0001503249-15-000017.txt : 20150518
0001503249-15-000017.hdr.sgml : 20150518
20150518113540
ACCESSION NUMBER: 0001503249-15-000017
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150514
FILED AS OF DATE: 20150518
DATE AS OF CHANGE: 20150518
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hipp H Neel JR
CENTRAL INDEX KEY: 0001351587
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-51907
FILM NUMBER: 15872292
MAIL ADDRESS:
STREET 1: 500 E. WASHINGTON ST.
CITY: GREENVILLE
STATE: SC
ZIP: 29601
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2015-05-14
0
0001311828
Independence Bancshares, Inc.
IEBS
0001351587
Hipp H Neel JR
500 E. WASHINGTON ST.
GREENVILLE
SC
29601
1
0
0
0
COMMON STOCK
31500
D
COMMON STOCK
8000
I
BY SELF AS TRUSTEE FOR H. NEEL HIPP, JR 1987 FAMILY TRUST
COMMON STOCK
5000
I
BY SELF AS TRUSTEE FOR HERMAN N. HIPP TRUST FBO MARY LADSON HIPP HADDOW
COMMON STOCK
5000
I
BY SELF AS TRUSTEE FOR HERMAN N. HIPP TRUST FBO WILLIAM F. HIPP
COMMON STOCK
5000
I
BY SELF AS TRUSTEE FOR HERMAN N. HIPP TRUST FBO EDWARD F. HIPP
COMMON STOCK
5000
I
BY SELF AS TRUSTEE FOR HERMAN N. HIPP TRUST FBO JANE GAGE HIPP CAULDER
COMMON STOCK
1000
I
BY SELF AS TRUSTEE FOR JANE GAGE HIPP CAULDER 1990 FAMILY TRUST
COMMON STOCK
5000
I
BY SELF AS TRUSTEE FOR JFH AND HNH LP #1
COMMON STOCK
125000
I
H. NEEL HIPP, JR. REVOCABLE TRUST
COMMON STOCK
133000
I
AS TRUSTEE FOR THE H. NEEL HIPP 1987 FAMILY TRUST
STOCK OPTION (RIGHT TO BUY)
0.65
2015-05-14
4
A
0
20000
0
A
2015-05-14
2025-05-14
COMMON STOCK
20000
20000
D
Shared investment and voting power.
/S/ H. NEEL HIPP, JR. BY NELSON MULLINS LAW FIRM WITH POWER OF ATTORNEY
2015-05-18