SEC Form 4 · accession 0000905729-18-000086
CHOICEONE FINANCIAL SERVICES INC · COFS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Bradley Henion
Officer — S.V.P. - ChoiceOne Bank (Sub.)
Period of report
Apr 15, 2018
Accepted (ET)
Apr 17, 2018 · 3:46 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 StockF1,F2,F3 | Apr 15, 2018 | A | 500 | $0.00 | A | 1,681 | D | |
| Common StockF4 | Apr 15, 2018 | F | 131 | $26.00 | D | 1,551 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Reports the grant of the contingent right to receive shares of common stock vesting in equal installments over a three-year vesting period.
- 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 51.3100 shares of common stock as of May 31, 2017.
- F3Column 5 reflects the acquisition of 3.8168 shares from the reinvestment of cash dividends.
- F4Shares forfeited upon conversion of stock units granted on April 15, 2016 and April 15, 2017 to common stock.