Filing Details

Accession Number:
0000892712-12-000092
Form Type:
4
Zero Holdings:
No
Publication Time:
2012-02-24 18:12:33
Reporting Period:
2012-02-22
Filing Date:
2012-02-24
Accepted Time:
2012-02-24 18:12:33
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
1518608 S. Jeffrey Rogge 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 2012-02-22 250 $10.00 25,750 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Shareholder Warrants (Right to Buy) Acquisiton 2012-02-22 50 $0.00 50 $12.50
Common Stock Employee Stock Option (Right to Buy) Acquisiton 2011-12-05 2,500 $0.00 2,500 $6.60
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
5,150 2011-03-10 2012-07-24 No 4 P Direct
2,500 2011-12-05 2021-12-05 No 4 A Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 500 Indirect By spouse
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 (Right to Buy) $12.50 2011-03-10 2012-07-24 100 100 Indirect
Expiration Date Amount Remaning Holdings Nature of Ownership
2016-07-24 11,250 11,250 Direct
2012-07-24 100 100 Indirect
Footnotes
  1. Warrants issued in conjunction with a reorganization in exchange for previously exercisable warrants issued by Choice Bank.