SEC Form 4 · accession 0001307383-16-000002
COMMUNITY SHORES BANK CORP · CSHB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Heather D Brolick
Officer — President & CEO · Director
Period of report
Mar 28, 2016
Accepted (ET)
Mar 30, 2016 · 3:16 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001070523
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Mar 28, 2016 | P | 19,673 | $2.55 | A | 21,513 | D | |
| Common Stock | Mar 28, 2016 | P | 1,154 | $2.55 | A | 1,814 | I | In IRA |
| Common Stock | holding | — | — | — | 9,410 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Subscription Rights (Right to Buy)F2 | $2.55 | Mar 28, 2016 | M | 19,673 | D | Oct 12, 2015 | Dec 15, 2015 | Common Stock | 19,673 | 0 | D |
| Subscription Rights (Right to Buy) | $2.55 | Mar 28, 2016 | M | 1,154 | D | Oct 12, 2015 | Dec 15, 2015 | Common Stock | 1,154 | 0 | I |
Explanation of responses
- F1This total consists of shares of Common Stock acquired from the issuer in the rights offering through the exercise of the subscription rights listed in Table II below.
- F2This total consists of subscription rights acquired from the issuer by the reporting person in the rights offering by virtue of her direct holdings and 401(k) plan holdings.