SEC Form 4 · accession 0001141688-16-000083
LANDMARK BANCORP INC · LARK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Patrick L Alexander
Officer — Executive Chairman · Director
Period of report
Oct 18, 2016
Accepted (ET)
Oct 20, 2016 · 1:18 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 StockF2 | Oct 18, 2016 | M | 12,100 | $12.73 | A | 123,899 | D | |
| Common Stock | Oct 18, 2016 | F | 5,770 | $26.70 | D | 118,129 | D | |
| Common Stock | holding | — | — | — | 35,921 | 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 StockF2,F1 | $12.73 | Oct 18, 2016 | M | 12,100 | D | — | Apr 20, 2021 | Common Stock | 12,100 | 4,033 | D |
Explanation of responses
- F1The options vested in four equal installments on April 20, 2012, 2013, 2014, and 2015.
- F2As adjusted for the Company's 5% stock dividends in December 2011, 2012, 2013, 2014, and 2015.