SEC Form 4 · accession 0000905729-16-000758
CHOICEONE FINANCIAL SERVICES INC · COFS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mary J Johnson
Officer — Secretary
Period of report
Nov 21, 2016
Accepted (ET)
Nov 22, 2016 · 3:48 pm EST
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 | Nov 21, 2016 | P | 200 | $23.00 | A | 5,181 | I | By spouse's 401(k) Plan |
| Common StockF2 | holding | — | — | — | 12,213 | D | ||
| Common StockF3 | holding | — | — | — | 979 | I | 401(k) Plan |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Column 5 reflects the acquisition of 37.8500 shares from the reinvestment of cash dividends.
- F2Column 5 reflects the acquisition of 79.8297 shares under the ChoiceOne Financial Services, Inc. Employee Stock Purchase Plan and 75.4514 shares from the reinvestment of cash dividends.
- F3The number of shares in column 5 is the reporting person's best estimate based on a plan statement dated December 31, 2015.