SEC Form 4 · accession 0001209191-16-109908
OLD LINE BANCSHARES INC · OLBK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
Reporting owner
G. Thomas Daugherty
Director
Period of report
Feb 24, 2016
Accepted (ET)
Mar 22, 2016 · 12:17 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001253317
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common stock | Feb 24, 2016 | A | 300 | $0.00 | A | 300,002 | D | |
| Common stockF1 | holding | — | — | — | 246,467 | I | The Daugherty, LLC | |
| Common stockF2 | holding | — | — | — | 54,729 | I | Helen G. Daugherty |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Common Stock (right to buy) | $17.75 | Feb 24, 2016 | A | 1,200 | A | Feb 24, 2016 | Feb 24, 2026 | Common Stock | 1,200 | 1,200 | D |
Explanation of responses
- F1Mr. Daugherty is the Managing member of the LLC.
- F2The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purpose of Section 16 or any other purpose.