SEC Form 4 · accession 0000905729-16-000597
CHOICEONE FINANCIAL SERVICES INC · COFS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
Reporting owner
James A Bosserd
Officer — Chief Executive Officer · Director
Period of report
Jun 1, 2016
Accepted (ET)
Jun 3, 2016 · 1:18 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 | Jun 1, 2016 | F | 154 | $23.70 | D | 13,905 | D | |
| Common StockF2 | Jun 1, 2016 | F | 123 | $23.70 | D | 13,782 | D | |
| Common StockF3 | Jun 1, 2016 | F | 184 | $23.70 | D | 13,598 | D | |
| Common StockF4 | holding | — | — | — | 8,056 | I | IRA | |
| Common StockF5 | holding | — | — | — | 274 | I | 401(k) Plan |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Shares forfeited upon conversion of stock units granted on August 1, 2014 to common stock.
- F2Shares forfeited upon conversion of stock units granted on April 15, 2015 to common stock.
- F3Shares forfeited upon conversion of stock units granted on April 15, 2016 to common stock.
- F4Shares are held in a self-directed IRA account.
- F5The number of shares in column 5 is the reporting person's best estimate based on a plan statement dated December 31, 2015.