Edgar Filing: BALL RICHARD

Ownership Submission

FORM 5

	Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
	Form 3 Holdings Reported
	Form 4 Transactions Reported

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940

OMB APPROVAL

OMB Number:

3235-0362

Expires:

January 31, 2005

Estimated average burden hours per response...

1.0

1. Name and Address of Reporting Person ^*

BALL RICHARD

2. Issuer Name and Ticker or Trading Symbol
LANDMARK BANCORP INC [LARK]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

__X__ Director	_____ 10% Owner
_____ Officer (give title below)	_____ Other (specify below)

(Last)

(First)

(Middle)

2006 BROADWAY

3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
12/31/2011

(Street)

GREAT BEND,Â KSÂ 66530

4. If Amendment, Date Original Filed(Month/Day/Year)

6. Individual or Joint/Group Reporting
(check applicable line)
_X_ Form Filed by One Reporting Person
___ Form Filed by More than One Reporting Person

(City)

(State)

(Zip)

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1.Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	3. Transaction Code (Instr. 8)	4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)			5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
1.Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	3. Transaction Code (Instr. 8)	Amount	(A) or (D)	Price		6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
Common Stock	03/07/2011	Â	P5	407	A	$ 18.938	52,063 ⁽¹⁾	D	Â
Common Stock	05/23/2011	Â	P5	478	A	$ 16.303	52,063 ⁽¹⁾	D	Â
Common Stock	09/06/2011	Â	P5	502	A	$ 15.7	52,063 ⁽¹⁾	D	Â
Common Stock	11/28/2011	Â	P5	484	A	$ 16.5	52,063 ⁽¹⁾	D	Â
Common Stock	03/07/2011	Â	P5	2	A	$ 18.938	189 ⁽¹⁾	I	Spouse
Common Stock	05/23/2011	Â	P5	2	A	$ 16.303	189 ⁽¹⁾	I	Spouse
Common Stock	09/06/2011	Â	P5	2	A	$ 15.7	189 ⁽¹⁾	I	Spouse
Common Stock	11/28/2011	Â	P5	2	A	$ 16.5	189 ⁽¹⁾	I	Spouse
Common Stock	03/07/2011	Â	P5	80	A	$ 18.938	8,777 ⁽¹⁾	I	IRA
Common Stock	05/23/2011	Â	P5	94	A	$ 16.303	8,777 ⁽¹⁾	I	IRA
Common Stock	09/06/2011	Â	P5	99	A	$ 15.7	8,777 ⁽¹⁾	I	IRA
Common Stock	11/28/2011	Â	P5	95	A	$ 16.5	8,777 ⁽¹⁾	I	IRA
Common Stock	03/07/2011	Â	P5	6	A	$ 18.938	637 ⁽¹⁾	I	Spouse IRA
Common Stock	05/23/2011	Â	P5	7	A	$ 16.303	637 ⁽¹⁾	I	Spouse IRA
Common Stock	09/06/2011	Â	P5	7	A	$ 15.7	637 ⁽¹⁾	I	Spouse IRA
Common Stock	11/28/2011	Â	P5	7	A	$ 16.5	637 ⁽¹⁾	I	Spouse IRA
Common Stock	03/07/2011	Â	P5	58	A	$ 18.938	6,380 ⁽¹⁾	I	Pension
Common Stock	05/23/2011	Â	P5	68	A	$ 16.303	6,380 ⁽¹⁾	I	Pension
Common Stock	09/06/2011	Â	P5	72	A	$ 15.7	6,380 ⁽¹⁾	I	Pension
Common Stock	11/28/2011	Â	P5	69	A	$ 16.5	6,380 ⁽¹⁾	I	Pension
Common Stock	03/07/2011	Â	P5	4	A	$ 18.938	377 ⁽¹⁾	I	As Trustee
Common Stock	05/23/2011	Â	P5	4	A	$ 16.303	377 ⁽¹⁾	I	As Trustee
Common Stock	09/06/2011	Â	P5	4	A	$ 15.7	377 ⁽¹⁾	I	As Trustee
Common Stock	11/28/2011	Â	P5	4	A	$ 16.5	377 ⁽¹⁾	I	As Trustee
Common Stock	Â	Â	Â	Â	Â	Â	901 ⁽¹⁾	I	See Footnote ⁽²⁾

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.

Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.

SEC 2270 (9-02)

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)

1. Title of Derivative Security
(Instr. 3)

2. Conversion or Exercise Price of Derivative Security

3. Transaction Date (Month/Day/Year)

3A. Deemed Execution Date, if any (Month/Day/Year)

4. Transaction Code
(Instr. 8)

5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)

6. Date Exercisable and Expiration Date
(Month/Day/Year)

7. Title and Amount of Underlying Securities
(Instr. 3 and 4)

8. Price of Derivative Security
(Instr. 5)

9. Number of Derivative Securities Beneficially Owned at End of Issuer's Fiscal Year
(Instr. 4)

10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)

11. Nature of Indirect Beneficial Ownership
(Instr. 4)

(A)

(D)

Date Exercisable

Expiration Date

Title

Amount or Number of Shares

Options to purchase common stock

$ 19.76 ⁽¹⁾

03/29/2005⁽³⁾

03/29/2014

Common Stock

3,611 ⁽¹⁾

3,611

Options to purchase common stock

$ 20.27 ⁽¹⁾

04/19/2007⁽⁴⁾

04/19/2016

Common Stock

3,611 ⁽¹⁾

3,611

Options to purchase common stock

$ 18.91 ⁽¹⁾

04/23/2009⁽⁵⁾

04/23/2018

Common Stock

3,611 ⁽¹⁾

3,611

Options to purchase common stock

$ 15.48 ⁽¹⁾

04/20/2012⁽⁶⁾

04/20/2021

Common Stock

1,445 ⁽¹⁾

1,445

Reporting Owners

Reporting Owner Name / Address	Relationships
Reporting Owner Name / Address	Director	10% Owner	Officer	Other
BALL RICHARD 2006 BROADWAY GREAT BEND,Â KSÂ 66530	Â X	Â	Â	Â

Signatures

Mark Herpich as Attorney in Fact		02/15/2012
^**Signature of Reporting Person		Date

Explanation of Responses:

*	If the form is filed by more than one reporting person, see Instruction 4(b)(v).
**	Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
(1)	As adjusted for stock dividend December 15, 2011.
(2)	Represents shares held by a company in which Mr. Ball has a controlled position or interest in.
(3)	Vest equally over the initial 4 years subsequent to grant date beginning March 29, 2005
(4)	Vest equally over the initial 4 years subsequent to grant date beginning April 19, 2007
(5)	Vest equally over the initial 4 yerars subsequent to grant date beginning April 23, 2009
(6)	Vest equally over the initial 4 years subsequent to grant date beginning April 20, 2012

Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, see Instruction 6 for procedure.

Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.