-----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, VMP449ecYFou19JrV6ZteF+0G4gmNi8rM15Hjfl+voZI2ai/K6S49dwLY1uFjOkI j6XL8hJjiOI7JimOJDY2uQ== 0001209191-07-043485.txt : 20070723 0001209191-07-043485.hdr.sgml : 20070723 20070723172947 ACCESSION NUMBER: 0001209191-07-043485 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20070720 FILED AS OF DATE: 20070723 DATE AS OF CHANGE: 20070723 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: LARSEN LAWRENCE W CENTRAL INDEX KEY: 0001208525 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26719 FILM NUMBER: 07994458 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: CENTRAL INDUSTRIAL SUPPLY CO. STREET 2: 2916 WALKENT NW CITY: WALKER STATE: MI ZIP: 49504 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2007-07-20 0 0001042729 MERCANTILE BANK CORP MBWM 0001208525 LARSEN LAWRENCE W CENTRAL INDUSTRIAL SUPPLY 2916 WALKENT DRIVE NW GRAND RAPIDS MI 49504 1 0 0 0 Common Stock 2007-07-20 4 S 0 1678.461 20.43 D 0 I Jet Products, Inc. Profit Sharing Trust Common Stock 2955.668 D Common Stock 22109 I By spouse These shares were held by Jet Products, Inc. Profit Sharing Plan #2, for which Mr. Larsen is the trustee, and one of the beneficiaries. Mr. Larsen disclaims beneficial ownership of these shares, except to the extent of his pecuniary interest in the shares. Mr. Larsen is the trustee, and one of the beneficiaries of the Jet Products, Inc. Profit Sharing Plan #2. Mr. Larsen disclaims beneficial ownership of the shares held by this trust, except to the extent of his pecuniary interest in the shares. This share amount includes shares Mr. Larsen acquired since his last report of common stock ownership pursuant to the issuer's 5% stock dividends paid on May 4, 2007 and in certain prior years. Includes approximately 18,089 shares received on or about June 19, 2006 as a gift from Mr. Larsen to his spouse. This share amount also includes shares acquired by Mr. Larsen's spouse since Mr. Larsen's last report of common stock ownership, pursuant to the issuer's 5% stock dividends paid on May 4, 2007 and in certain prior years. /s/ Jerome M. Schwartz Attorney-in-fact 2007-07-23 -----END PRIVACY-ENHANCED MESSAGE-----