SEC Form 4 · accession 0001225208-16-023083
AMERIANA BANCORP · ASBI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael W Wells
Director
Period of report
Dec 31, 2015
Accepted (ET)
Jan 4, 2016 · 2:05 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000855574
Table I — non-derivative securities
No Table I lines on this filing.
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)F1 | $11.93 | Dec 31, 2015 | D | 500 | D | — | Sep 20, 2023 | Common Stock | 500 | 0 | D |
Explanation of responses
- F1Pursuant to the Merger Agreement, prior to the effective time of the merger each outstanding option to purchase Ameriana Bancorp common stock was cancelled and the reporting person received a cash payment equal to $22.92 per share minus the applicable option exercise price.