0001140361-17-038849.txt : 20171017 0001140361-17-038849.hdr.sgml : 20171017 20171017151454 ACCESSION NUMBER: 0001140361-17-038849 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171017 FILED AS OF DATE: 20171017 DATE AS OF CHANGE: 20171017 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ungerleider Howard I CENTRAL INDEX KEY: 0001514396 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35034 FILM NUMBER: 171140645 MAIL ADDRESS: STREET 1: 2030 DOW CENTER CITY: MIDLAND STATE: MI ZIP: 48674 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Wolverine Bancorp, Inc. CENTRAL INDEX KEY: 0001500836 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTIONS, NOT FEDERALLY CHARTERED [6036] IRS NUMBER: 000000000 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5710 EASTMAN AVE CITY: MIDLAND STATE: MI ZIP: 48640 BUSINESS PHONE: (989) 631-4280 MAIL ADDRESS: STREET 1: 5710 EASTMAN AVE CITY: MIDLAND STATE: MI ZIP: 48640 4 1 doc1.xml FORM 4 X0306 4 2017-10-17 1 0001500836 Wolverine Bancorp, Inc. WBKC 0001514396 Ungerleider Howard I 5710 EASTMAN AVENUE MIDLAND MI 48640 1 0 0 0 Common Stock 2017-10-17 4 J 0 2507 D 0 D Common Stock 2017-10-17 4 J 0 3000 D 0 I By Spouse's IRA Stock Options 26.75 2017-10-17 4 J 0 7500 D 2017-09-12 2026-09-12 Common Stock 7500 0 D Stock Options 17.30 2017-10-17 4 J 0 7522 D 2013-08-21 2022-08-21 Common Stock 7522 0 D Each share of common stock was converted into and became exchangeable for the right to receive 1.0152 shares of Horizon Bancorp common stock and $14.00 in cash. Stock options have been cancelled and each option holder will receive a cash payment upon such cancellation in an amount equal to the product of (i) the number of shares of Issuer common stock provided for by such option and (ii) $40.00 minus the exercise price of the option. /s/ Jeffrey Cass, pursuant to power of attorney 2017-10-17