SEC Form 4 · accession 0000905729-15-000309
CHOICEONE FINANCIAL SERVICES INC · COFS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Nels W Nyblad
Director
Period of report
Oct 28, 2015
Accepted (ET)
Oct 29, 2015 · 3:23 pm EDT
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 Stock | Oct 28, 2015 | A | 182 | $23.00 | A | 9,299 | I | Reporting person's trust |
| Common Stock | holding | — | — | — | 2,299 | D | ||
| Common Stock | holding | — | — | — | 1,200 | I | By IRA | |
| Common Stock | holding | — | — | — | 15,448 | I | By spouse's trust | |
| Common Stock | holding | — | — | — | 150 | I | By spouse's IRA | |
| Common StockF1 | holding | — | — | — | 154 | I | By wife as UTMA custodian for daughters |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Shares held by wife for children under the Uniform Transfers to Minors Act. The reporting person disclaims beneficial ownership of these shares, and this report shall not be deemed an admission that the reporting person owns the shares for the purposes of Section 16 or any other purpose.