SEC Form 4 · accession 0001493152-18-005602
LANDMARK BANCORP INC · LARK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jim Lewis
Director
Period of report
Apr 19, 2018
Accepted (ET)
Apr 23, 2018 · 2:35 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 | Apr 19, 2018 | M | 4,841 | $14.10 | A | 93,083 | 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 | Apr 19, 2018 | M | 4,841 | D | — | Apr 23, 2018 | Common Stock | 4,841 | 0 | D |
Explanation of responses
- F1As adjusted for the company 5% stock dividend in December 2017.
- F2The options vested in 4 equal installments on April 23, 2009, 2010, 2011 and 2012.