SEC Form 4 · accession 0000905729-17-000012
CHEMICAL FINANCIAL CORP · CHFC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
James E Tomczyk
Other
Period of report
Jan 3, 2017
Accepted (ET)
Jan 5, 2017 · 5:00 pm EST
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 StockF1 | Jan 3, 2017 | M | 3,303 | $24.56 | A | 17,126 | D | |
| Common Stock | Jan 3, 2017 | F | 2,170 | $53.77 | D | 14,956 | D | |
| Common Stock | Jan 4, 2017 | A | 912 | $0.00 | A | 15,868 | D | |
| Common Stock | Jan 4, 2017 | F | 315 | $54.80 | D | 15,553 | D | |
| Common StockF2 | holding | — | — | — | 8,696 | I | By wife |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock OptionsF3 | $24.56 | Jan 3, 2017 | M | 3,303 | D | — | Mar 26, 2020 | Common Stock | 3,303 | 0 | D |
Explanation of responses
- F1Includes 228 shares held jointly with the reporting person's daughter and two sons.
- F2The reporting person disclaims any beneficial ownership of all shares owned by his wife. 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 wife.
- F3Vested in three equal annual installments beginning on March 25, 2011.