-----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, Jmjcezfh83/QfTL3NgPHsFtgJ8aQwgJRA8N4OnNVQtIabskd2EBY5QqeYwKEVzMn bBe7xDAcE5AZzcBxij73mA== 0001209191-04-028179.txt : 20040527 0001209191-04-028179.hdr.sgml : 20040527 20040527124538 ACCESSION NUMBER: 0001209191-04-028179 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040525 FILED AS OF DATE: 20040527 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: 04834318 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 X0202 4 2004-05-25 0 0001042729 MERCANTILE BANK CORP MBWM 0001208531 VISSER DALE J VISSER BROTHERS, INC. 1946 TURNER NW GRAND RAPIDS MI 49504 1 0 0 0 Common Stock 2004-05-25 4 P 0 24000.0000 32.1260 A 55500.0000 I Trustee and a beneficiary of a charitable remainder trust Common Stock 33023.2770 I Trustee for family members Common Stock 134893.5320 D Mr. 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. Mr. Visser disclaims beneficial ownership of these shares. Includes approximately 28 shares acquired by reinvesting cash dividends under the issuer's dividend reinvestment plan and the 5% stock dividend paid May 3, 2004 on the shares acquired by reinvesting such cash dividends under the plan. The share amount reflects a 1.468 share decrease to reconcile the amount owned with Mr. Visser's records. Jerome M. Schwartz Attorney-in-fact 2004-05-27 -----END PRIVACY-ENHANCED MESSAGE-----