0001209191-17-049262.txt : 20170816
0001209191-17-049262.hdr.sgml : 20170816
20170816174737
ACCESSION NUMBER: 0001209191-17-049262
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20170815
FILED AS OF DATE: 20170816
DATE AS OF CHANGE: 20170816
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Stiteley Glen L
CENTRAL INDEX KEY: 0001647444
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36808
FILM NUMBER: 171037204
MAIL ADDRESS:
STREET 1: 2801 BLACK ROAD
CITY: JOLIET
STATE: IL
ZIP: 60435
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: County Bancorp, Inc.
CENTRAL INDEX KEY: 0001470205
STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022]
IRS NUMBER: 391850431
STATE OF INCORPORATION: WI
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 860 NORTH RAPIDS ROAD
STREET 2: P.O. BOX 700
CITY: MANITOWOC
STATE: WI
ZIP: 54221-0700
BUSINESS PHONE: (920) 688-5608
MAIL ADDRESS:
STREET 1: 860 NORTH RAPIDS ROAD
STREET 2: P.O. BOX 700
CITY: MANITOWOC
STATE: WI
ZIP: 54221-0700
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-08-15
0
0001470205
County Bancorp, Inc.
ICBK
0001647444
Stiteley Glen L
860 NORTH RAPIDS ROAD
MANITOWOC
WI
54220
0
1
0
0
CHIEF FINANCIAL OFFICER
COMMON STOCK
158
D
COMMON STOCK
912
I
BY SPOUSE
EMPLOYEE STOCK OPTION (Right to Buy)
25.56
2017-08-15
4
A
0
3913
0.00
A
2027-08-15
COMMON STOCK
3913
3913
D
Stock option grant under the 2016 Equity Compensation Plan
The options vest in three equal installments on the first three anniversaries of the grant date, beginning August 15, 2018
/s/ Mark A. Miller, POA
2017-08-16
EX-24.4_740717
2
poa.txt
POA DOCUMENT
POWER OF ATTORNEY
Know all by these presents, that the undersigned hereby constitutes and appoints
each of Mark A. Miller and Timothy J. Schneider as the undersigned's true and
lawful attorney-in-fact to:
(1) prepare, execute for and on behalf of the undersigned, and submit to the
United States Securities and Exchange Commission (the "Commission") a Form ID,
including amendments thereto, and any other documents necessary or appropriate
to obtain codes and passwords enabling the undersigned to make electronic
filings with the Commission of reports required by Section 16(a) of the
Securities Exchange Act of 1934, as amended (the "Exchange Act"), or any rule or
regulation of the SEC;
(2) execute for and on behalf of the undersigned, in the undersigned's capacity
as a reporting person of County Bancorp, Inc. (the "Company") pursuant to
Section 16 of the Exchange Act and the rules thereunder, 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,
complete and execute any amendment or amendments thereto and file such form with
the Commission and the applicable 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 any of such attorneys-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 any of such attorneys-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 any of such
attorneys-in-fact may approve in his or her discretion.
The undersigned hereby grants to each such attorney-in-fact full power and
authority to act separately and 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 of
substitution or revocation, hereby ratifying and confirming all that any of such
attorneys-in-fact, or the substitute or substitutes of any of such
attorneys-in-fact, 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 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 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.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 16th day of August, 2017.
Signature: /s/ Glen L. Stiteley
Name: Glen L. Stiteley