-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Ulb8qE1oY8HTRCBZeiGiahhWVN+vZZGjtxmNoOfDXHY6i4TKwYVf1Ndi/B/6cm90 NWawLaTtABf0d6C2ygP5Wg== 0001209191-03-029682.txt : 20031110 0001209191-03-029682.hdr.sgml : 20031110 20031110212552 ACCESSION NUMBER: 0001209191-03-029682 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031107 FILED AS OF DATE: 20031110 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MERCANTILE BANK CORP CENTRAL INDEX KEY: 0001042729 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 383360865 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5650 BYRON CENTER AVENUE S. W. CITY: WYOMING STATE: MI ZIP: 49509 BUSINESS PHONE: 616 406-3777 MAIL ADDRESS: STREET 1: 5650 BYRON CENTER AVENUE S. W. CITY: WYOMING STATE: MI ZIP: 49509 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: VISSER DALE J CENTRAL INDEX KEY: 0001208531 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26719 FILM NUMBER: 03990102 BUSINESS ADDRESS: STREET 1: DICKENSON WRIGHT PLLC STREET 2: 500 WOODWARD, #4000 CITY: DETROIT STATE: MI ZIP: 48226 BUSINESS PHONE: 616-975-7746 MAIL ADDRESS: STREET 1: VISSER BROTHERS, INC. STREET 2: 1946 TURNER N.W. CITY: GRAND RAPIDS STATE: MI ZIP: 49504 4 1 doc4.xml FORM 4 SUBMISSION X0201 42003-11-070 0001042729 MERCANTILE BANK CORP MBWM 0001208531 VISSER DALE J VISSER BROTHERS, INC. 1946 TURNER NW GRAND RAPIDS MI 49504 1000Common Stock2003-11-074P04600.000032.4980A28709.1130ITrustee and a beneficiary of charitable remainder trustCommon Stock2003-11-074P0800.000032.5280A29509.1130ITrustee and a beneficiary of charitable remainder trustCommon Stock2003-11-074P0600.000032.5400A30109.1130ITrustee and a beneficiary of charitable remainder trustCommon Stock31416.7680ITrustee for family membersCommon Stock124523.1970DMr. Visser disclaims beneficial ownership of the issuer's common stock held by the trust except to the extent of his and his wife's pecuniary interest in the stock.Includes 109.113 shares acquired on 9/10/03 by reinvesting dividends under the issuer's dividend reinvestment plan.Mr. Visser disclaims beneficial ownership of these shares.Includes 59.768 shares acquired on 9/10/03 by reinvesting dividends under the issuer's dividend reinvestment plan.Includes 106.197 shares acquired on 9/10/03 by reinvesting dividends under the issuer's dividend reinvestment plan.Jerome M. Schwartz Attorney-in-fact2003-11-10 -----END PRIVACY-ENHANCED MESSAGE-----