SEC Form 4 · accession 0001412665-17-000027
MidWestOne Financial Group, Inc. · MOFG
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Charles N Funk
Officer — President and CEO · Director
Period of report
Feb 15, 2017
Accepted (ET)
Feb 17, 2017 · 5:42 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 StockF1 | Feb 15, 2017 | A | 5,000 | $0.00 | A | 96,379 | D | |
| Common Stock | Feb 15, 2017 | F | 800 | $36.51 | D | 95,579 | D | |
| Common StockF3 | holding | — | — | — | 3,696 | 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)F4 | $16.69 | holding | — | — | — | — | Apr 1, 2018 | Common Stock | 3,500 | 3,500 | D |
Explanation of responses
- F1Shares were acquired pursuant to a grant of restricted stock units which vest in four equal annual installments beginning February 15, 2018.
- F2Restricted Stock Units withheld to pay payroll taxes due upon vesting and issuance of Restricted Stock Units shares on February 15, 2017. The remaining balance of taxes due was paid by personal check.
- F3Shares held in the MidWestOne Financial Group, Inc. Employee Stock Ownership Plan as of February 15, 2017. The number of shares reported has increased by 27 shares since the last previous Form filed due to allocations made to the reporting person's ESOP account.
- F4The option vested in four equal annual installments beginning on April 1, 2009.