SEC Form 4 · accession 0000905729-16-000514
CHOICEONE FINANCIAL SERVICES INC · COFS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Louis D Knooihuizen
Officer — S.V.P. - ChoiceOne Bank (Sub.)
Period of report
Apr 15, 2016
Accepted (ET)
Apr 19, 2016 · 3:49 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 StockF1,F2 | Apr 15, 2016 | A | 600 | $0.00 | A | 4,130 | D | |
| Common StockF3 | Apr 15, 2016 | F | 74 | $23.70 | D | 4,056 | D | |
| Common Stock | Apr 15, 2016 | M | 1,500 | $17.95 | A | 5,556 | D | |
| Common Stock | Apr 15, 2016 | F | 1,136 | $23.70 | D | 4,420 | D | |
| Common Stock | holding | — | — | — | 4,009 | I | IRA | |
| Common StockF4 | holding | — | — | — | 114 | 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) | $17.95 | Apr 15, 2016 | M | 375 | D | Jan 18, 2007 | Jan 17, 2017 | Common | 375 | 0 | D |
| Stock Option (Right to Buy) | $17.95 | Apr 15, 2016 | M | 375 | D | Jan 18, 2008 | Jan 17, 2017 | Common | 375 | 0 | D |
| Stock Option (Right to Buy) | $17.95 | Apr 15, 2016 | M | 375 | D | Jan 18, 2009 | Jan 17, 2017 | Common | 375 | 0 | D |
| Stock Option (Right to Buy) | $17.95 | Apr 15, 2016 | M | 375 | D | Jan 18, 2010 | Jan 17, 2017 | Common | 375 | 0 | D |
Explanation of responses
- F1Reports the grant of the contingent right to receive shares of common stock vesting in equal installments over a three-year vesting period.
- F2Column 5 reflects the acquisition of 18.5231 shares from the reinvestment of cash dividends and 6.5651 shares under the ChoiceOne Financial Services, Inc. Employee Stock Purchase Plan.
- F3Shares forfeited upon conversion of stock units granted on April 15, 2015 to common stock.
- F4The number of shares in column 5 is the reporting person's best estimate based on a plan statement dated December 31, 2015.