SEC Form 4 · accession 0001179110-18-013502
Bridgewater Bancshares Inc · BWB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jerry J. Baack
Officer — President & CEO · Director
Period of report
Dec 5, 2018
Accepted (ET)
Dec 6, 2018 · 12:50 pm 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 | Dec 5, 2018 | M | 25,000 | $3.00 | A | 790,504 | D | |
| Common Stock | holding | — | — | — | 4,000 | I | By Roth IRA | |
| Common Stock | holding | — | — | — | 260,000 | I | By IRA | |
| Common Stock | holding | — | — | — | 4,200 | I | By dependent child | |
| Common Stock | holding | — | — | — | 1,000 | I | As custodian for child | |
| Common Stock | holding | — | — | — | 1,000 | I | As custodian for child | |
| Common Stock | holding | — | — | — | 1,000 | I | As custodian for child |
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,F2 | $3.00 | Dec 5, 2018 | M | 25,000 | D | — | Dec 31, 2023 | Common Stock | 25,000 | 125,000 | D |
| Option to buyF3,F5,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 300,000 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 150,000 derivative securities at an exercise price of $3.00 granted under the 2012 Combined Incentive and Non-Statutory Stock Option Plan.