Filing Details

Accession Number:
0000892712-11-000708
Form Type:
4
Zero Holdings:
No
Publication Time:
2011-08-19 16:23:46
Reporting Period:
2011-08-15
Filing Date:
2011-08-19
Accepted Time:
2011-08-19 16:23:46
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
1518694 A. David Janssen 2450 Witzel Avenue
Oshkosh WI 54904
Yes No 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 2011-08-15 663 $6.75 4,163 No 4 P Indirect By 401K Plan
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect By 401K Plan
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Shareholder Warrants (Rights to Buy) Acquisiton 2011-08-15 132 $0.15 6,532 $12.50
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
6,532 2011-03-10 2012-07-24 No 4 P Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 37,300 Direct
Common Stock 1,000 Indirect As custodian for minor children
Reported Derivative Holdings
Sec. Name Sec. Type Price Date Expiration Date Amount Remaning Holdings Nature of Ownership
Common Stock Organizer Warrants (Right to Buy) $10.00 2011-03-10 2016-07-24 11,250 11,250 Direct
Common Stock Shareholder Warrants (Rights to Buy) $12.50 2011-03-10 2012-07-24 200 200 Indirect
Expiration Date Amount Remaning Holdings Nature of Ownership
2016-07-24 11,250 11,250 Direct
2012-07-24 200 200 Indirect
Footnotes
  1. Warrants issued in conjunction with a reorganization in exchange for previously exercisable warrants issued by Choice Bank.