SEC Form 4 · accession 0000905729-17-000254
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, 2017
Accepted (ET)
Aug 22, 2017 · 10:52 am 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,F3 | Aug 1, 2017 | F | 64 | $22.88 | D | 10,137 | D | |
| Common StockF2,F4 | holding | — | — | — | 1,532 | I | 401(k) Plan |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Column 5 reflects the acquisition of 54.1796 shares under the ChoiceOne Financial Services, Inc. Employee Stock Purchase Plan and 63.5966 shares from the reinvestment of cash dividends.
- F2On April 27, 2017, ChoiceOne Financial Services, Inc. announced a 5% stock dividend, payable to all holders of record as of May 10, 2017. As a result, the reporting person received 552.7689 shares of common stock as of May 31, 2017, of which and 479.8350 shares are owned directly and 72.9339 shares are owned indirectly through the reporting person's 401(k) Plan.
- F3Shares forfeited upon conversion of stock units granted on August 1, 2014 to common stock.
- F4The number of shares in column 5 is the reporting person's best estimate based on a plan statement dated December 31, 2016.