0001311828-18-000005.txt : 20180125
0001311828-18-000005.hdr.sgml : 20180125
20180125163859
ACCESSION NUMBER: 0001311828-18-000005
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180123
FILED AS OF DATE: 20180125
DATE AS OF CHANGE: 20180125
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ECHLOV RUSSELL
CENTRAL INDEX KEY: 0001643131
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-51907
FILM NUMBER: 18548729
MAIL ADDRESS:
STREET 1: 500 E WASHINGTON ST
CITY: GREENVILLE
STATE: SC
ZIP: 29601
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Independence Bancshares, Inc.
CENTRAL INDEX KEY: 0001311828
STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021]
IRS NUMBER: 201734180
STATE OF INCORPORATION: SC
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 500 E. WASHINGTON STREET
STREET 2: P.O. BOX 1776
CITY: GREENVILLE
STATE: SC
ZIP: 29602
BUSINESS PHONE: 864-672-1776
MAIL ADDRESS:
STREET 1: 500 E. WASHINGTON STREET
STREET 2: P.O. BOX 1776
CITY: GREENVILLE
STATE: SC
ZIP: 29602
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2018-01-23
0
0001311828
Independence Bancshares, Inc.
IEBS
0001643131
ECHLOV RUSSELL
500 E WASHINGTON ST
GREENVILLE
SC
29601
1
0
0
0
Series A Preferred Stock
1000
2018-01-23
4
J
0
1910
1000
D
Common Stock
2387500
540
I
By Mendon Capital Master Fund Ltd.
Series A Preferred Stock
1000
2018-01-23
4
J
0
290
1000
D
Common Stock
362500
250
I
By Mendon Capital QP LP
Series A Preferred Stock
1000
2018-01-23
4
J
0
250
1000
D
Common Stock
312500
0
I
By Iron Road Multi-Strategy Fund LP,
Disposed of pursuant to that certain Agreement and Plan of Merger dated as of September 25, 2017, between First Reliance Bancshares, Inc. (First Reliance), FR Merger Subsidiary, Inc. (Merger Sub), and Independence Bancshares, Inc. (Independence), pursuant to which Independence was merged with and into First Reliance. Immediately prior to the effective time of the merger, each share of Independence Series A Preferred Stock was redeemed for its stated per share redemption price by the payment of cash in the amount of $1,000.
Mr. Echlov is an assistant portfolio manager at RMB Capital Management, LLC, which is the investment advisor for Iron Road Multi-Strategy Fund LP, Mendon Capital, QP, and Mendon Capital Master Fund, Ltd. Mr. Echlov has dispositive voting power over the securities of the Issuer held by Iron Road Multi-Strategy Fund LP, Mendon Capital, QP, and Mendon Capital Master Fund, Ltd.
These shares are owned directly by Mendon Capital Master Fund Ltd.
These shares are owned directly by Mendon Capital QP.
These shares are owned directly by Iron Road Multi-Strategy Fund, LP.
Not Applicable
/s/Russell Echlov
2018-01-25