SEC Form 4 · accession 0000905729-16-000734
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
Oct 26, 2016
Accepted (ET)
Oct 26, 2016 · 2:09 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 | Oct 26, 2016 | A | 126 | $22.30 | A | 15,867 | D | |
| Common stockF2 | holding | — | — | — | 491 | I | 401(k) Plan |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Column 5 reflects the acquisition of 79.8297 shares under the ChoiceOne Financial Services, Inc. Employee Stock Purchase Plan, and 90.7403 shares from the reinvestment of cash dividends.
- F2The number of shares in column 5 is the reporting person's best estimate based on a plan statement dated December 31, 2015.