SEC Form 4 · accession 0000905729-18-000087
CHOICEONE FINANCIAL SERVICES INC · COFS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mary J Johnson
Officer — Secretary
Period of report
Apr 15, 2018
Accepted (ET)
Apr 17, 2018 · 3:48 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 | 600 | $0.00 | A | 14,926 | D | |
| Common StockF2,F4 | holding | — | — | — | 5,638 | I | By spouse's 401(k) Plan | |
| Common StockF2,F5 | holding | — | — | — | 1,028 | I | 401(k) Plan |
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 961.3724 shares of common stock as of May 31, 2017, of which 649.6162 shares are owned directly and 311.7562 shares are owned indirectly.
- F3Column 5 reflects the acquisition of 329.3549 shares under the ChoiceOne Financial Services, Inc. Employee Stock Purchase Plan and 324.7972 shares from the reinvestment of cash dividends.
- F4Column 5 reflects the acquisition of 119.6690 shares from the reinvestment of cash dividends.
- F5The number of shares in column 5 is the reporting person's best estimate based on a plan statement dated December 31, 2017.