-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Ajh+OpSTbbI1+wVo2W4YVAs1ZWiwnshZO6qNHHYVJnCyBPmnibKoh5nqXmoCZQlB JtkUvKHEZBQ/EKSClIsOrg== 0000039311-03-000054.txt : 20031007 0000039311-03-000054.hdr.sgml : 20031007 20031007170329 ACCESSION NUMBER: 0000039311-03-000054 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031006 FILED AS OF DATE: 20031007 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: VAN LOAN CHARLES C CENTRAL INDEX KEY: 0001198783 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-07818 FILM NUMBER: 03931922 MAIL ADDRESS: STREET 1: 201 HIGHLAND DRIVE CITY: ROCKFORD STATE: MI ZIP: 49341 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: INDEPENDENT BANK CORP /MI/ CENTRAL INDEX KEY: 0000039311 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 382032782 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 230 W MAIN ST STREET 2: PO BOX 491 CITY: IONIA STATE: MI ZIP: 48846 BUSINESS PHONE: 6165279450 MAIL ADDRESS: STREET 1: 230 W MAIN ST CITY: IONIA STATE: MI ZIP: 48846 4 1 primary_doc.xml PRIMARY DOCUMENT X0201 4 2003-10-06 0 0000039311 INDEPENDENT BANK CORP /MI/ IBCP 0001198783 VAN LOAN CHARLES C 236 E. WASHINGTON ST. IONIA, MI 48846 0 1 0 0 President & CEO Common Stock 2003-10-06 4 M 0 19538 7.168 A 125483 D Common Stock 2003-10-06 4 F 0 11002 28.37 D 114481 D Common Stock 2003-10-06 4 M 0 5484 6.806 A 119965 D Common Stock 2003-10-06 4 F 0 3046 28.37 D 116919 D Common Stock 2003-10-06 4 M 0 14089 10.788 A 131008 D Common Stock 2003-10-06 4 F 0 8984 28.37 D 122024 D Common Stock 2003-10-06 4 M 0 5485 10.989 A 127509 D Common Stock 2003-10-06 4 F 0 3520 28.37 D 123989 D Employee Stock Option (Right to buy) 1/00 7.168 2003-10-06 4 M 0 19538 7.168 D 2001-01-18 2010-01-18 Common Stock 19538 13953.14 D Employee Stock Option (Right to buy) 1/01 10.788 2003-10-06 4 M 0 14089 10.788 D 2002-01-21 2011-01-21 Common Stock 14089 9268.45 D Employee Stock Option (Right to buy) 10/03 reload 1 28.37 2003-10-06 4 A 0 11002 28.37 A 2004-10-03 2010-01-18 Common Stock 11002 11002 D Employee Stock Option (Right to buy) 10/03 reload2 28.37 2003-10-06 4 A 0 3046 28.37 A 2004-10-03 2010-04-20 Common Stock 3046 3046 D Employee Stock Option (Right to buy) 10/03 reload3 28.37 2003-10-06 4 A 0 8984 28.37 A 2004-10-03 2011-01-21 Common Stock 8984 8984 D Employee Stock Option (Right to buy) 10/03 reload4 28.37 2003-10-06 4 A 0 3520 28.37 A 2004-10-03 2011-04-17 Common Stock 3520 3520 D Employee Stock Option (Right to buy) 4/00c 6.806 2003-10-06 4 M 0 5484 6.806 D 2001-04-18 2010-04-18 Common Stock 5484 0 D Employee Stock Option (Right to buy) 4/01 10.989 2003-10-06 4 M 0 5485 10.989 D 2002-04-17 2011-04-17 Common Stock 5485 0 D Totals reflect a 10% stock dividend allocated October 2, 2003 The reporting person no longer has a reportable beneficial interest in 2,487 shares of IBCP common stock owned by his daughter and included in the reporting person's prior ownership reports. /s/ Charles C. Van Loan 2003-10-06 -----END PRIVACY-ENHANCED MESSAGE-----