0001736609-22-000005.txt : 20220405 0001736609-22-000005.hdr.sgml : 20220405 20220405195429 ACCESSION NUMBER: 0001736609-22-000005 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220401 FILED AS OF DATE: 20220405 DATE AS OF CHANGE: 20220405 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: David Shukri W. CENTRAL INDEX KEY: 0001736609 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38458 FILM NUMBER: 22809040 MAIL ADDRESS: STREET 1: 32991 HAMILTON COURT CITY: FARMINGTON HILLS STATE: MI ZIP: 48334 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Level One Bancorp Inc CENTRAL INDEX KEY: 0001412707 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 711015624 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 32991 HAMILTON COURT CITY: Farmington Hills STATE: MI ZIP: 48334 BUSINESS PHONE: 248-737-0300 MAIL ADDRESS: STREET 1: 32991 HAMILTON COURT CITY: Farmington Hills STATE: MI ZIP: 48334 4 1 wf-form4_164920285503778.xml FORM 4 X0306 4 2022-04-01 1 0001412707 Level One Bancorp Inc LEVL 0001736609 David Shukri W. 32991 HAMILTON COURT FARMINGTON HILLS MI 48334 1 0 0 0 Common Stock 2022-04-01 4 D 0 87385 D 0 I By Shudun Holdings, LLC Common Stock 2022-04-01 4 D 0 557 D 0 I Dunia David Trust Common Stock 2022-04-01 4 D 0 12273 D 0 D Pursuant to the Agreement and Plan of Merger, dated November 4, 2021 (the "Merger Agreement"), between First Merchants Corporation ("First Merchants") and Level One Bancorp, Inc. ("Level One"), each share of Level One common stock held by the reporting person was converted into the right to receive 0.7167 shares of First Merchants common stock and $10.17 in cash. /s/ David C. Walker Attorney-in-Fact 2022-04-05