SEC Form 4 · accession 0001225208-16-041611
Ottawa Bancorp Inc · OTTW
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Daniel Reynolds
Director
Period of report
Nov 8, 2016
Accepted (ET)
Nov 14, 2016 · 3:37 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001675192
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Nov 8, 2016 | M | 3,249 | $10.36 | A | 28,037 | D | |
| Common StockF1,F2 | Nov 8, 2016 | F | 2,901 | $11.60 | D | 25,136 | D | |
| Common Stock | holding | — | — | — | 100 | I | As custodian under UTMA for FCG | |
| Common Stock | holding | — | — | — | 100 | I | As custodian under UTMA for FMR | |
| Common Stock | holding | — | — | — | 100 | I | As custodian under UTMA for KGG | |
| Common Stock | holding | — | — | — | 100 | I | As custodian under UTMA for LPG | |
| Common Stock | holding | — | — | — | 100 | I | As custoidan under UTMA for CRR | |
| Common Stock | holding | — | — | — | 10,132 | I | By Spouse |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F3 | $10.36 | Nov 8, 2016 | M | 3,249 | D | Nov 21, 2007 | Nov 21, 2006 | Common Stock | 3,249 | 3,249 | D |
Explanation of responses
- F1Represents the payment of the exercise price of the stock options through the attestation of previously owned shares.
- F2The price is equal to the fair market value of the shares of common stock on the date of exercise and is used to determine the value of the shares of common stock delivered to the Issuer by attestation of previously owned shares in payment of the stock option exercise price.
- F3Options are fully vested and exercisable.