-----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, WD/yNbHeebEniO2L24DGOurPtF7NvDHOj3SEaI4HQmA2G5kVqq5b1c1ypOvjqpOe DgyPRFMeAGrpgZK8/Uu1Bg== 0001209191-05-052629.txt : 20051017 0001209191-05-052629.hdr.sgml : 20051017 20051017203136 ACCESSION NUMBER: 0001209191-05-052629 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051012 FILED AS OF DATE: 20051017 DATE AS OF CHANGE: 20051017 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: 051141884 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 2005-10-12 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 2005-10-12 4 P 0 5000 38.4624 A 39770.765 I Trust for Family Members Common Stock 5250 I By Spouse Common Stock 58275 I Trustee and a beneficiary of charitable remainder trust Common Stock 141636.849 D Includes shares acquired pursuant to the issuers 5% stock dividend paid August 1, 2005, and shares acquired by reinvesting cash dividends under the issuer's dividend reinvestment plan. Mr. Visser disclaims beneficial ownership of these shares. Includes approximately 250 shares acquired pursuant to the issuer's 5% stock dividend paid August 1, 2005. Includes approximately 2,775 shares acquired pursuant to the issuer's 5% stock dividend paid August 1, 2005. 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. Includes approximately 6,744 shares acquired pursuant to the issuer's 5% stock dividend paid August 1, 2005. /s/ Jerome M. Schwartz Attorney-in-fact 2005-10-17 -----END PRIVACY-ENHANCED MESSAGE-----