SEC Form 4 · accession 0000905729-18-000129
CHOICEONE FINANCIAL SERVICES INC · COFS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
James A Bosserd
Officer — Chief Executive Officer · Director
Period of report
Jun 25, 2018
Accepted (ET)
Jun 27, 2018 · 1:46 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 | Jun 25, 2018 | M | 4,000 | $21.13 | A | 19,059 | D | |
| Common Stock | Jun 25, 2018 | F | 3,191 | $26.49 | D | 15,868 | D | |
| Common StockF1 | holding | — | — | — | 7,832 | I | IRA |
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) | $21.13 | Jun 25, 2018 | M | 2,205 | D | Dec 16, 2015 | Jun 1, 2019 | Common | 2,205 | 0 | D |
| Stock Option (Right to Buy) | $21.13 | Jun 25, 2018 | M | 1,795 | D | Jun 1, 2016 | Jun 1, 2019 | Common | 1,795 | 0 | 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 1,090.0383 shares of common stock as of May 31, 2018, of which 717.0983 shares are owned directly and 372.9400 shares are owned indirectly through the reporting person's IRA.