SEC Form 4 · accession 0001225208-16-041827
Ottawa Bancorp Inc · OTTW
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Keith Johnson
Director
Period of report
Nov 15, 2016
Accepted (ET)
Nov 16, 2016 · 12:13 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 15, 2016 | M | 6,498 | $10.36 | A | 29,362 | D | |
| Common StockF1,F2 | Nov 15, 2016 | F | 5,729 | $11.75 | D | 23,633 | D |
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 15, 2016 | M | 6,498 | D | Nov 21, 2007 | Nov 21, 2016 | Common Stock | 6,498 | 0 | 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.