SEC Form 4 · accession 0000905729-17-000295
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
Nov 7, 2017
Accepted (ET)
Nov 9, 2017 · 11:53 am 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,F2 | Nov 7, 2017 | P | 84 | $23.00 | A | 19,205 | D | |
| Common stockF1 | holding | — | — | — | 515 | I | 401(k) Plan |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1On 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 914.3510 shares of common stock as of May 31, 2017, of which 889.8161 shares are owned directly and 24.5349 shares are owned indirectly through the reporting person's 401(k) plan.
- F2Column 5 reflects the acquisition of 170.4275 shares under the ChoiceOne Financial Services, Inc. Employee Stock Purchase Plan, and 219.0691 shares from the reinvestment of cash dividends.