SEC Form 4 · accession 0001141688-15-000014

LANDMARK BANCORP INC · LARK

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

Reporting owner

Officer — Executive Chairman · Director

Period of report

Dec 1, 2015

Accepted (ET)

Dec 3, 2015 · 6:21 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	Dec 1, 2015	M	1,400	$17.50	A	110,801	D
Common Stock^F1	Dec 1, 2015	S	1,400	$25.99	D	109,401	D
Common Stock^F1	Dec 2, 2015	M	458	$16.67	A	109,851	D
Common Stock^F1	Dec 2, 2015	S	458	$25.924	D	109,401	D
Common Stock^F1	holding	—	—		—	35,921	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	Dec 1, 2015	M	1,400	D	—	Apr 19, 2016	Common Stock	1,400	28,978	D
Options to Purchase Common Stock^F1,F2	$16.67	Dec 2, 2015	M	458	D	—	Apr 19, 2016	Common Stock	458	28,520	D

F1As adjusted for the Company's 5% stock dividend with a record date of December 2, 2015.
F2The options vested in 4 equal installments on April 18, 2007, 2008, 2009, and 2010.