SEC Form 4 · accession 0001493152-18-005586
LANDMARK BANCORP INC · LARK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Dean R Thibault
Officer — EVP Commercial Lending
Period of report
Apr 19, 2018
Accepted (ET)
Apr 20, 2018 · 6:47 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 | Apr 19, 2018 | M | 14,374 | $14.10 | A | 27,125 | D | |
| Common Stock | Apr 19, 2018 | F | 7,026 | $28.85 | D | 20,099 | D | |
| Common Stock | holding | — | — | — | 6,370 | 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 | $14.10 | Apr 19, 2018 | M | 14,374 | D | — | Apr 23, 2018 | Common Stock | 14,374 | 0 | D |
Explanation of responses
- F1The options vested in 4 equal installments on April 23, 2009, 2010, 2011, and 2012.
- F2As adjusted for the Company's 5% stock dividends in December 2016 and December 2017.