SEC Form 4 · accession 0000905729-17-000300
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
Nov 20, 2017
Accepted (ET)
Nov 22, 2017 · 10:35 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 | Nov 20, 2017 | M | 1,050 | $12.86 | A | 11,300 | D | |
| Common Stock | Nov 20, 2017 | F | 587 | $23.00 | D | 10,713 | D | |
| Common Stock | holding | — | — | — | 1,532 | I | 401(k) Plan |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy) | $12.86 | Nov 20, 2017 | M | 263 | D | Jan 24, 2008 | Jan 23, 2018 | Common | 263 | 0 | D |
| Stock Option (Right to Buy) | $12.86 | Nov 20, 2017 | M | 262 | D | Jan 24, 2009 | Jan 23, 2018 | Common | 262 | 0 | D |
| Stock Option (Right to Buy) | $12.86 | Nov 20, 2017 | M | 263 | D | Jan 24, 2010 | Jan 23, 2018 | Common | 263 | 0 | D |
| Stock Option (Right to Buy) | $12.86 | Nov 20, 2017 | M | 262 | D | Jan 24, 2011 | Jan 23, 2018 | Common | 262 | 0 | D |
Explanation of responses
- F1Column 5 reflects the acquisition of 48.0769 shares under the ChoiceOne Financial Services, Inc. Employee Stock Purchase Plan and 65.3230 shares from the reinvestment of cash dividends.