SEC Form 4 · accession 0001140361-15-041589
Madison County Financial, Inc. · MCBK
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Daniel Fullner
Officer — SVP and General Counsel
Period of report
Nov 16, 2015
Accepted (ET)
Nov 16, 2015 · 2:58 pm EST
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 Stock | Nov 16, 2015 | P | 1,000 | $20.90 | A | 26,000 | I | By IRA |
| Common Stock | holding | — | — | — | 3,000 | I | By Spouse | |
| Common Stock | holding | — | — | — | 17,500 | I | By LLC | |
| Common Stock | holding | — | — | — | 20,000 | I | By Partnership | |
| Common Stock | holding | — | — | — | 1,870 | I | By ESOP | |
| Common StockF1 | holding | — | — | — | 21,500 | 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 | 8,000 | 8,000 | D |
| Stock OptionsF3 | $17.10 | holding | — | — | — | Mar 1, 2014 | Feb 14, 2024 | Common Stock | 10,000 | 10,000 | 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 14% per year commencing on March 1, 2014.
- F3Stock options vest at a rate of 20% per year commencing on March 1, 2014.