SEC Form 4 · accession 0001412665-16-000123
MidWestOne Financial Group, Inc. · MOFG
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
Susan R Evans
Officer — Chief Operating Officer
Period of report
Feb 15, 2016
Accepted (ET)
Feb 16, 2016 · 4:51 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001412665
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Feb 15, 2016 | A | 2,500 | $0.00 | A | 18,413 | D | |
| Common Stock | Feb 15, 2016 | F | 726 | $0.00 | D | 17,687 | D | |
| Common StockF1 | holding | — | — | — | 2,683 | I | By ESOP |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (Right to Buy)F2 | $16.69 | holding | — | — | — | — | Apr 1, 2018 | Common Stock | 500 | 500 | D |
| Employee Stock Option (Right to Buy)F3 | $7.02 | holding | — | — | — | — | Jul 16, 2019 | Common Stock | 1,200 | 1,200 | D |
Explanation of responses
- F1Shares held in the MidWestOne Financial Group, Inc. Employee Stock Ownership Plan as of February 15, 2016. Shares increased by 18 shares since the date of the reporting person's last filing due to additional shares allocated to the reporting person's ESOP account.
- F2The option vests in four equal annual installments beginning on April 1, 2009.
- F3The option vests in four equal annual installments beginning on July 16, 2010.