SEC Form 4 · accession 0001415889-17-001881
MERCANTILE BANK CORP · MBWM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert T. Worthington
Officer — COO, SECRETARY, SVP, AND GC
Period of report
Nov 30, 2017
Accepted (ET)
Dec 4, 2017 · 11:58 am EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001042729
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Nov 30, 2017 | A | 3,500 | $0.00 | A | 9,000 | D | |
| Common StockF1 | holding | — | — | — | 15,239 | I | In 401(k) plan |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (right to buy) | $36.22 | holding | — | — | — | Nov 17, 2018 | Nov 16, 2023 | Common Stock | 500 | 500 | D |
Explanation of responses
- F1Includes shares acquired pursuant to the issuer's 401(k) Plan since last report of common stock ownership.