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