Filing Details

Accession Number:
0000892712-11-000748
Form Type:
4
Zero Holdings:
No
Publication Time:
2011-09-13 14:07:58
Reporting Period:
2011-09-07
Filing Date:
2011-09-13
Accepted Time:
2011-09-13 14:07:58
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1487623 Choice Bancorp Inc. CBKW State Commercial Banks (6022) 000000000
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1518583 F. John Glynn 2450 Witzel Avenue
Oshkosh WI 54904
Chief Financial Officer No Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2011-09-07 100 $6.00 350 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
Reported Derivative Holdings
Sec. Name Sec. Type Price Date Expiration Date Amount Remaning Holdings Nature of Ownership
Common Stock Common Stock Warrants $12.50 2006-07-14 2012-07-24 50 50 Direct
Common Stock Stock Options $10.00 2019-07-27 5,000 5,000 Direct
Expiration Date Amount Remaning Holdings Nature of Ownership
2012-07-24 50 50 Direct
2019-07-27 5,000 5,000 Direct
Footnotes
  1. One third of the options were exercisable on 7/27/2010, one third were exercisable on 7/27/2011 and the remaining one third will be exercisable on 7/27/2012.