SEC Form 5/A · accession 0001127602-16-038865
FIDELITY SOUTHERN CORP · LION
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 5/A). It replaces an earlier filing for the same period.
Reporting owner
James B Miller Jr.
Officer — Chairman · Director · 10% Owner · Other
Period of report
Dec 31, 2015
Accepted (ET)
Feb 2, 2016 · 8:56 am EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000822662
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Fidelity Southern Corporation - Common StockF1 | Dec 31, 2015 | J | 2,241 | $0.00 | A | 106,455 | I | By Trust - Spouse Estate |
| Fidelity Southern Corporation - Common StockF1 | Dec 31, 2015 | J | 4,881 | $0.00 | A | 233,573 | I | By Shares Held By Ltd Partnership |
| Fidelity Southern Corporation - Common StockF1 | Dec 31, 2015 | J | 235 | $0.00 | A | 12,456 | I | By Grandchild - N.p. Miller |
| Fidelity Southern Corporation - Common StockF2 | Dec 31, 2015 | J | 23 | $0.00 | D | 857 | I | By 401(k) |
| Fidelity Southern Corporation - Common Stock | holding | — | — | — | 2,755,914 | D | ||
| Fidelity Southern Corporation - Common Stock | holding | — | — | — | 247,672 | I | By Trust - Family |
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)F3 | $9.00 | holding | — | — | — | Dec 21, 2013 | Dec 21, 2017 | Fidelity Southern Corporation - Common Stock | 50,000 | 50,000 | D |
Explanation of responses
- F1Reinvested cash dividend shares received during the reporting year.
- F2Reallocation of 401(k) assets during the reporting year
- F316,667 on 12/21/2013; 16,666 on 12/21/2014; 16,666 on 12/21/2015