SEC Form 4/A · accession 0000927089-16-000656
MUTUALFIRST FINANCIAL INC · MFSF
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
James David Rosema
Director
Period of report
Nov 5, 2015
Accepted (ET)
Jan 15, 2016 · 12:06 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001094810
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF2 | Nov 5, 2015 | M | 5,000 | $11.37 | A | 52,500 | D | |
| Common Stock | holding | — | — | — | 7,500 | I | Held by Spouse |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to PurchaseF1 | $11.37 | Nov 5, 2015 | M | 5,000 | D | — | Dec 19, 2027 | Common Stock | 5,000 | 0 | D |
Explanation of responses
- F1These options were issued under the Issuer's 2008 Stock Option and Incentive Plan and were immediately exercisable.
- F2This amendment is being filed to add back in to the total shares beneficially owned 7,500 shares that were inadvertently left out of the total shares beneficially owned in the original filing.