SEC Form 4 · accession 0000905729-15-000056
CHOICEONE FINANCIAL SERVICES INC · COFS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
James A Bosserd
Officer — President and C.E.O. · Director
Period of report
Feb 19, 2015
Accepted (ET)
Feb 23, 2015 · 9:03 am EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000803164
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Feb 19, 2015 | M | 1,000 | $18.85 | A | 11,184 | D | |
| Common Stock | Feb 19, 2015 | F | 797 | $23.65 | D | 10,387 | D | |
| Common StockF2 | Feb 19, 2015 | P | 200 | $23.65 | A | 7,556 | I | IRA |
| Common StockF3 | holding | — | — | — | 274 | I | 401(k) Plan |
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) | $18.85 | Feb 19, 2015 | M | 625 | D | Jan 18, 2006 | Jan 17, 2016 | Common | 625 | 0 | D |
| Stock Option (Right to Buy) | $18.85 | Feb 19, 2015 | M | 375 | D | Jan 18, 2007 | Jan 17, 2016 | Common | 375 | 0 | D |
Explanation of responses
- F1Column 5 reflects the acquisition of 79.1139 shares under the ChoiceOne Financial Services, Inc. Employee Stock Purchase Plan, and 66.1976 shares from the reinvestment of cash dividends.
- F2Shares are held in a self-directed IRA account.
- F3The number of shares in column 5 is the reporting person's best estimate based on a plan statement dated December 31, 2014.