UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. )*
Equity Bancshares, Inc.
(Name of Issuer)
Class A Common Stock, par value $0.01 per share
(Title of Class of Securities)
29460X 109
(CUSIP Number)
December 31, 2015
(Date of Event Which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule is filed.
¨ Rule 13d-1(b)
¨ Rule 13d-1(c)
x Rule 13d-1(d)
| * | 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 disclosures provided in a prior cover page. |
The information required on 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).
(Continued on the following pages.)
CUSIP No. 29460X 109
SCHEDULE 13G
| 1 | Name of Reporting Person
Brad S. Elliott | |||||
| 2 | Check the Appropriate Box if a Member of a Group
(a) ¨ (b) ¨ | |||||
| 3 | SEC Use Only
| |||||
| 4 | Citizenship or Place of Organization
United States | |||||
| Number of Shares Beneficially Owned by Each Reporting Person With |
5 | Sole Voting Power
419,221 (1) | ||||
| 6 | Shared Voting Power
0 | |||||
| 7 | Sole Dispositive Power
419,221 (1) | |||||
| 8 | Shared Dispositive Power
0 | |||||
| 9 |
Aggregate Amount Beneficially Owned by Each Reporting Person
419,221 (1) | |||||
| 10 | Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares
¨ | |||||
| 11 | Percent of Class Represented by Amount in Row 9
5.7% (2) | |||||
| 12 | Type of Reporting Person
IN | |||||
| (1) | Consists of (i) 191,441 shares of Class A Common Stock held of record by Brad S. Elliott, (ii) 214,665 shares of Class A Common Stock issuable to Brad S. Elliott upon the exercise of outstanding stock options exercisable within 60 days of December 31, 2015, (iii) 3,500 shares of Class A Common Stock held of record by Brad S. Elliott’s individual retirement account and (iv) 9,615 shares of Class A Common Stock held of record by Equity Holdings, LLC of which Brad S. Elliott is the managing member. Excludes 30,000 shares of Class A Common Stock subject to stock options that are not exercisable until January 1, 2017. |
| (2) | Based on 7,150,017 shares of Class A Common Stock issued and outstanding as of December 31, 2015 as reported to Brad S. Elliott by the Issuer, plus 214,665 shares of Class A Common Stock issuable to Brad S. Elliott upon the exercise of stock options by Brad S. Elliott. |
Page 2 of 5 Pages
CUSIP No. 29460X 109
SCHEDULE 13G
| Item 1. | (a) | Name of Issuer:
Equity Bancshares, Inc. | ||
| (b) | Address of Issuer’s Principal Executive Offices:
7701 E. Kellogg Drive, Suite 200 Wichita, KS 67207 | |||
| Item 2. | (a) | Name of Person Filing:
Brad S. Elliott | ||
| (b) | Address of Principal Business Officer or, if none, Residence:
c/o Equity Bancshares, Inc. 7701 E. Kellogg Drive, Suite 200 Wichita, KS 67207 | |||
| (c) | Citizenship:
United States | |||
| (d) | Title of Class of Securities:
Class A Common Stock, par value $0.01 per share | |||
| (e) | CUSIP Number:
29460X 109 | |||
| Item 3. | If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a: | |||
| Not applicable. | ||||
Page 3 of 5 Pages
CUSIP No. 29460X 109
SCHEDULE 13G
| Item 4. | Ownership |
Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.
(a) Amount beneficially owned: 419,221 (1)
(b) Percent of class: 5.7% (2)
(c) Number of shares as to which the person has:
(i) Sole power to vote or to direct the vote: 419,221 (1)
(ii) Shared power to vote or to direct the vote: 0
(iii) Sole power to dispose or to direct the disposition of: 419,221 (1)
(iv) Shared power to dispose or to direct the disposition of: 0
| (1) | Consists of (i) 191,441 shares of Class A Common Stock held of record by Brad S. Elliott, (ii) 214,665 shares of Class A Common Stock issuable to Brad S. Elliott upon the exercise of outstanding stock options exercisable within 60 days of December 31, 2015, (iii) 3,500 shares of Class A Common Stock held of record by Brad S. Elliott’s individual retirement account and (iv) 9,615 shares of Class A Common Stock held of record by Equity Holdings, LLC of which Brad S. Elliott is the managing member. Excludes 30,000 shares of Class A Common Stock subject to stock options that are not exercisable until January 1, 2017. |
| (2) | Based on 7,150,017 shares of Class A Common Stock issued and outstanding as of December 31, 2015 as reported to Brad S. Elliott by the Issuer, plus 214,665 shares of Class A Common Stock issuable to Brad S. Elliott upon the exercise of stock options by Brad S. Elliott. |
| Item 5. | Ownership of Five Percent or Less of a Class. |
Not applicable.
| Item 6. | Ownership of More than Five Percent on Behalf of Another Person. |
Not applicable.
| Item 7. | Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company. |
Not applicable.
| Item 8. | Identification and Classification of Members of the Group. |
Not applicable.
| Item 9. | Notice of Dissolution of Group |
Not applicable.
| Item 10. | Certifications. |
Not applicable.
Page 4 of 5 Pages
SIGNATURE
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.
Dated: February 16, 2016
| /s/ Brad S. Elliott |
| Brad S. Elliott |
Page 5 of 5 Pages