FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). (Print or Type Responses)
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public |
OMB APPROVAL OMB Number: 3235-0287 Expires: January 31, 2005 Estimated average burden
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1. Name and Address of Reporting Person* Weise Roger P |
2. Issuer Name and Ticker or Trading Symbol HMN Financial, Inc. / HMNF |
6. Relationship of Reporting Person(s) to Issuer (Check all applicable) x Director 10% OwnerOfficer (give title below) Other (specify below) |
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3. I.R.S. Identification Number of Reporting Person, if an entity (voluntary) |
4. Statement for Month/Day/Year December 12, 2002 |
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(Last) (First) (Middle)
1016 Civic Center Drive NW |
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5. If Amendment, Date of Original (Month/Day/Year) |
7. Individual or Joint/Group Filing (Check Applicable Line)x Form filed by One Reporting Person Form filed by More than One Reporting Person |
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(Street) Rochester Minnesota 55901 |
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(City) (State) (Zip) |
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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1. Title of Security |
2. Transaction Date (Month/ Day/Year) |
2A. Deemed Execution Date, if any (Month/ Day/Year) |
3. Transaction Code |
4. Securities Acquired (A) |
5. Amount of Securities Beneficially Owned Following Reported Transactions(s) |
6. Ownership Form: Direct (D) or Indirect (I) |
7. Nature of Indirect Beneficial Ownership |
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Code |
V |
Amount |
(A) or (D) |
Price |
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Common Stock |
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41,882 |
D |
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Common Stock |
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2,100 |
I |
Spouse Barbara Weise IRA |
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Common Stock |
12/12/2002 |
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S |
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500 * |
D |
$17.18 |
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Common Stock |
12/12/2002 |
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S |
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400 * |
D |
$17.16 |
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Common Stock |
12/12/2002 |
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S |
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300 * |
D |
$16.64 |
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Common Stock |
12/12/2002 |
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S |
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700 * |
D |
$16.60 |
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Common Stock |
12/12/2002 |
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S |
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7000 * |
D |
$16.65 |
40,000 |
I |
Living Trust |
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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1. Title of Derivative Security |
2. Conversion or Exercise Price of Derivative Security |
3. Transaction Date Day/Year) |
3A. Deemed Execution Date, if any |
4. Transaction Code |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) |
6. Date Exerciseable and Expiration Date |
7. Title and Amount of Underlying Securities |
8. Price of Derivative Security |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) |
10. Ownership Form of Derivative Securities Beneficially Owned at End of Month |
11. Nature of Indirect Beneficial Ownership |
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Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
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Option to Buy |
$9.21 |
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58,038 |
D |
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Explanation of Responses: |
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/s/ Timothy P. Johnson POA for Roger P. Weise |
December 13, 2002 |
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Reminder: |
Report on a separate line for each class of securities beneficially owned directly or indirectly. |
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* |
If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
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** |
Intentional misstatements or omissions of facts constitute Federal Criminal Violations |
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Note: |
File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure |