Filing Details

Accession Number:
0000892712-11-000743
Form Type:
4
Zero Holdings:
No
Publication Time:
2011-09-08 18:25:57
Reporting Period:
2011-09-07
Filing Date:
2011-09-08
Accepted Time:
2011-09-08 17:25:57
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
1518623 D. Mark Troudt 2450 Witzel Avenue
Oshkosh WI 54904
Risk Management Officer Yes 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 Disposition 2011-09-07 1,500 $6.50 26,370 No 4 P Indirect Mark D. & Christine G. Troudt Revocable Trust U/A dated 3/26/07
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect Mark D. & Christine G. Troudt Revocable Trust U/A dated 3/26/07
Reported Derivative Holdings
Sec. Name Sec. Type Price Date Expiration Date Amount Remaning Holdings Nature of Ownership
Common Stock Shareholder Warrants (Rights to Buy) $12.50 2011-03-10 2012-07-24 3,500 3,500 Direct
Common Stock Organizer Warrants (Right to Buy) $10.00 2011-03-10 2016-07-24 11,250 11,250 Direct
Common Stock Stock Options $10.00 2009-07-24 2016-07-24 5,000 5,000 Direct
Expiration Date Amount Remaning Holdings Nature of Ownership
2012-07-24 3,500 3,500 Direct
2016-07-24 11,250 11,250 Direct
2016-07-24 5,000 5,000 Direct
Footnotes
  1. Warrants issued in conjunction with a reorganization in exchange for previously exercisable warrants issued by Choice Bank.