0000905729-11-000186.txt : 20110527 0000905729-11-000186.hdr.sgml : 20110527 20110527112529 ACCESSION NUMBER: 0000905729-11-000186 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110526 FILED AS OF DATE: 20110527 DATE AS OF CHANGE: 20110527 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Nyblad Nels W CENTRAL INDEX KEY: 0001439069 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19202 FILM NUMBER: 11876711 MAIL ADDRESS: STREET 1: 17965 HALL ROAD CITY: CASNOVIA STATE: MI ZIP: 49318 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CHOICEONE FINANCIAL SERVICES INC CENTRAL INDEX KEY: 0000803164 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 382659066 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 109 E DIVISION STREET 2: P O BOX 186 CITY: SPARTA STATE: MI ZIP: 49345-0186 BUSINESS PHONE: 6168877366 MAIL ADDRESS: STREET 1: 109 EAST DIVISION STREET 2: P O BOX 186 CITY: SPARTA STATE: MI ZIP: 49345-0186 FORMER COMPANY: FORMER CONFORMED NAME: 1ST COMMUNITY BANCORP INC DATE OF NAME CHANGE: 19920703 4 1 primary_doc.xml PRIMARY DOCUMENT X0303 4 2011-05-26 0 0000803164 CHOICEONE FINANCIAL SERVICES INC (None) 0001439069 Nyblad Nels W 17965 HALL ROAD CASNOVIA MI 49318 1 0 0 0 Common Stock 2011-05-26 4 A 0 561 10.7 A 4113 I Reporting person's trust Common Stock 2299 D Common Stock 1200 I By IRA Common Stock 14448 I By spouse's trust Common Stock 150 I By spouse's IRA Common Stock 154 I By wife as UTMA custodian for daughters Shares held by wife for children under the Uniform Transfers to Minors Act. The reporting person disclaims beneficial ownership of these shares, and this report shall not be deemed an admission that the reporting person owns the shares for the purposes of Section 16 or any other purpose. /s/ Nels Nyblad 2011-05-26