SEC Form 4 · accession 0000905729-18-000083
CHOICEONE FINANCIAL SERVICES INC · COFS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Sheila R Clark
Officer — S.V.P. - ChoiceOne Bank (Sub.)
Period of report
Jun 13, 2017
Accepted (ET)
Apr 17, 2018 · 3:41 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 StockF2,F3 | Jun 13, 2017 | J | 0 | $22.38 | D | 19,760 | D | |
| Common Stock | Jan 5, 2018 | J | 0 | $22.69 | D | 19,762 | D | |
| Common Stock | Feb 21, 2018 | G | 200 | $0.00 | D | 19,562 | D | |
| Common StockF4 | Apr 15, 2018 | A | 600 | $0.00 | A | 20,162 | D | |
| Common StockF2,F5 | holding | — | — | — | 5,311 | I | 401(k) Plan |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Reflects the cash-out of fractional shares upon the merging of certain accounts.
- 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 1,193.3361 shares of common stock as of May 31, 2017, of which 940.4172 shares are owned directly and 252.9189 shares are owned indirectly through the reporting person's 401(k) plan.
- F3Column 5 reflects the acquisition of 2.5201 shares from the reinvestment of cash dividends.
- F4Reports the grant of the contingent right to receive shares of common stock vesting in equal installments over a three-year vesting period.
- F5The number of shares in column 5 is the reporting person's best estimate based on a plan statement dated December 31, 2017.