0001209191-12-055413.txt : 20121203 0001209191-12-055413.hdr.sgml : 20121203 20121203180707 ACCESSION NUMBER: 0001209191-12-055413 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121129 FILED AS OF DATE: 20121203 DATE AS OF CHANGE: 20121203 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Agerson Kirk CENTRAL INDEX KEY: 0001531409 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26719 FILM NUMBER: 121238588 MAIL ADDRESS: STREET 1: 2849 MICHIGAN STREET NE CITY: GRAND RAPIDS STATE: MI ZIP: 49506-1242 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: 310 LEONARD STREET NW CITY: GRAND RAPIDS STATE: MI ZIP: 49504 BUSINESS PHONE: 616 406-3000 MAIL ADDRESS: STREET 1: 310 LEONARD STREET NW CITY: GRAND RAPIDS STATE: MI ZIP: 49504 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2012-11-29 0 0001042729 MERCANTILE BANK CORP MBWM 0001531409 Agerson Kirk 2021 TALAMORE CT SE GRAND RAPIDS MI 49546 1 0 0 0 Common Stock 2012-11-29 4 A 0 1000 0.00 A 2205 D /s/ Bradley J. Wyatt Attorney-in-Fact 2012-12-03