SEC Form 4 · accession 0000905729-16-000727
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
Oct 3, 2016
Accepted (ET)
Oct 5, 2016 · 2:34 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,F4 | Oct 3, 2016 | F | 62 | $22.30 | D | 4,361 | D | |
| Common StockF2 | Oct 3, 2016 | F | 148 | $22.30 | D | 4,213 | D | |
| Common StockF3 | Oct 3, 2016 | F | 221 | $22.30 | D | 3,992 | D | |
| Common Stock | holding | — | — | — | 4,009 | I | IRA | |
| Common StockF5 | holding | — | — | — | 114 | 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.
- F4Column 5 reflects the acquisition of 24.3677 shares from the reinvestment of cash dividends and 7.9830 shares under the ChoiceOne Financial Services, Inc. Employee Stock Purchase Plan.
- F5The number of shares in column 5 is the reporting person's best estimate based on a plan statement dated December 31, 2015.