UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 8-K

CURRENT REPORT

Pursuant to Section 13 OR 15(d) of
The Securities Exchange Act of 1934

Date of Report (Date of earliest event reported) October 29, 2008

Gateway Financial Holdings, Inc.
(Exact name of registrant as specified in its charter)


North Carolina 		 
000-33223 		 
56-2264354
(State or other jurisdiction
of incorporation) 		  (Commission File Number)   (IRS Employer Identification No.)


 
1580 Laskin Road, Virginia Beach, Virginia 		 
23451 		 
  (Address of principal executive offices)   (Zip Code)  

Registrant's telephone number, including area code:   757-422-4055



________________________________________________________________________________
(Former name or former address, if changed since last report)



Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
  [   ] Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
  [   ] Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
  [   ] Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
  [   ] Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Item 2.02. Results of Operations and Financial Condition.

On October 29, 2008, Gateway Financial Holdings, Inc. (the "Corporation") reported financial results for the three and nine months ended September 30, 2008. The information furnished in this report (including the exhibit filed herewith) shall be incorporated by reference in our filings pursuant to the Securities Act of 1933, as amended.

The Corporation is the holding company for Gateway Bank & Trust Co., a regional community bank with thirty-seven full-service financial centers - twenty-one in Virginia: Virginia Beach (7), Richmond (6), Chesapeake (3), Emporia (2), Suffolk, Norfolk, and Charlottesville; and sixteen in North Carolina: Chapel Hill, Elizabeth City (3), Edenton, Kitty Hawk (2), Raleigh (3), Moyock, Nags Head, Plymouth, Roper, Wake Forest, and Wilmington. The Bank provides insurance through its Gateway Insurance Services, Inc. subsidiary, brokerage services through its Gateway Investment Services, Inc. subsidiary, and mortgage banking services through its Gateway Bank Mortgage, Inc. subsidiary. Visit the Bank's web site at www.gatewaybankandtrust.com.

The Common Stock of the Corporation is traded on the Nasdaq Global Select Market under the symbol GBTS.

Item 9.01(d). Exhibits

Exhibit 99:     Press Release*
_________________

* This exhibit shall be incorporated by reference in our filings pursuant to the Securities Act of 1933, as amended.

SIGNATURE

    Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, the Registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

    Gateway Financial Holdings, Inc.
(Registrant)

October 30, 2008
(Date) 		  /s/   THEODORE L. SALTER
Theodore L. Salter
Senior Executive Vice President and Chief Financial Officer
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