SEC Form 4 · accession 0001141688-16-000028
LANDMARK BANCORP INC · LARK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jim Lewis
Director
Period of report
Feb 10, 2016
Accepted (ET)
Feb 12, 2016 · 3:10 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 StockF1 | Feb 10, 2016 | M | 4,390 | $16.67 | A | 79,312 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Options to Purchase Common StockF1,F2 | $16.67 | Feb 10, 2016 | M | 4,390 | D | — | Apr 19, 2016 | Common Stock | 4,390 | 0 | D |
Explanation of responses
- F1As adjusted for the Company's 5% stock dividend in December 2015.
- F2The options vested in 4 equal installments on April 19, 2007, 2008, 2009, and 2010.