Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

 OMB APPROVAL

 

INITIAL STATEMENT OF 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 Number: 3235-0104
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Filed By
Romeo and Dye's
Section 16 Filer
www.section16.net

1. Name and Address of Reporting Person*

Sylvester James A.

2. Date of Event
Requiring Statement
Month/Day/Year
01/27/03

4. Issuer Name and Ticker or Trading Symbol
Blackhawk Bancorp, Inc.

(Last)      (First)     (Middle)

4826 River Bluff Court
 

3. I.R.S. Identification
Number of Reporting
Person, if an entity
(voluntary)

 

5. Relationship of Reporting Person(s)
to Issuer (Check all applicable)
    Director                          10% Owner
X Officer                            Other
(give title below)              (specify below)

Vice President, Mortgage Lending                  

6. If Amendment,
Date of Original
(Month/Day/Year)
 

(Street)

Loves Park, IL 61111

7. Individual or Joint/Group Filing
(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 Beneficially Owned

1. Title of Security
(Instr. 4)

2. Amount of
Securities
Beneficially
Owned
(Instr. 4)

3. Ownership Form:
Direct (D)
or Indirect (I)
(Instr. 5)

4. Nature of Indirect
Beneficial Ownership
(Instr. 5)

Common Stock

500

I

Trustee of Sylvester Trust #2
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5(b)(v).

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FORM 3 (continued)

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

1. Title of Derivative Security
(Instr. 4)

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

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

4. Conversion or
Exercise Price of
Derivative Security

5. Ownership Form
of Derivative
Security:
Direct (D)
or Indirect (I)
(Instr. 5)

6. Nature of Indirect Beneficial Ownership
(Instr. 5)

Date
Exercisable

Expiration
Date

Title          

Amount or
Number of
Shares

Executive Stock Option Grant

09/19/02 - 09/19/04

09/19/11

Common Stock

3,000

$9.50

D

 

Executive Stock Option Grant

12/18/03 - 12/18/05

12/18/12

Common Stock

2,000

$8.29

D

 

Explanation of Responses:
  By: /s/ Thomas L. Lepinski
             Thomas L. Lepinski POA
**Signature of Reporting Person		 January 31, 2003
Date

**Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

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

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 Number.

 

 
                        Power of Attorney

The undersigned hereby authorizes R. Richard Bastian, III,
Todd J. James and Thomas L. Lepinski, or any of them,
as attorneys-in-fact with full power of substitution,
to execute in the name and on behalf of the undersigned,
and to file any and all statements with respect to beneficial
ownership of securities of Blackhawk Bancorp, Inc. or
amendments thereto.


Dated: January 21, 2003


/s/James A. Sylvester
James Sylvester