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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Stock Option | $ 17.77 | 03/14/2008 | A | 3,800 (2) | (2) | 12/31/2008 | Common Stock | 3,800 | $ 0 | 3,800 | D | ||||
Stock Option | $ 11.85 | 03/14/2008 | A | 2,375 (2) | (2) | 12/31/2011 | Common Stock | 2,375 | $ 0 | 2,375 | D | ||||
Stock Option | $ 16.86 | 03/14/2008 | A | 4,750 (2) | (2) | 12/31/2012 | Common Stock | 4,750 | $ 0 | 4,750 | D | ||||
Stock Option | $ 19.75 | 03/14/2008 | A | 4,987 (2) | (2) | 12/31/2013 | Common Stock | 4,987 | $ 0 | 4,987 | D | ||||
Stock Option | $ 21.94 | 03/14/2008 | A | 4,750 (2) | (2) | 12/30/2014 | Common Stock | 4,750 | $ 0 | 4,750 | D | ||||
Stock Option | $ 18.71 | 03/14/2008 | A | 2,375 (2) | (2) | 12/30/2015 | Common Stock | 2,375 | $ 0 | 2,375 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
POTHOVEN JOHN P 102 SOUTH CLINTON STREET IOWA CITY, IA 52240 |
President & CEO/Subsidiary |
/s/ John P. Pothoven | 03/18/2008 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Received in exchange for shares of MidWestOne Financial Group, Inc. ("OSKY") common stock in connection with the merger of OSKY into MidWestOne Financial Group, Inc. (f/k/a ISB Financial Corp.)("MOFG") at a rate of 0.95 share of MOFG common stock for each share of OSKY common stock. On the effective date of the merger, the closing price of OSKY common stock was $16.60 per share, and the closing price of MOFG common stock was $18.25. |
(2) | Received in the merger in exchange for an option to acquire shares of OSKY common stock. Pursuant to the terms of the merger, all outstanding options to acquire OSKY common stock became fully vested prior to the effective time of the merger and became exercisable for the number of whole shares of MOFG common stock equal to the number of shares of OSKY common stock subject to the option multiplied by 0.95 (rounded down to the nearest whole number) with an exercise price equal to the original exercise price divided by 0.95 (rounded up to the nearest whole cent). |