SEC Form 4 · accession 0000905729-18-000122
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
Jun 1, 2018
Accepted (ET)
Jun 5, 2018 · 3:18 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 | — | — | — | 11,909 | D | ||
| Common StockF1 | holding | — | — | — | 1,608 | 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) | $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 643.6520 shares of common stock as of May 31, 2018, of which 567.0740 shares are owned directly and 76.5780 shares are owned indirectly through the reporting person's 401(k) plan.