Statement of Ownership (sc 13g)
March 30 2020 - 3:44PM
Edgar (US Regulatory)
UNITED
STATES
SECURITIES
AND EXCHANGE COMMISSION
Washington,
D.C. 20549
SCHEDULE 13G
(Amendment
No. )*
Under
the Securities Exchange Act of 1934
Forsight
Financial Group Inc.
(Name of Issuer)
Common Stock
(Titles of Class of Securities)
345526107
(CUSIP Number)
March
20, 2020
(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)
☐ Rule
13d-1(d)
*
The remainder of this cover page shall be filled out of 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 in 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, as amended (the “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).
CUSIP
No. 345526107
|
13G
|
Page
2 of 9
|
1
|
NAME
OF REPORTING PERSON
Fourthstone
LLC
|
2
|
CHECK
THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) ☐
(b) ☐
|
3
|
SEC
USE ONLY
|
4
|
CITIZENSHIP
OR PLACE OF ORGANIZATION
Missouri
|
NUMBER
OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON
WITH:
|
5
|
SOLE
VOTING POWER
-
0 -
|
6
|
SHARED
VOTING POWER
242,666
|
7
|
SOLE
DISPOSITIVE POWER
-
0 -
|
8
|
SHARED
DISPOSITIVE POWER
242,666
|
9
|
AGGREGATE
AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
242,666
|
10
|
CHECK
BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES ☐
|
11
|
PERCENT
OF CLASS REPRESENTED BY AMOUNT IN ROW 9
6.53%
(1)
|
12
|
TYPE
OF REPORTING PERSON
IA
|
|
|
|
|
(1) Based
on 3,714,962 shares of Common Stock (as defined below) of the Issuer (as defined below) outstanding as 12/31/2019, based on the
Issuer’s FR Y-9C. Fourthstone LLC acquired the Issuer’s shares in the ordinary course of business as a registered
investment adviser and not with the purpose nor with the effect of changing or influencing the control of the Issuer.
CUSIP
No. 345526107
|
13G
|
Page
3 of 9
|
1
|
NAME
OF REPORTING PERSON
Fourthstone
Master Opportunity Fund Ltd
|
2
|
CHECK
THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) ☐
(b) ☐
|
3
|
SEC
USE ONLY
|
4
|
CITIZENSHIP
OR PLACE OF ORGANIZATION
Cayman
Islands
|
NUMBER
OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON
WITH:
|
5
|
SOLE
VOTING POWER
-
0 -
|
6
|
SHARED
VOTING POWER
232,641
|
7
|
SOLE
DISPOSITIVE POWER
-
0 -
|
8
|
SHARED
DISPOSITIVE POWER
232,641
|
9
|
AGGREGATE
AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
232,641
|
10
|
CHECK
BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES ☐
|
11
|
PERCENT
OF CLASS REPRESENTED BY AMOUNT IN ROW 9
6.26%
(2)
|
12
|
TYPE
OF REPORTING PERSON
OO
|
|
|
|
|
(2) Based
on 3,714,962 shares of Common Stock (as defined below) of the Issuer (as defined below) outstanding as 12/31/2019, based on the
Issuer’s FR Y-9C.
CUSIP
No. 345526107
|
13G
|
Page
4 of 9
|
1
|
NAME
OF REPORTING PERSON
Fourthstone
GP LLC
|
2
|
CHECK
THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) ☐
(b) ☐
|
3
|
SEC
USE ONLY
|
4
|
CITIZENSHIP
OR PLACE OF ORGANIZATION
Missouri
|
NUMBER
OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON
WITH:
|
5
|
SOLE
VOTING POWER
-
0 -
|
6
|
SHARED
VOTING POWER
50,877
|
7
|
SOLE
DISPOSITIVE POWER
-
0 -
|
8
|
SHARED
DISPOSITIVE POWER
50,877
|
9
|
AGGREGATE
AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
50,877
|
10
|
CHECK
BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES ☐
|
11
|
PERCENT
OF CLASS REPRESENTED BY AMOUNT IN ROW 9
1.37%
(3)
|
12
|
TYPE
OF REPORTING PERSON
OO
|
|
|
|
|
(1) Based
on 3,714,962 shares of Common Stock (as defined below) of the Issuer (as defined below) outstanding as 12/31/2019, based on the
Issuer’s FR Y-9C.
CUSIP
No. 345526107
|
13G
|
Page
5 of 9
|
1
|
NAME
OF REPORTING PERSON
Fourthstone
QP Opportunity Fund LP
|
2
|
CHECK
THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) ☐
(b) ☐
|
3
|
SEC
USE ONLY
|
4
|
CITIZENSHIP
OR PLACE OF ORGANIZATION
Delaware
|
NUMBER
OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON
WITH:
|
5
|
SOLE
VOTING POWER
-
0 -
|
6
|
SHARED
VOTING POWER
50,877
|
7
|
SOLE
DISPOSITIVE POWER
-
0 -
|
8
|
SHARED
DISPOSITIVE POWER
50,877
|
9
|
AGGREGATE
AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
50,877
|
10
|
CHECK
BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES ☐
|
11
|
PERCENT
OF CLASS REPRESENTED BY AMOUNT IN ROW 9
1.37%
(4)
|
12
|
TYPE
OF REPORTING PERSON
PN
|
|
|
|
|
(3) Based
on 3,714,962 shares of Common Stock (as defined below) of the Issuer (as defined below) outstanding as 12/31/2019, based on the
Issuer’s FR Y-9C.
CUSIP
No. 345526107
|
13G
|
Page
6 of 9
|
Item
1(a).
|
Name
of Issuer:
|
Forsight
Financial Group, Inc. (the “Issuer”)
Item
1(b).
|
Address
of Issuer’s Principal Executive Offices:
|
809
Cannell-Puri Court
P.O.
Box 339
Winnebago,
IL 61088
Item
2(a).
|
Name
of Person Filing:
|
This
Schedule 13G is being filed by Fourthstone LLC, a Missouri Limited Liability Company and Investment Adviser (“Fourthstone”).
The persons reporting information on this Schedule 13G include, in addition to Fourthstone, a company incorporated in the Cayman
Islands (“Fourthstone Master Opportunity Fund”), a Delaware Limited Partnership (“Fourthstone QP Opportunity”),
a Missouri Limited Liability Company (“Fourthstone GP,” General Partner of Fourthstone QP Opportunity), (each,
a “Reporting Person” and, together, the “Reporting Persons”).
Fourthstone
directly holds 242,666 shares of Common Stock on behalf of its advisory clients. Each of the Reporting Persons listed in this
filing certify 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 effect.
Item
2(b).
|
Address
of Principal Business Office or, if none, Residence:
|
The
principal business address of each of the Reporting Persons is as follows:
The
registered office of Fourthstone LLC, Fourthstone Master Opportunity Fund Ltd., Fourthstone GP LLC, Fourthstone QP Opportunity
Fund LP is 13476 Clayton Road, St Louis, MO 63131.
See
response to Item 4 of each of the cover pages.
Item
2(d).
|
Titles
of Classes of Securities:
|
Common
Stock, $0.01 par value
CUSIP
No. 345526107
|
13G
|
Page
7 of 9
|
345526107
Item
3.
|
If
This Statement is Filed Pursuant to Rule 13d-1(b), or 13d-2(b) or (c), Check Whether the
Person
Filing is a(n):
|
|
(a)
|
☐Broker
or dealer registered under Section 15 of the Exchange Act (15 U.S.C. 78o).
|
|
(b)
|
☐Bank
as defined in Section 3(a)(6) of the Exchange Act (15 U.S.C. 78c).
|
|
(c)
|
☐ Insurance
company as defined in Section 3(a)(19) of the Exchange Act (15 U.S.C. 78c).
|
|
(d)
|
☐ Investment
company registered under Section 8 of the Investment Company Act of 1940 (15
U.S.C
80a-8).
|
|
(e)
|
☒
Investment adviser in accordance with §240.13d-1(b)(1)(ii)(E).
|
|
(f)
|
☐ Employee
benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F).
|
|
(g)
|
☐ Parent
holding company or control person in accordance with §240.13d-1(b)(1)(ii)(G).
|
|
(h)
|
☐ Savings
association as defined in Section 3(b) of the Federal Deposit Insurance Act (13 U.S.C. 1813).
|
|
(i)
|
☐ Church
plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act (15
U.S.C. 80a-3).
|
|
(j)
|
☐ Non-U.S.
institution in accordance with §240.13d-1(b)(1)(ii)(J).
|
|
(k)
|
☐ Group
in accordance with §240.13d-1(b)(1)(ii)(K).
|
|
If
filing as a non-U.S. institution in accordance with §240.13d-1(b)(1)(ii)(J), please specify the type of institution:
_______________
|
|
(a)
|
Amount
Beneficially Owned:
|
|
|
See
responses to Item 9 on each cover page.
|
|
(b)
|
Percent
of Class:
|
|
|
See
responses to Item 11 on each cover page.
|
(c)
|
Number
of shares as to which such person has:
|
CUSIP
No. 345526107
|
13G
|
Page
8 of 9
|
|
(i)
|
Sole
power to vote or to direct the vote:
See
responses to Item 5 on each cover page.
|
|
|
(ii)
|
Shared
power to vote or to direct the vote:
See
responses to Item 6 on each cover page.
|
|
|
(iii)
|
Sole
power to dispose or to direct the disposition of:
See
responses to Item 7 on each cover page.
|
|
|
|
|
|
(iv)
|
Shared
power to dispose or to direct the disposition of:
See
responses to Item 8 on each cover page.
|
|
|
|
|
|
Item
5.
|
Ownership
of Five Percent or Less of a Class.
|
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 five percent of the class of securities, check the following ☐.
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.
Not
Applicable.
CUSIP
No. 345526107
|
13G
|
Page
9 of 9
|
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:
March 27, 2020
|
Fourthstone
LLC
|
|
By:
|
/s/
Amy Stone
|
|
Name:
|
Amy
M. Stone
|
|
Title:
|
President
|
|
Fourthstone
Master Opportunity Fund Ltd
|
|
By:
|
/s/
Amy M. Stone
|
|
Name:
|
Amy
M. Stone
|
|
Title:
|
President
|
|
Fourthstone
QP Opportunity Fund LP
|
|
By:
|
Fourthstone
GP LLC, its General Partner
|
|
By:
|
/s/
Amy M. Stone
|
|
Name:
|
Amy
M. Stone
|
|
Title:
|
President
|
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