SEC Form 4 · accession 0001140361-15-033317
Poage Bankshares, Inc. · PBSK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ralph E Coffman Jr.
Officer — President and CEO · Director
Period of report
Aug 21, 2015
Accepted (ET)
Aug 25, 2015 · 12:09 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001511071
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Aug 21, 2015 | D | 3,556 | $15.55 | D | 9,252 | D | |
| Common StockF1 | Aug 21, 2015 | D | 8,904 | $0.00 | D | 3,448 | D | |
| Common Stock | Aug 21, 2015 | M | 23,000 | $15.00 | A | 23,348 | D | |
| Common Stock | Aug 21, 2015 | D | 23,000 | $15.55 | D | 3,448 | D | |
| Common Stock | holding | — | — | — | 4,250 | I | By IRA | |
| Common StockF2 | holding | — | — | — | 1,552 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Options | $15.00 | Aug 21, 2015 | M | 23,000 | D | May 21, 2014 | May 21, 2023 | Common Stock | 23,000 | 34,500 | D |
| Stock OptionsF1 | $15.00 | Aug 21, 2015 | D | 34,500 | D | May 21, 2014 | May 21, 2023 | Common Stock | 34,500 | 0 | D |
Explanation of responses
- F1Unvested shares of restricted stock (8,904 shares) and unvested stock options (34,500 options) were forfeited in connection with the reporting person's resignation.
- F2Reflects transactions not required to be reported pursuant to Section 16 of the Securities Act of 1934, as amended.