SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 3)*
AMES NATIONAL CORPORATION
(Name of Issuer)
COMMON STOCK
(Title of Class of Securities)
031001100
(CUSIP Number)
December 31, 2004
(Date of Event Which Requires Filing of this Statement)
Check the appropriate box to designate the rule to which this Schedule is filed:
[_] Rule 13d-1(b)
[X] Rule 13d-1(c)
[_] 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 disclosure 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).
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CUSIP No. 031001100 SCHEDULE 13G
1. Name of Reporting Person
Robert W. Stafford
I.R.S. Identification No. of Above Person (entities only)
Not Applicable
2. Check the appropriate box if a member of a group
(a) _____
(b) __X__
3. SEC Use Only
4. Citizenship or Place of Organization
Iowa
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH:
5. Sole Voting Power
173,659
6. Shared Voting Power
154,338
7. Sole Dispositive Power
173,659
8. Shared Dispositive Power
154,338
9. Aggregate Amount Beneficially Owned by Each Reporting Person
327,997
10. Check box if the aggregate amount in Row (9) excludes certain shares
11. Percent of Class Represented by Amount in Row 9
10.5%
12. Type of Reporting Person
IN
2
1. Name of Reporting Person
Charlotte H. Stafford
I.R.S. Identification No. of Above Person (entities only)
Not Applicable
2. Check the appropriate box if a member of a group
(a) _______
(b) ___X___
3. SEC Use Only
4. Citizenship or Place of Organization
Texas
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH:
5. Sole Voting Power
11,380
6. Shared Voting Power
154,338
7. Sole Dispositive Power
11,380
8. Shared Dispositive Power
154,338
9. Aggregate Amount Beneficially Owned by Each Reporting Person
165,718
10. Check box if the aggregate amount in Row (9) excludes certain shares
11. Percent of Class Represented by Amount in Row 9
5.3%
12. Type of Reporting Person
IN
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ITEM 1(a). NAME OF ISSUER.
Ames National Corporation
ITEM 1(b). ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES.
P.O. Box 846 Ames, IA 50010
ITEM 2(a). NAME OF PERSON FILING.
This filing is made on behalf of Robert W. Stafford and Charlotte
H. Stafford. Mr. Stafford and Ms. Stafford each disclaim membership
in a group. Mr. Stafford disclaims beneficial ownership of the
11,380 shares over which Ms. Stafford has sole voting and
dispositive power. Ms. Stafford disclaims beneficial ownership of
the 173,659 shares over which Mr. Stafford has sole voting and
dispositive power. Mr. Stafford and Ms. Stafford are co-trustees of
two trusts with aggregate holdings of 154,338 shares over which Mr.
Stafford and Ms. Stafford have shared voting and dispositive power.
Mr. Stafford, however, disclaims any pecuniary interest in any of
the shares held by the trusts.
ITEM 2(b). ADDRESS OF THE PRINCIPAL OFFICES OR RESIDENCE:
Robert W. Stafford's business address is P.O. Box 846, Ames, Iowa
50010 and Charlotte H. Stafford's residence address is 9701 Meyer
Forest Drive, Apt. 12202, Houston, Texas 77096-4324.
ITEM 2(c). CITIZENSHIP.
Robert W. Stafford - Iowa
Charlotte H. Stafford - Texas
ITEM 2(d). TITLE OF CLASS OF SECURITIES.
Common Stock.
ITEM 2(e). CUSIP NUMBER.
031001100
ITEM 3. IF THE STATEMENT IS BEING FILED PURSUANT TO SECTION 240.13d-1(b),
CHECK WHETHER THE PERSON FILING IS A:
Not Applicable
ITEM 4. OWNERSHIP.
As of December 31, 2004, Robert W. Stafford and Charlotte H.
Stafford, collectively, beneficially owned an aggregate of 339,377
shares of the common stock of Ames National Corporation, which
represented approximately 10.8 percent of the outstanding shares.
Mr. Stafford and Ms. Stafford each disclaim membership in a group,
and their individual share ownership and percentages and
information regarding the manner in which the shares are
beneficially owned are set forth in their respective cover pages.
Mr. Stafford disclaims beneficial ownership of the 11,380 shares
over which Ms. Stafford has sole voting and dispositive power. Ms.
Stafford disclaims beneficial ownership of the 173,659 shares over
which Mr. Stafford has sole voting and dispositive power. Mr.
Stafford and Ms. Stafford are co-trustees of two trusts with
aggregate holdings of 154,338 shares over which Mr. Stafford and
Ms. Stafford have shared voting and dispositive power. Mr.
Stafford, however, disclaims any pecuniary interest in any of the
shares held by the trust.
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
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ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP.
Not Applicable
ITEM 9. NOTICE OF DISSOLUTION OF A GROUP.
Not Applicable
ITEM 10. CERTIFICATION.
By signing below, I certify that, to the best of my knowledge and
belief, the securities referred to above were acquired in the
ordinary course of business and were not acquired for the purpose
of and do not have the effect of changing or influencing the
control of the issuer of such securities and were not acquired in
connection with or as a participant in any transaction having such
purpose or effect.
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SIGNATURE
After reasonable inquiry and to the best of its knowledge and belief, the
undersigned certifies that the information set forth in this statement is true,
complete and correct.
BY: /s/ Robert W. Stafford
----------------------------
Name: Robert W. Stafford
BY: /s/ Charlotte H. Stafford
----------------------------
Name: Charlotte H. Stafford
Date: February 1, 2005
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EXHIBIT A
JOINT FILING AGREEMENT
Robert W. Stafford and Charlotte H. Stafford agree that the Schedule 13G to
which this Joint Filing Agreement is attached, relating to the Common Stock of
Ames National Corporation, is filed on behalf of each of them.
BY: /s/ Robert W. Stafford
----------------------------
Name: Robert W. Stafford
BY: /s/ Charlotte H. Stafford
----------------------------
Name: Charlotte H. Stafford
Date: February 1, 2005
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