SEC Form 4 · accession 0001493152-18-003725
LANDMARK BANCORP INC · LARK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Susan E Roepke
Director
Period of report
Mar 20, 2018
Accepted (ET)
Mar 21, 2018 · 5:19 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 StockF1 | Mar 20, 2018 | M | 4,841 | $14.10 | A | 41,179 | D | |
| Common Stock | Mar 20, 2018 | F | 2,337 | $29.21 | D | 38,842 | D | |
| Common StockF1 | Mar 20, 2018 | M | 1,937 | $11.54 | A | 40,779 | D | |
| Common Stock | Mar 20, 2018 | F | 766 | $29.21 | D | 40,013 | 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 | $14.10 | Mar 20, 2018 | M | 4,841 | D | — | Apr 23, 2018 | Common Stock | 4,841 | 0 | D |
| Options to Purchase Common StockF1,F3 | $11.54 | Mar 20, 2018 | M | 1,937 | D | — | Apr 20, 2021 | Common Stock | 1,937 | 0 | D |
Explanation of responses
- F1As adjusted for the Company's 5% stock dividends in December 2016 and December 2017.
- F2The options vested in 4 equal installments on April 23, 2009, 2010, 2011 and 2012.
- F3The options vested in 4 equal installments on April 20, 2012, 2013, 2014 and 2015.