-----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, S6S6FdjnDuXfc0RoaFFM9hSRBlztyJ9WkM06gdI4mj3QeWfwpolLl2Lj+1bDx23X bLlioFZYx27d5I+k6CxO6Q== 0001209191-04-048435.txt : 20041014 0001209191-04-048435.hdr.sgml : 20041014 20041014170639 ACCESSION NUMBER: 0001209191-04-048435 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041012 FILED AS OF DATE: 20041014 DATE AS OF CHANGE: 20041014 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: JOHNSON GERALD R JR CENTRAL INDEX KEY: 0001208519 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26719 FILM NUMBER: 041079404 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: MERCANTILE BANK CORP. STREET 2: 5650 BYRON CENTER S.W. CITY: WYOMING STATE: MI ZIP: 49509 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2004-10-12 0 0001042729 MERCANTILE BANK CORP MBWM 0001208519 JOHNSON GERALD R JR C/O MERCANTILE BANK CORPORATION 5650 BYRON CENTER AVENUE S.W. WYOMING MI 49509 1 1 0 0 Chairman & Chief Exec. Officer Common Stock 2004-10-12 4 F 0 3269 37.745 D 63620 D Common Stock 2004-10-12 4 M 0 15000 8.227 A 78620 D Common Stock 8488 I 401(k) Plan Employee Stock Option (right to buy) 8.227 2004-10-12 4 M 0 15000 D 2007-07-21 Common Stock 15000 23120 D Includes approximately 3,185 shares acquired pursuant to the issuer's 5% stock dividend paid May 3, 2004. This option became exercisable for 25% of the shares covered by the option on 07/22/1997, and for an additional 25% on each subsequent 07/22 until it was exercisable in full on 7/22/2000. No price is entered here as this is an employee stock option. Jerome M. Schwartz Attorney-in-fact 2004-10-14 -----END PRIVACY-ENHANCED MESSAGE-----