SEC Form 4 · accession 0001141688-17-000001
LANDMARK BANCORP INC · LARK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David Snapp
Director
Period of report
Jan 10, 2017
Accepted (ET)
Jan 12, 2017 · 6:27 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 | Jan 10, 2017 | M | 1,845 | $12.12 | A | 66,080 | 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 | $12.12 | Jan 10, 2017 | M | 1,845 | D | Apr 20, 2015 | Apr 20, 2021 | Common Stock | 1,845 | 0 | D |
Explanation of responses
- F1As adjusted for the Company's 5% stock dividend in December 2016.