);">
              <div style="font-family: 'Times New Roman', Times, serif; font-size: 8pt;">CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (see instructions)</div>
            </td>
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              <div style="text-align: center; font-family: 'Times New Roman', Times, serif;">&#9744;</div>
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              <div style="margin-left: 7.2pt; font-family: 'Times New Roman', Times, serif; font-size: 14pt; font-weight: bold;">11</div>
            </td>
            <td colspan="2" style="vertical-align: middle; border-top: 2px solid rgb(0, 0, 0); border-left: 2px solid rgb(0, 0, 0);">
              <div style="font-family: 'Times New Roman', Times, serif; font-size: 8pt;">PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)</div>
            </td>
            <td style="width: 18.88%; vertical-align: middle; border-top: 2px solid rgb(0, 0, 0); border-right: 2px solid rgb(0, 0, 0);">
              <div style="text-align: center; font-family: 'Times New Roman', Times, serif; font-weight: bold;">5.7%<sup style="vertical-align: text-top; line-height: 1; font-size: smaller;">(2)</sup></div>
            </td>
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              <div style="margin-left: 7.2pt; font-family: 'Times New Roman', Times, serif; font-size: 14pt; font-weight: bold;">12</div>
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            <td colspan="2" style="vertical-align: middle; border-top: 2px solid rgb(0, 0, 0); border-left: 2px solid rgb(0, 0, 0); border-bottom: 2px solid rgb(0, 0, 0);">
              <div style="font-family: 'Times New Roman', Times, serif; font-size: 8pt;">TYPE OF REPORTING PERSON (see instructions)</div>
            </td>
            <td style="width: 18.88%; vertical-align: middle; border-top: 2px solid rgb(0, 0, 0); border-right: 2px solid rgb(0, 0, 0); border-bottom: 2px solid rgb(0, 0, 0);">
              <div style="text-align: center; font-family: 'Times New Roman', Times, serif; font-weight: bold;">IN</div>
            </td>
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          <td style="width: 18pt; vertical-align: top; align: right;">(1)</td>
          <td style="width: auto; vertical-align: top; text-align: justify;">
            <div>See Item 4, Ownership, for additional information regarding the manner in which the reported shares are held.</div>
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          <td style="width: 18pt; vertical-align: top; align: right;">(2)</td>
          <td style="width: auto; vertical-align: top; text-align: justify;">
            <div>Calculated based on 4,579,890 shares of Landmark Bancorp, Inc.&#8217;s (the &#8220;<u>Issuer&#8217;s</u>&#8221;) common stock, par value $0.01 per share (&#8220;<u>Common Stock</u>&#8221;), as reported on the Issuer&#8217;s Form 10-Q filed with the Securities and Exchange
              Commission on November 12, 2021.</div>
          </td>
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    <div><br>
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      <div id="DSPFPageNumberArea" style="text-align: center;"><font id="DSPFPageNumber" style="font-family: 'Times New Roman',Times,serif; font-size: 8pt; font-weight: normal; font-style: normal;">Page 2 of 6</font></div>
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    <div style="text-align: justify; margin-top: 12pt; font-size: 12pt;"><font style="font-weight: bold;">Item 1(a).&#160;&#160;Name of Issuer: </font>Landmark Bancorp, Inc.</div>
    <div style="text-align: justify; margin-top: 12pt; font-size: 12pt;"><font style="font-weight: bold;">Item 1(b).&#160;&#160;Address of Issuer&#8217;s Principal Executive Offices: </font>The Issuer&#8217;s principal executive offices are located at 701 Poyntz Avenue,
      Manhattan, Kansas 66502.</div>
    <div style="text-align: justify; margin-top: 12pt; font-size: 12pt;"><font style="font-weight: bold;">Item 2(a).&#160;&#160;Name of Person Filing: </font>This Schedule 13G is being filed by Michael C. Brilley.</div>
    <div style="text-align: justify; margin-top: 12pt; font-size: 12pt;"><font style="font-weight: bold;">Item 2(b).&#160;&#160;Address of Principal Business Office or, if None, Residence: </font>The address of the principal business office of the Reporting Person
      is 3300 IDS Center, 80 South Eighth Street, Minneapolis, Minnesota 55402.</div>
    <div style="text-align: justify; margin-top: 12pt; font-size: 12pt;"><font style="font-weight: bold;">Item 2(c).&#160;&#160;Citizenship: </font>Michael C. Brilley is a citizen of the United States.</div>
    <div style="text-align: justify; margin-top: 12pt; font-size: 12pt;"><font style="font-weight: bold;">Item 2(d).&#160;&#160;Title of Class of Securities: </font>Common Stock, par value $0.01 per share.</div>
    <div style="text-align: justify; margin-top: 12pt; font-size: 12pt;"><font style="font-weight: bold;">Item 2(e).&#160;&#160;CUSIP No.: </font>51504L107</div>
    <div><br>
    </div>
    <div style="text-align: justify; font-size: 12pt; font-weight: bold;">Item 3.&#160;&#160;If this statement is filed pursuant to &#167;&#167; 240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:</div>
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        <tr>
          <td colspan="1" style="width: 5%; vertical-align: top;">&#160;</td>
          <td style="width: 5%; vertical-align: top;">
            <div style="font-size: 12pt;">(a)</div>
          </td>
          <td style="width: 3%; vertical-align: top;">
            <div style="font-size: 12pt;">&#9633;</div>
          </td>
          <td style="width: 87%; vertical-align: top;">
            <div style="font-size: 12pt;">Broker or dealer registered under Section 15 of the Act (15 U.S.C. 78o);</div>
          </td>
        </tr>
        <tr>
          <td colspan="1" style="width: 5%; vertical-align: top;">&#160;</td>
          <td style="width: 5%; vertical-align: top;">
            <div style="font-size: 12pt;">(b)</div>
          </td>
          <td style="width: 3%; vertical-align: top;">
            <div style="font-size: 12pt;">&#9633;</div>
          </td>
          <td style="width: 87%; vertical-align: top;">
            <div style="font-size: 12pt;">Bank as defined in Section 3(a)(6) of the Act (15 U.S.C. 78c);</div>
          </td>
        </tr>
        <tr>
          <td colspan="1" style="width: 5%; vertical-align: top;">&#160;</td>
          <td style="width: 5%; vertical-align: top;">
            <div style="font-size: 12pt;">(c)</div>
          </td>
          <td style="width: 3%; vertical-align: top;">
            <div style="font-size: 12pt;">&#9633;</div>
          </td>
          <td style="width: 87%; vertical-align: top;">
            <div style="font-size: 12pt;">Insurance company as defined in Section 3(a)(19) of the Act (15 U.S.C. 78c);</div>
          </td>
        </tr>
        <tr>
          <td colspan="1" style="width: 5%; vertical-align: top;">&#160;</td>
          <td style="width: 5%; vertical-align: top;">
            <div style="font-size: 12pt;">(d)</div>
          </td>
          <td style="width: 3%; vertical-align: top;">
            <div style="font-size: 12pt;">&#9633;</div>
          </td>
          <td style="width: 87%; vertical-align: top;">
            <div style="font-size: 12pt;">Investment company registered under Section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8);</div>
          </td>
        </tr>
        <tr>
          <td colspan="1" style="width: 5%; vertical-align: top;">&#160;</td>
          <td style="width: 5%; vertical-align: top;">
            <div style="font-size: 12pt;">(e)</div>
          </td>
          <td style="width: 3%; vertical-align: top;">
            <div style="font-size: 12pt;">&#9633;</div>
          </td>
          <td style="width: 87%; vertical-align: top;">
            <div style="font-size: 12pt;">An investment adviser in accordance with &#167; 240.13d-1(b)(1)(ii)(E);</div>
          </td>
        </tr>
        <tr>
          <td colspan="1" style="width: 5%; vertical-align: top;">&#160;</td>
          <td style="width: 5%; vertical-align: top;">
            <div style="font-size: 12pt;">(f)</div>
          </td>
          <td style="width: 3%; vertical-align: top;">
            <div style="font-size: 12pt;">&#9633;</div>
          </td>
          <td style="width: 87%; vertical-align: top;">
            <div style="font-size: 12pt;">An employee benefit plan or endowment fund in accordance with &#167; 240.13d-1(b)(1)(ii)(F);</div>
          </td>
        </tr>
        <tr>
          <td colspan="1" style="width: 5%; vertical-align: top;">&#160;</td>
          <td style="width: 5%; vertical-align: top;">
            <div style="font-size: 12pt;">(g)</div>
          </td>
          <td style="width: 3%; vertical-align: top;">
            <div style="font-size: 12pt;">&#9633;</div>
          </td>
          <td style="width: 87%; vertical-align: top;">
            <div style="font-size: 12pt;">A parent holding company or control person in accordance with &#167; 240.13d-1(b)(1)(ii)(G);</div>
          </td>
        </tr>
        <tr>
          <td colspan="1" style="width: 5%; vertical-align: top;">&#160;</td>
          <td style="width: 5%; vertical-align: top;">
            <div style="font-size: 12pt;">(h)</div>
          </td>
          <td style="width: 3%; vertical-align: top;">
            <div style="font-size: 12pt;">&#9633;</div>
          </td>
          <td style="width: 87%; vertical-align: top;">
            <div style="font-size: 12pt;">A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);</div>
          </td>
        </tr>
        <tr>
          <td colspan="1" style="width: 5%; vertical-align: top;">&#160;</td>
          <td style="width: 5%; vertical-align: top;">
            <div style="font-size: 12pt;">(i)</div>
          </td>
          <td style="width: 3%; vertical-align: top;">
            <div style="font-size: 12pt;">&#9633;</div>
          </td>
          <td style="width: 87%; vertical-align: top;">
            <div style="font-size: 12pt;">A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3);</div>
          </td>
        </tr>
        <tr>
          <td colspan="1" style="width: 5%; vertical-align: top;">&#160;</td>
          <td style="width: 5%; vertical-align: top;">
            <div style="font-size: 12pt;">(j)</div>
          </td>
          <td style="width: 3%; vertical-align: top;">
            <div style="font-size: 12pt;">&#9633;</div>
          </td>
          <td style="width: 87%; vertical-align: top;">
            <div style="font-size: 12pt;">A non-U.S. institution in accordance with &#167; 240.13d-1(b)(1)(ii)(J);</div>
          </td>
        </tr>
        <tr>
          <td colspan="1" style="width: 5%; vertical-align: top;">&#160;</td>
          <td style="width: 5%; vertical-align: top;">
            <div style="font-size: 12pt;">(k)</div>
          </td>
          <td style="width: 3%; vertical-align: top;">
            <div style="font-size: 12pt;">&#9633;</div>
          </td>
          <td style="width: 87%; vertical-align: top;">
            <div style="font-size: 12pt;">Group, in accordance with &#167; 240.13d-1(b)(1)(ii)(K).&#160; If filing as a non-U.S. institution in accordance with &#167; 240.13d-1(b)(1)(ii)(J), please specify the type of institution: _________________.</div>
          </td>
        </tr>

    </table>
    <div style="text-indent: -36pt; margin-left: 72pt; margin-top: 6pt; font-size: 12pt;">Not Applicable.</div>
    <div style="clear: both; margin-top: 10pt; margin-bottom: 10pt;" id="DSPFPageBreakArea">
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    </div>
    <div><br>
    </div>
    <div style="text-align: justify; margin-top: 12pt; font-size: 12pt; font-weight: bold;">Item 4.&#160;&#160;Ownership.</div>
    <table cellspacing="0" cellpadding="0" style="font-family: 'Times New Roman', Times, serif; font-size: 10pt; width: 100%; text-align: left; color: #000000; margin-top: 6pt;" class="DSPFListTable" id="z1157032a11ce441886b2f268545a063e">

        <tr>
          <td style="width: 36pt;"><br>
          </td>
          <td style="width: 36pt; vertical-align: top; align: right; font-size: 12pt; font-weight: bold;">(a)</td>
          <td style="width: auto; vertical-align: top; text-align: justify;">
            <div style="font-size: 12pt;"><font style="font-weight: bold;">Amount Beneficially Owned:</font> The Reporting Person beneficially owns 259,462 shares of Common Stock.&#160; The Reporting Person beneficially owns the reported shares in the following
              capacities:</div>
          </td>
        </tr>

    </table>
    <div style="text-align: justify; margin-left: 72pt; margin-top: 6pt; font-size: 12pt;">Consists of:</div>
    <div style="text-align: justify; margin-left: 90pt; margin-top: 6pt; font-size: 12pt;">(i) 76,186 shares held of record by Mr. Brilley as Trustee of the Michael C. Brilley Revocable Trust;</div>
    <div style="text-align: justify; margin-left: 90pt; margin-top: 6pt; font-size: 12pt;">(ii) 43,311 shares held of record in Mr. Brilley&#8217;s Roth IRA Account;</div>
    <div style="text-align: justify; margin-left: 90pt; margin-top: 6pt; font-size: 12pt;">(iii) 2,162 shares held of record by Mr. Brilley as Trustee of the Michael C. Brilley 2012 Grantor Retained Annuity Trust;</div>
    <div style="text-align: justify; margin-left: 90pt; margin-top: 6pt; font-size: 12pt;">(iv) 3,862 shares held of record by Mr. Brilley as Trustee of the Michael C. Brilley 2013 Grantor Retained Annuity Trust;</div>
    <div style="text-align: justify; margin-left: 90pt; margin-top: 6pt; font-size: 12pt;">(v) 1,054 shares held of record by Mr. Brilley as Trustee of the Michael C. Brilley 2014 Grantor Retained Annuity Trust;</div>
    <div style="text-align: justify; margin-left: 90pt; margin-top: 6pt; font-size: 12pt;">(vi) 3,010 shares held of record by Mr. Brilley as Trustee of the Michael C. Brilley 2015 Grantor Retained Annuity Trust;</div>
    <div style="text-align: justify; margin-left: 90pt; margin-top: 6pt; font-size: 12pt;">(vii) 6,313 shares held of record by Mr. Brilley as Trustee of the Michael C. Brilley 2016 Grantor Retained Annuity Trust;</div>
    <div style="text-align: justify; margin-left: 90pt; margin-top: 6pt; font-size: 12pt;">(viii) 3,732 shares held of record by Mr. Brilley as Trustee of the Michael C. Brilley 2018 Grantor Retained Annuity Trust;</div>
    <div style="text-align: justify; margin-left: 90pt; margin-top: 6pt; font-size: 12pt;">(ix) 31,258 shares held of record by Mr. Brilley as Co-Trustee of the Ann W. Brilley Revocable Trust;</div>
    <div style="text-align: justify; margin-left: 90pt; margin-top: 6pt; font-size: 12pt;">(x) 5,136 shares held of record by Michael C. Brilley&#8217;s wife, Ann W. Brilley, in her Roth IRA Account*;</div>
    <div style="text-align: justify; margin-left: 90pt; margin-top: 6pt; font-size: 12pt;">(xi)&#160;1,545 shares held of record by the Ann W. Brilley 2017 Grantor Retained Annuity Trust*;</div>
    <div style="text-align: justify; margin-left: 90pt; margin-top: 6pt; font-size: 12pt;">(xii) 62,821 shares held of record by the Brilley Family Partnership Trust*;</div>
    <div style="text-align: justify; margin-left: 90pt; margin-top: 6pt; font-size: 12pt;">(xiii) 7,087 shares held of record by the E.T. Clinton Trust, which Mr. Brilley&#8217;s uncle established for the benefit of his daughter and Mr. Brilley&#8217;s cousin,&#160;and of
      which Mr. Brilley serves as Trustee*;</div>
    <div style="text-align: justify; margin-left: 90pt; margin-top: 6pt; font-size: 12pt;">(xiv)&#160;1,754 shares held of record by Jane A. Gossard, Mr. Brilley&#8217;s daughter*;</div>
    <div style="text-align: justify; margin-left: 90pt; margin-top: 6pt; font-size: 12pt;">(xv) 1,754 shares held of record by Jane A. Gossard in her Roth IRA Account*;</div>
    <div style="text-align: justify; margin-left: 90pt; margin-top: 6pt; font-size: 12pt;">(xvi) 429 shares held of record by the Joseph P. Gossard Gift Trust, which Mr. Brilley established for his grandson*;</div>
    <div style="text-align: justify; margin-left: 90pt; margin-top: 6pt; font-size: 12pt;">(xvii) 429 shares held of record by the Audrey J. Weinand Gift Trust, which Mr. Brilley established for his granddaughter*;</div>
    <div style="text-align: justify; margin-left: 90pt; margin-top: 6pt; font-size: 12pt;">(xviii) 951 shares held of record by the Elizabeth A. Gossard Gift Trust, which Mr. Brilley established for his granddaughter*;</div>
    <div style="clear: both; margin-top: 10pt; margin-bottom: 10pt;" id="DSPFPageBreakArea">
      <div id="DSPFPageNumberArea" style="text-align: center;"><font id="DSPFPageNumber" style="font-family: 'Times New Roman',Times,serif; font-size: 8pt; font-weight: normal; font-style: normal;">Page 4 of 6</font></div>
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    </div>
    <div><br>
    </div>
    <div style="text-align: justify; margin-left: 90pt; margin-top: 6pt; font-size: 12pt;">(xix) 2,263 shares held of record by the Madeline J. Gossard Gift Trust, which Mr. Brilley established for his granddaughter*;</div>
    <div style="text-align: justify; margin-left: 90pt; margin-top: 6pt; font-size: 12pt;">(xx) 669 shares held of record by the Harper Weinand Gift Trust, which Mr. Brilley established for his granddaughter*;</div>
    <div style="text-align: justify; margin-left: 90pt; margin-top: 6pt; font-size: 12pt;">(xxi) 669 shares held of record by the Holden Weinand Gift Trust, which Mr. Brilley established for his grandson*;</div>
    <div style="text-align: justify; margin-left: 90pt; margin-top: 6pt; font-size: 12pt;">(xxii) 2,091 shares held of record by Jeanne Moberly, Mr. Brilley&#8217;s cousin*; and</div>
    <div style="text-align: justify; margin-left: 90pt; margin-top: 6pt; font-size: 12pt;">(xxiii) 976 shares held of record by Ms. Moberly in her Roth IRA Account*.</div>
    <div><br>
    </div>
    <div>
      <div style="text-align: justify; margin-left: 72pt;">* Mr. Brilley may be deemed to have the sole power to vote, or direct the vote of, and the sole power to dispose of, or direct the disposition of, shares held by these trusts and in these accounts
        because he has investment authority over these shares.</div>
    </div>
    <div><br>
    </div>
    <table cellspacing="0" cellpadding="0" style="font-family: 'Times New Roman', Times, serif; font-size: 10pt; width: 100%; text-align: left; color: #000000;" class="DSPFListTable" id="z2f7f01a95838490e92c939e78aba9332">

        <tr>
          <td style="width: 36pt;"><br>
          </td>
          <td style="width: 36pt; vertical-align: top; align: right; font-size: 12pt; font-weight: bold;">(b)</td>
          <td style="width: auto; vertical-align: top; text-align: justify;">
            <div style="font-size: 12pt;"><font style="font-weight: bold;">Percent of Class: </font>5.7%.&#160; The percentage is calculated based on 4,579,890 shares of the Issuer&#8217;s Common Stock, as reported on the Issuer&#8217;s Form 10-Q filed with the Securities
              and Exchange Commission on November 12, 2021.</div>
          </td>
        </tr>

    </table>
    <div><br>
    </div>
    <table cellspacing="0" cellpadding="0" style="font-family: 'Times New Roman', Times, serif; font-size: 10pt; width: 100%; text-align: left; color: #000000;" class="DSPFListTable" id="ze401476a87d8462cbdf5ce9de04d254f">

        <tr>
          <td style="width: 36pt;"><br>
          </td>
          <td style="width: 36pt; vertical-align: top; align: right; font-size: 12pt; font-weight: bold;">(c)</td>
          <td style="width: auto; vertical-align: top; text-align: justify;">
            <div style="font-size: 12pt; font-weight: bold;">Number of Shares as to Which the Person Has:</div>
          </td>
        </tr>

    </table>
    <div><br>
    </div>
    <div style="text-align: justify; margin-left: 72pt;"><font style="font-size: 12pt; font-weight: bold;">(i)</font><font style="display: inline-block; text-indent: 0px; font-size: 1px; width: 36pt" id="TRGRRTFtoHTMLTab">&#160;</font><font style="font-size: 12pt;"><font style="font-weight: bold;">Sole Power to Vote or to Direct the Vote: </font>259,462</font></div>
    <div><br>
    </div>
    <div style="text-align: justify; margin-left: 72pt;"><font style="font-size: 12pt; font-weight: bold;">(ii)</font><font style="display: inline-block; text-indent: 0px; font-size: 1px; width: 36pt" id="TRGRRTFtoHTMLTab">&#160;</font><font style="font-size: 12pt;"><font style="font-weight: bold;">Shared Power to Vote or to Direct the Vote: </font>0</font></div>
    <div><br>
    </div>
    <div style="text-align: justify; margin-left: 72pt;"><font style="font-size: 12pt; font-weight: bold;">(iii)</font><font style="display: inline-block; text-indent: 0px; font-size: 1px; width: 36pt" id="TRGRRTFtoHTMLTab">&#160;</font><font style="font-size: 12pt;"><font style="font-weight: bold;">Sole Power to Dispose or to Direct the Disposition of: </font>259,462</font></div>
    <div><br>
    </div>
    <div style="text-align: justify; margin-left: 72pt;"><font style="font-size: 12pt; font-weight: bold;">(iv)</font><font style="display: inline-block; text-indent: 0px; font-size: 1px; width: 36pt" id="TRGRRTFtoHTMLTab">&#160;</font><font style="font-size: 12pt;"><font style="font-weight: bold;">Shared Power to Dispose or to Direct the Disposition of: </font>0</font></div>
    <div style="text-align: justify; margin-top: 12pt; font-size: 12pt; font-weight: bold;">Item 5.&#160;&#160;Ownership of Five Percent or Less of a Class.</div>
    <div style="margin-left: 36pt; margin-top: 6pt; font-size: 12pt;">If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than 5 percent of the class of
      securities, check the following&#160;&#9633;.</div>
    <div style="margin-left: 36pt; margin-top: 6pt; font-size: 12pt;">Not Applicable.</div>
    <div style="text-align: justify; margin-top: 12pt; font-size: 12pt; font-weight: bold;">Item 6.&#160;&#160;Ownership of More than Five Percent on Behalf of Another Person.</div>
    <div style="margin-left: 36pt; margin-top: 6pt; font-size: 12pt;">Not Applicable.</div>
    <div style="text-align: justify; margin-top: 12pt; font-size: 12pt; font-weight: bold;">Item 7.&#160;&#160;Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company or Control Person.</div>
    <div style="margin-left: 36pt; margin-top: 6pt; font-size: 12pt;">Not Applicable.</div>
    <div style="text-align: justify; margin-top: 12pt; font-size: 12pt; font-weight: bold;">Item 8.&#160;&#160;Identification and Classification of Members of the Group.</div>
    <div style="margin-left: 36pt; margin-top: 6pt; font-size: 12pt;">Not Applicable.</div>
    <div style="clear: both; margin-top: 10pt; margin-bottom: 10pt;" id="DSPFPageBreakArea">
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    </div>
    <div><br>
    </div>
    <div style="text-align: justify; margin-top: 12pt; font-size: 12pt; font-weight: bold;">Item 9.&#160;&#160;Notice of Dissolution of Group.</div>
    <div style="margin-left: 36pt; margin-top: 6pt; font-size: 12pt;">Not Applicable.</div>
    <div style="text-align: justify; margin-top: 12pt; font-size: 12pt; font-weight: bold;">Item 10.&#160;&#160;Certifications.</div>
    <div style="margin-left: 36pt; margin-top: 6pt; font-size: 12pt;">The Reporting Person hereby makes the following certification:</div>
    <div style="margin-left: 36pt; margin-top: 6pt; font-size: 12pt;">By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of
      changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect, other than activities solely in connection with a
      nomination under &#167; 240.14a-11.</div>
    <div style="text-align: center; margin-top: 24pt; margin-bottom: 6pt; font-size: 12pt; font-weight: bold;">SIGNATURE</div>
    <div style="text-align: justify; text-indent: 18pt; margin-top: 6pt; font-size: 12pt;">After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.</div>
    <div style="margin-top: 6pt;"><br>
    </div>
    <table cellspacing="0" cellpadding="0" style="font-family: 'Times New Roman', Times, serif; font-size: 10pt; width: 100%; text-align: left; color: #000000;" id="z1c80bf184df442b1ab50aa1506f32a85">

        <tr>
          <td style="width: 42.23%; vertical-align: top;">
            <div style="text-align: justify; font-size: 12pt;">Dated: February 10, 2022</div>
          </td>
          <td style="width: 5.86%; vertical-align: top;">
            <div style="text-align: justify; font-size: 12pt;">By:</div>
          </td>
          <td style="width: 51.92%; vertical-align: top; border-bottom: 2px solid rgb(0, 0, 0); font-size: 12pt;">/s/ Michael C. Brilley</td>
        </tr>
        <tr>
          <td style="width: 42.23%; vertical-align: top;">&#160;</td>
          <td style="width: 5.86%; vertical-align: top;">&#160;</td>
          <td style="width: 51.92%; vertical-align: top;">
            <div style="text-align: justify; font-size: 12pt;">Michael C. Brilley</div>
          </td>
        </tr>

    </table>
    <div><br>
    </div>
    <div><br>
    </div>
    <div><br>
    </div>
    <div><br>
    </div>
    <div><br>
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    </div>
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</SEC-DOCUMENT>
