SEC Form 4 · accession 0001209191-17-056367
CF BANKSHARES INC. · CFBK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Thomas P Ash
Director
Period of report
Oct 6, 2017
Accepted (ET)
Oct 10, 2017 · 9:33 am EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001070680
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Oct 6, 2017 | C | 5,714 | $1.75 | A | 63,010 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series B 6.25% Preferred StockF1 | $1.75 | Oct 6, 2017 | C | 400 | D | — | — | Common Stock | 5,714 | 0 | D |
Explanation of responses
- F1The Series B Convertible Preferred Stock was convertible into common stock at any time and had no expiration date. The issuer exercises its right to mandatorily convert all outstanding shares of Series B Preferred Stock effective as of October 6, 2017. As of such date, each share of Series B Preferred Stock was converted at a conversion rate of $25.00 (the liquidation preference of the Series B Preferred Stock) divided by $1.75 (the common stock conversion price).