SEC Form 4 · accession 0000039311-17-000043
INDEPENDENT BANK CORP /MI/ · IBCP
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Terry L Haske
Director
Period of report
Nov 15, 2016
Accepted (ET)
Oct 3, 2017 · 3:38 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000039311
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Phantom Stock UnitsF1 | — | Nov 15, 2016 | A | 147 | A | — | — | Common Stock | 147 | 26,946 | D |
| Phantom Stock UnitsF1 | — | Feb 15, 2017 | A | 125 | A | — | — | Common Stock | 125 | 27,071 | D |
| Phantom Stock UnitsF1 | — | May 15, 2017 | A | 125 | A | — | — | Common Stock | 125 | 27,197 | D |
| Phantom Stock UnitsF1 | — | Aug 15, 2017 | A | 129 | A | — | — | Common Stock | 129 | 27,325 | D |
Explanation of responses
- F1The Phantom Stock Units were accrued under the Independent Bank Corporation Deferred Compensation and Stock Purchase Plan for Non-Employee Directors and are to be settled in Independent Bank Corporation Common Stock upon the reporting person's retirement.