SEC Form 4 · accession 0000905729-16-000393
CHOICEONE FINANCIAL SERVICES INC · COFS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Kelly Potes
Officer — President · Director
Period of report
Jan 27, 2016
Accepted (ET)
Jan 28, 2016 · 10:02 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 stockF2 | Jan 27, 2016 | A | 113 | $23.80 | A | 13,877 | D | |
| Common stockF1 | holding | — | — | — | 491 | I | 401(k) Plan |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The number of shares in column 5 is the reporting person's best estimate based on a plan statement dated December 31, 2015.
- F2Column 5 reflects the acquisition of 85.6164 shares under the ChoiceOne Financial Services, Inc. Employee Stock Purchase Plan, and 72.9071 shares from the reinvestment of cash dividends.