SEC Form 4 · accession 0001141688-16-000045
LANDMARK BANCORP INC · LARK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mark A Herpich
Officer — Chief Financial Officer
Period of report
Apr 11, 2016
Accepted (ET)
Apr 13, 2016 · 4:23 pm EDT
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 | Apr 11, 2016 | M | 16,141 | $16.67 | A | 74,483 | D | |
| Common Stock | Apr 11, 2016 | F | 10,553 | $25.50 | D | 63,930 | D | |
| Common Stock | holding | — | — | — | 3,136 | I | IRA |
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 | $16.67 | Apr 11, 2016 | M | 16,141 | A | — | Apr 19, 2016 | Common Stock | 16,141 | 0 | D |
Explanation of responses
- F1The options vested in 4 equal installments on April 19, 2007, 2008, 2009, and 2010.