0001179110-18-013502.txt : 20181206
0001179110-18-013502.hdr.sgml : 20181206
20181206125040
ACCESSION NUMBER: 0001179110-18-013502
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181205
FILED AS OF DATE: 20181206
DATE AS OF CHANGE: 20181206
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Baack Jerry J.
CENTRAL INDEX KEY: 0001733126
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38412
FILM NUMBER: 181219886
MAIL ADDRESS:
STREET 1: 3800 AMERICAN BOULEVARD WEST
STREET 2: SUITE 100
CITY: BLOOMINGTON
STATE: MN
ZIP: 55431
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Bridgewater Bancshares Inc
CENTRAL INDEX KEY: 0001341317
STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022]
IRS NUMBER: 000000000
STATE OF INCORPORATION: MN
BUSINESS ADDRESS:
STREET 1: 3800 AMERICAN BOULEVARD WEST
STREET 2: SUITE 100
CITY: BLOOMINGTON
STATE: MN
ZIP: 55431
BUSINESS PHONE: (952) 893-6866
MAIL ADDRESS:
STREET 1: 3800 AMERICAN BOULEVARD WEST
STREET 2: SUITE 100
CITY: BLOOMINGTON
STATE: MN
ZIP: 55431
4
1
edgar.xml
FORM 4 -
X0306
4
2018-12-05
0
0001341317
Bridgewater Bancshares Inc
BWB
0001733126
Baack Jerry J.
C/O BRIDGEWATER BANCSHARES, INC.
3800 AMERICAN BLVD WEST, SUITE 100
BLOOMINGTON
MN
55431
1
1
0
0
President & CEO
Common Stock
2018-12-05
4
M
0
25000
3.00
A
790504
D
Common Stock
4000
I
By Roth IRA
Common Stock
260000
I
By IRA
Common Stock
4200
I
By dependent child
Common Stock
1000
I
As custodian for child
Common Stock
1000
I
As custodian for child
Common Stock
1000
I
As custodian for child
Option to buy
3.00
2018-12-05
4
M
0
25000
0
D
2023-12-31
Common Stock
25000
125000
D
Option to buy
7.47
2027-09-30
Common Stock
150000
150000
D
Options to buy granted under the 2012 Combined Incentive and Non-Statutory Stock Option Plan.
Options exercisable in 20% increments on the first five anniversaries of the date of the grant which was 1/1/2014.
Options to buy granted under the 2017 Combined Incentive and Non-Statutory Stock Option Plan.
Options exercisable in 20% increments on the first five anniversaries of the date of the grant which was 10/1/2017.
On March 19, 2018, the reporting person filed a Form 4 which inadvertently reported that the reporting person beneficially owned 300,000 derivative securities at an exercise price of $7.47 granted under the 2017 Combined Incentive and Non-Statutory Stock Option Plan (which amount was the aggregate of all derivative securities beneficially owned by the reporting person following such reported transaction). In fact, on March 19, 2018 the reporting person beneficially owned 150,000 derivative securities at an exercise price of $7.47 granted under the 2017 Combined Incentive and Non-Statutory Stock Option Plan and beneficially owned 150,000 derivative securities at an exercise price of $3.00 granted under the 2012 Combined Incentive and Non-Statutory Stock Option Plan.
/s/ Ben Klocke, attorney-in-fact
2018-12-06