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Delaware
(State or other jurisdiction of
incorporation or organization) |
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37-1117216
(I.R.S. Employer
Identification No.) |
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401 North Hershey Road
Bloomington, Illinois 61704 (888) 897-2276
(Address, including zip code, and telephone number, including area code, of registrant’s principal executive offices)
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J. Lance Carter
President and Chief Operating Officer 401 North Hershey Road Bloomington, Illinois 61704 (888) 897-2276
(Name, address, including zip code, and telephone number, including area code, of agent for service)
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Copy to:
Abdul R. Mitha, Esq.
Barack Ferrazzano Kirschbaum & Nagelberg LLP 200 West Madison Street, Suite 3900 Chicago, Illinois 60606 (312) 984-3100 |
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Large accelerated filer
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Accelerated filer
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Non-accelerated filer
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Smaller reporting company
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Emerging growth company
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Prior to the Offering
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After the Offering
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Name of Selling Stockholder
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Number of
Shares of Common Stock Beneficially Owned |
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Percent of
Shares of Common Stock Outstanding |
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Number of
Shares of Common Stock Being Registered for Resale |
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Number of
Shares of Common Stock Beneficially Owned |
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Percent of
Shares of Common Stock Outstanding |
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Heartland Bancorp, Inc. Voting Trust U/A/D 5/4/2016
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| | | | 17,210,400 | | | | | | 53.5% | | | | | | 3,000,000 | | | | | | — | | | | | | — | | |
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SEC Registration Fee
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| | | $ | 18,518 | | |
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Trustee Fees
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Printing Expenses
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Rating Agency Fees
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Legal Fees and Expenses
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Accounting Fees and Expenses
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Miscellaneous
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Total
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Exhibit
Number |
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Description of Exhibits
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1.1* | | | Form of Underwriting Agreement. | |
1.2* | | | Form of Placement Agent Agreement. | |
3.1 | | | Restated Certificate of Incorporation of HBT Financial, Inc. (incorporated by reference to Exhibit 4.1 to HBT Financial, Inc.’s Registration Statement on Form S-8, filed with the Commission on October 30, 2019). | |
3.2 | | | Amended and Restated By-laws of HBT Financial, Inc. (incorporated by reference to Exhibit 4.2 to HBT Financial, Inc.’s Registration Statement on Form S-8, filed with the Commission on October 30, 2019). | |
4.1 | | | Specimen Common Stock Certificate (incorporated by reference to Exhibit 4.1 to HBT Financial, Inc.’s Registration Statement on Form S-1/A, filed with the Commission on October 1, 2019). | |
4.2 | | | Description of the Company’s Securities Registered Pursuant to Section 12 of the Securities Exchange Act of 1934 (incorporated herein by reference to Exhibit 4.2 of the Company’s Annual Report on Form 10-K filed on March 11, 2022). | |
4.3* | | | Form of Certificate of Designations of Preferred Stock. | |
4.4* | | | Form of Preferred Stock Certificate. | |
4.5* | | | Form of Warrant and Warrant Certificate. | |
4.6 | | | | |
4.7* | | | Form of Senior Debt Security. | |
4.8* | | | Form of Subordinated Debt Security. | |
4.9* | | | Form of Purchase Contract Agreement. | |
4.10* | | | Form of Depositary Agreement and Depositary Receipt. | |
4.11* | | | Form of Subscription Certificate. | |
4.12* | | | Form of Subscription Agent Agreement. | |
4.13* | | | Form of Unit Agreement and Unit Certificate. | |
5.1 | | | | |
23.1 | | | | |
23.2 | | | | |
24.1 | | | | |
25.1** | | | Statement of Eligibility of Trustee on Form T-1 for the Senior Indenture and Subordinated Indenture. | |
107.1 | | | |
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By:
/s/ Fred L. Drake
Name: Fred L. Drake
Title: Chairman and Chief Executive Officer |
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Signature
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Title
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/s/ Fred L. Drake
Fred L. Drake
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Chairman and Chief Executive Officer
(Principal Executive Officer) |
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/s/ Peter Chapman
Peter Chapman
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Executive Vice President and Chief Financial
Officer (Principal Financial Officer and Principal Accounting Officer) |
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/s/ Roger A. Baker
Roger A. Baker
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Director
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/s/ C. Alvin Bowman
C. Alvin Bowman
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Director
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/s/ Eric E. Burwell
Eric E. Burwell
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Director
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/s/ Patrick F. Busch
Patrick F. Busch
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Director
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/s/ J. Lance Carter
J. Lance Carter
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President, Chief Operating Officer and Director
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Signature
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Title
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/s/ Allen C. Drake
Allen C. Drake
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Director
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/s/ Linda J. Koch
Linda J. Koch
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Director
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/s/ Gerald E. Pfeiffer
Gerald E. Pfeiffer
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Director
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