SEC Form 4 · accession 0000905729-16-000636
CHOICEONE FINANCIAL SERVICES INC · COFS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Thomas L Lampen
Officer — Treasurer
Period of report
Aug 1, 2016
Accepted (ET)
Aug 3, 2016 · 3:25 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 | Aug 1, 2016 | F | 62 | $23.74 | D | 8,685 | D | |
| Common StockF3 | holding | — | — | — | 1,459 | 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.
- F2Column 5 reflects the acquisition of 53.1893 shares from the reinvestment of cash dividends and 53.7084 shares under the ChoiceOne Financial Services, Inc. Employee Stock Purchase Plan.
- F3The number of shares in column 5 is the reporting person's best estimate based on a plan statement dated December 31, 2015.