SEC Form 5 · accession 0001140361-17-007474
PEOPLES BANCORP OF NORTH CAROLINA INC · PEBK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Dan Ray Timmerman Sr.
Director
Period of report
Dec 31, 2016
Accepted (ET)
Feb 14, 2017 · 5:37 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001093672
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Jan 29, 2016 | L | 143 | $19.2192 | A | 85,376 | D | |
| Common Stock | May 2, 2016 | L | 140 | $19.3496 | A | 85,516 | D | |
| Common Stock | Jul 28, 2016 | L | 168 | $20.60 | A | 85,684 | D | |
| Common Stock | Sep 1, 2016 | L | 7 | $22.1399 | A | 85,691 | D | |
| Common Stock | Oct 28, 2016 | L | 158 | $20.9899 | A | 85,849 | D | |
| Common Stock | holding | — | — | — | 2,722 | I | CEO of Timmerman Manufacturing |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF1,F3,F2,F7 | — | Mar 22, 2012 | A | 810 | A | Mar 22, 2017 | — | Common Stock | 810 | 810 | D |
| Restricted Stock UnitsF1,F4,F2,F7 | — | May 23, 2013 | A | 810 | A | May 23, 2017 | — | Common Stock | 810 | 810 | D |
| Restricted Stock UnitsF1,F5,F2,F7 | — | Feb 20, 2014 | A | 650 | A | Feb 20, 2017 | — | Common Stock | 650 | 650 | D |
| Restricted Stock UnitsF1,F6,F2,F7 | — | Feb 19, 2015 | A | 375 | A | Feb 19, 2019 | — | Common Stock | 375 | 375 | D |
Explanation of responses
- F1The Restricted Stock Units ("RSUs") reported herein were previously reported in Table I on Form 4 or Form 5 filed with the SEC on the applicable grant date or at year end.The purpose of this filing is to remove the RSUs from Table I and report them instead in Table II. The revised number of Non-Derivative Securities owned is disclosed in Table I.
- F2Each RSU represents the contingent right to receive either one share of Common Stock or a cash payment equal to the fair market value of one share of Common Stock, in each case upon vesting of the RSU and in accordance with the terms of the RSU Award Agreement.
- F3RSUs granted on 3/22/2012 vest 100% on 3/22/2017. Upon vesting, the reporting person will receive 100% of the RSUs in the form of Common Stock.
- F4RSUs granted on 5/23/2013 vest 100% on 5/23/2017. Upon vesting, the reporting person will receive 100% of the RSUs in the form of Common Stock.
- F5RSUs granted on 2/20/2014 vest 100% on 2/20/2017. Upon vesting, the reporting person will receive 100% of the RSUs in the form of Common Stock.
- F6RSUs granted on 2/19/2015 vest 100% on 2/19/2019. Upon vesting, the reporting person will receive 100% of the RSUs in the form of Common Stock.
- F7No Expiration Date.
- F8Shares acquired through Directors and Officers Deferral Plan.