SEC Form 4 · accession 0001141688-15-000010

LANDMARK BANCORP INC · LARK

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — Executive Chairman · Director

Period of report

Nov 13, 2015

Accepted (ET)

Nov 17, 2015 · 5:40 pm EST

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0001141688

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock^F1	Nov 13, 2015	M	200	$17.50	A	104,325	D
Common Stock^F1	Nov 13, 2015	S	200	$27.50	D	104,125	D
Common Stock^F1	Nov 17, 2015	M	3,500	$17.50	A	107,625	D
Common Stock^F1	Nov 17, 2015	S	3,500	$27.007	D	104,125	D
Common Stock^F1	holding	—	—		—	34,211	I	IRA

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Options to Purchase Common Stock^F1,F2	$17.50	Nov 13, 2015	M	200	D	—	Apr 19, 2016	Common Stock	200	38,181	D
Options to Purchase Common Stock^F1,F2	$17.50	Nov 17, 2015	M	3,500	D	—	Apr 19, 2016	Common Stock	3,500	34,681	D

F1As adjusted for the Company's 5% stock dividend in December 2014.
F2The options vested in 4 equal installments on April 19, 2007, 2008, 2009, and 2010.