0001412665-23-000016.txt : 20230217 0001412665-23-000016.hdr.sgml : 20230217 20230217185013 ACCESSION NUMBER: 0001412665-23-000016 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20230215 FILED AS OF DATE: 20230217 DATE AS OF CHANGE: 20230217 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ray Barry S CENTRAL INDEX KEY: 0001632460 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35968 FILM NUMBER: 23644595 MAIL ADDRESS: STREET 1: 102 S. CLINTON STREET STREET 2: P.O. BOX 1700 CITY: IOWA CITY STATE: IA ZIP: 52244-1700 FORMER NAME: FORMER CONFORMED NAME: Ray Barry DATE OF NAME CHANGE: 20150202 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MidWestOne Financial Group, Inc. CENTRAL INDEX KEY: 0001412665 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 421206172 STATE OF INCORPORATION: IA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 102 SOUTH CLINTON ST. CITY: IOWA CITY STATE: IA ZIP: 52240 BUSINESS PHONE: 319-356-5800 MAIL ADDRESS: STREET 1: 102 SOUTH CLINTON ST. CITY: IOWA CITY STATE: IA ZIP: 52240 FORMER COMPANY: FORMER CONFORMED NAME: ISB Financial Corp. DATE OF NAME CHANGE: 20070918 4 1 wf-form4_167667778772528.xml FORM 4 X0306 4 2023-02-15 0 0001412665 MidWestOne Financial Group, Inc. MOFG 0001632460 Ray Barry S 102 S. CLINTON STREET P.O. BOX 1700 IOWA CITY IA 52244-1700 0 1 0 0 Senior EVP & CFO Common Stock 2023-02-15 4 F 0 728 30.97 D 11495.325 D Common Stock 2023-02-15 4 A 0 1919.631 0 A 13414.325 D Common Stock 2023-02-15 4 F 0 581 30.97 D 12833.325 D Common Stock 2023-02-15 4 A 0 2324.83 0 A 15158.155 D Common Stock 889 I ESOP Shares withheld to pay payroll taxes due upon the vesting of time-based restricted stock units from prior years' awards. Includes 61.191 Dividend Equivalents credited to unvested time-based RSUs in lieu of a cash dividend payment since the reporting person's last required Form filing, less 1.044 cumulative fractional Dividend Equivalents paid out in cash upon vesting on February 15, 2023. Each whole Dividend Equivalent is the economic equivalent of one share of MidWestOne Financial Group, Inc. stock. Shares of common stock acquired upon settlement of performance stock unit award granted to the reporting person on February 15, 2020. Amount reported was reduced by 0.631 fractional Dividend Equivalent on the performance RSUs, paid out in cash upon vesting on February 15, 2023. Shares withheld to pay payroll taxes due upon the vesting of the above-referenced performance stock unit award on February 15, 2023. Represents restricted stock units acquired pursuant to a grant of time-based restricted stock units which vest in three approximately equal annual installments beginning February 15, 2024. Shares allocated to the reporting person's account from within the MidWestOne Financial Group, Inc. Employee Stock Ownership Plan, as of February 15, 2023. Reported shares have increased by 20 shares since the date of the reporting person's previous Form filing due to allocations to his account. Kenneth R. Urmie, Corporate Secretary, for Barry S. Ray under Power of Attorney dated January 20, 2021 2023-02-17 EX-24 2 ex-24.txt POWER OF ATTORNEY FOR BARRY S. RAY MIDWESTONE FINANCIAL GROUP, INC. POWER OF ATTORNEY (SECTIONS 13(d) AND 16(a) MATTERS) Know all by these present the undersigned hereby constitutes and appoints each of Kenneth R. Urmie, John J. Ruppel, and Celeste M. Yoder, signing singly, as the undersigned's true and lawful attorneys-in-fact to: (1) execute for and on behalf of the undersigned, in the undersigned's capacity as a more than five percent (5%) stockholder (if applicable) of MidWestOne Financial Group, Inc. (the "Company"), any Schedule 13D or Schedule 13G and any amendments thereto in accordance with Section 13(d) of the Securities Exchange Act of 1934 (the "Exchange Act") and the rules thereunder; (2) execute for and on behalf of the undersigned, in the undersigned's capacity as a director, officer or stockholder of the Company or a subsidiary of the Company, Forms 3, 4 and 5 in accordance with Section 16(a) of the Exchange Act and the rules thereunder; (3) do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4 or 5 and any such Schedule 13D or Schedule 13G and any amendments thereto and timely file such form or schedule with the United States Securities and Exchange Commission, the Nasdaq Stock Market, the Company and any stock exchange or similar authority; and (4) take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact's discretion. The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power or substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned's responsibilities to comply with Section 13(d) or Section 16 of the Exchange Act. This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4 and 5 and Schedule 13D or Schedule 13G (including any amendments thereto) with respect to the undersigned's holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact. For good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the undersigned, to the fullest extent permitted by law: (i) agrees to hold the attorneys-in-fact and the Company harmless from all liability, loss, cost, damage or expense of any nature, including reasonable attorneys' fees and expenses sustained or incurred by the attorneys-in-fact or Company in connection with the performance, or non-performance, of the actions described in paragraphs (1) - (4) above; and (ii) irrevocably releases and waives any and all claims (in law or equity) against the attorneys-in-fact and the Company, and all of their respective heirs, estates, successors and assigns, as the case may be, relating to the performance, or non-performance, of the actions described in paragraphs (1) - (4) above. IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of the 20th day of January, 2021. /s/ Barry S. Ray Print Name: Barry S. Ray