SEC Form 4 · accession 0001140361-15-037465
Madison County Financial, Inc. · MCBK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David D. Warnemunde
Director
Period of report
Oct 12, 2015
Accepted (ET)
Oct 13, 2015 · 12:39 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001547635
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF3,F1 | Oct 12, 2015 | A | 169,315 | $0.00 | A | 274,183 | D | |
| Common StockF4,F1 | Oct 12, 2015 | A | 34,467 | $0.00 | A | 308,650 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock OptionsF2 | $17.10 | holding | — | — | — | Mar 1, 2014 | Feb 14, 2024 | Common Stock | 14,000 | 14,000 | D |
Explanation of responses
- F1Includes shares of restricted stock which vest at a rate of 20% per year commencing on March 1, 2014.
- F2Stock options vest at a rate of 20% per year commencing on March 1, 2014.
- F3Pursuant to the Agreement and Plan of Merger with Winside Bancshares Incorporated ("Winside Bancshares"), each share of common stock of Winside Bancshares previously beneficially owned by the reporting person was exchanged for 143.61 shares of common stock of the Issuer.
- F4Pursuant to the Stock Purchase Agreement with Warnemunde Insurance & Real Estate Agency, Inc. (the "Agency")., each share of common stock of the Agency previously beneficially owned by the reporting person was exchanged for 344.67 shares of common stock of the Issuer.