SEC Form 4 · accession 0000905729-18-000120
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
Jun 1, 2018
Accepted (ET)
Jun 5, 2018 · 3:16 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 | holding | — | — | — | 1,628 | D |
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) | $25.65 | Jun 1, 2018 | A | 375 | A | Jun 1, 2018 | May 31, 2028 | Common | 375 | 375 | D |
| Stock Option (Right to Buy) | $25.65 | Jun 1, 2018 | A | 375 | A | Jun 1, 2019 | May 31, 2028 | Common | 375 | 375 | D |
| Stock Option (Right to Buy) | $25.65 | Jun 1, 2018 | A | 375 | A | Jun 1, 2020 | May 31, 2028 | Common | 375 | 375 | D |
| Stock Option (Right to Buy) | $25.65 | Jun 1, 2018 | A | 375 | A | Jun 1, 2021 | May 31, 2028 | Common | 375 | 375 | D |
Explanation of responses
- F1On April 25, 2018, ChoiceOne Financial Services, Inc. announced a 5% stock dividend, payable to all holders of record as of May 10, 2018. As a result, the reporting person received 77.5408 shares of common stock as of May 31, 2018, of which 77.5408 shares are owned directly.