SEC Form 4 · accession 0001179110-18-012588
Bridgewater Bancshares Inc · BWB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mary Jayne Crocker
Officer — EVP & Chief Operating Officer
Period of report
Nov 5, 2018
Accepted (ET)
Nov 6, 2018 · 11:45 am EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001341317
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Nov 5, 2018 | M | 5,000 | $3.00 | A | 124,981 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Option to buyF1,F5,F6,F2 | $3.00 | Nov 5, 2018 | M | 5,000 | D | — | Dec 31, 2023 | Common Stock | 5,000 | 45,000 | D |
| Option to buyF3,F5,F6,F4 | $7.47 | holding | — | — | — | — | Sep 30, 2027 | Common Stock | 150,000 | 150,000 | D |
Explanation of responses
- F1Options to buy granted under the 2012 Combined Incentive and Non-Statutory Stock Option Plan.
- F2Options exercisable in 20% increments on the first five anniversaries of the date of the grant which was 1/1/2014.
- F3Options to buy granted under the 2017 Combined Incentive and Non-Statutory Stock Option Plan.
- F4Options exercisable in 20% increments on the first five anniversaries of the date of the grant which was 10/1/2017.
- F5On March 19, 2018, the reporting person filed a Form 4 which inadvertently reported that the reporting person beneficially owned 250,000 derivative securities at an exercise price of $7.47 granted under the 2017 Combined Incentive and Non-Statutory Stock Option Plan (which amount was the aggregate of all derivative securities beneficially owned by the reporting person following such reported transaction). In fact, on March 19, 2018 the reporting person beneficially owned 150,000 derivative securities at an exercise price of $7.47 granted under the 2017 Combined Incentive and Non-Statutory Stock Option Plan and beneficially owned 50,000 derivative securities at an exercise price of $3.00 granted under the 2012 Combined Incentive and Non-Statutory Stock Option Plan.
- F6On March 19, 2018, the reporting person filed a Form 4 which inadvertently reported that the reporting person beneficially owned 225,000 derivative securities at an exercise price of $1.23 granted under the 2005 Combined Incentive and Non-Statutory Stock Option Plan and 200,000 derivative securities at an exercise price of $1.20 granted under the 2005 Combined Incentive and Non-Statutory Stock Option Plan (which amounts were the aggregate of all derivative securities beneficially owned by the reporting person following each such reported transaction). In fact, on March 19, 2018 the reporting person beneficially owned 0 derivative securities at an exercise price of $1.23 granted under the 2005 Combined Incentive and Non-Statutory Stock Option Plan and 0 derivative securities at an exercise price of $1.20 granted under the 2005 Combined Incentive and Non-Statutory Stock Option Plan.