0001415889-22-013099.txt : 20221230 0001415889-22-013099.hdr.sgml : 20221230 20221230161727 ACCESSION NUMBER: 0001415889-22-013099 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221228 FILED AS OF DATE: 20221230 DATE AS OF CHANGE: 20221230 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Worthington Robert T. CENTRAL INDEX KEY: 0001675913 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26719 FILM NUMBER: 221502159 MAIL ADDRESS: STREET 1: 310 LEONARD ST NW CITY: GRAND RAPIDS STATE: MI ZIP: 49504 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 form4-12302022_091217.xml X0306 4 2022-12-28 0001042729 MERCANTILE BANK CORP MBWM 0001675913 Worthington Robert T. C/O MERCANTILE BANK CORPORATION 310 LEONARD ST. GRAND RAPIDS MI 49504 false true false false SVP, CRO, SECRETARY, AND GC Common Stock 2022-12-28 4 A 0 85 0 A 11413 D Common Stock 2022-12-28 4 A 0 338 0 A 11751 D Common Stock 2022-12-28 4 A 0 748 0 A 12499 D Common Stock 25006 I In 401(k) plan Employee Stock Option (right to buy) 36.22 2018-11-17 2023-11-16 Common Stock 500 500 D These shares are not a new award, rather they represent an adjustment to the number of shares that are anticipated to be earned at the end of the three-year performance period for the 2019 performance grants based upon an evaluation of performance metrics conducted at December 28, 2022. These shares are not a new award, rather they represent an adjustment to the number of shares that are anticipated to be earned at the end of the three-year performance period for the 2020 performance grants based upon an evaluation of performance metrics conducted at December 28, 2022. These shares are not a new award, rather they represent an adjustment to the number of shares that are anticipated to be earned at the end of the three-year performance period for the 2021 performance grants based upon an evaluation of performance metrics conducted at December 28, 2022. Includes shares acquired pursuant to the issuer's 401(k) Plan since last report of common stock ownership. /s/ Bradley J. Wyatt, Attorney-in-Fact 2022-12-30