SEC Form 4 · accession 0000905729-16-000736
CHEMICAL FINANCIAL CORP · CHFC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David T Provost
Director
Period of report
Oct 27, 2016
Accepted (ET)
Oct 31, 2016 · 10:29 am EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000019612
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Oct 27, 2016 | M | 25,000 | $11.81 | A | 189,601 | D | |
| Common Stock | Oct 27, 2016 | F | 15,145 | $44.17 | D | 174,456 | D | |
| Common StockF1 | holding | — | — | — | 283 | I | By daughter |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock OptionsF2 | $11.81 | Oct 27, 2016 | M | 25,000 | D | — | Jun 22, 2020 | Common Stock | 25,000 | 168,481 | D |
Explanation of responses
- F1The reporting person disclaims any beneficial ownership of all shares owned by his daughter. The filing of this statement shall not be construed as an admission that the reporting person is, for purposes of Section 16 of the Exchange Act of 1934 or for any other purpose, the beneficial owner of the securities owned by his daughter.
- F2Vested in conjunction with the merger of Talmer Bancorp, Inc. with and into Chemical Financial Corporation at the close of business August 31, 2016.