0001493152-18-003296.txt : 20180313
0001493152-18-003296.hdr.sgml : 20180313
20180313172456
ACCESSION NUMBER: 0001493152-18-003296
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180309
FILED AS OF DATE: 20180313
DATE AS OF CHANGE: 20180313
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HERPICH MARK A
CENTRAL INDEX KEY: 0001074516
STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021]
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-33203
FILM NUMBER: 18687486
MAIL ADDRESS:
STREET 1: 701 POYNTZ AVENUE
CITY: MANHATTAN
STATE: KS
ZIP: 66052
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: LANDMARK BANCORP INC
CENTRAL INDEX KEY: 0001141688
STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021]
IRS NUMBER: 431930755
STATE OF INCORPORATION: CA
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 701 POYNTZ AVENUE
CITY: MANHATTAN
STATE: KS
ZIP: 66502
BUSINESS PHONE: 7855652000
MAIL ADDRESS:
STREET 1: 701 POYNTZ AVENUE
CITY: MANHATTAN
STATE: KS
ZIP: 66502
FORMER COMPANY:
FORMER CONFORMED NAME: LANDMARK MERGER CO
DATE OF NAME CHANGE: 20010530
4
1
form4.xml
X0306
4
2018-03-09
0
0001141688
LANDMARK BANCORP INC
LARK
0001074516
HERPICH MARK A
3225 WILLOWOOD CIR
MANHATTAN
KS
66502
0
1
0
0
Chief Financial Officer
Common Stock
2018-03-09
4
M
0
3825
28.90
A
75409
D
Common Stock
2018-03-09
4
S
0
3825
28.90
D
71584
D
Common Stock
3456
I
IRA
Options to Purchase Common Stock
14.10
2018-03-09
4
M
0
3825
0.00
D
2018-04-23
Common Stock
3825
24923
D
As adjusted for the Company's 5% stock dividends in December 2016 and 2017.
The options vested in 4 equal installments on April 23, 2009, 2010, 2011, and 2012.
/s/ Mark A. Herpich
2018-03-13