SEC Form 4 · accession 0001141688-16-000088
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
Nov 30, 2016
Accepted (ET)
Dec 2, 2016 · 10:26 am 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 | Nov 30, 2016 | M | 13,500 | $14.81 | A | 137,535 | D | |
| Common StockF1 | Nov 30, 2016 | F | 7,255 | $27.56 | D | 130,280 | D | |
| Common StockF1 | holding | — | — | — | 37,717 | 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,F2 | $14.81 | Nov 30, 2016 | M | 13,500 | D | — | Apr 23, 2018 | Common Stock | 13,500 | 0 | D |
Explanation of responses
- F1As adjusted for the Company's 2016 5% stock dividend.
- F2The options vested in four equal installments on April 23, 2009, 2010, 2011, and 2012.