0000905729-15-000255.txt : 20150811 0000905729-15-000255.hdr.sgml : 20150811 20150811134506 ACCESSION NUMBER: 0000905729-15-000255 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150807 FILED AS OF DATE: 20150811 DATE AS OF CHANGE: 20150811 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CHOICEONE FINANCIAL SERVICES INC CENTRAL INDEX KEY: 0000803164 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 382659066 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 109 E DIVISION STREET 2: P O BOX 186 CITY: SPARTA STATE: MI ZIP: 49345-0186 BUSINESS PHONE: 6168877366 MAIL ADDRESS: STREET 1: 109 EAST DIVISION STREET 2: P O BOX 186 CITY: SPARTA STATE: MI ZIP: 49345-0186 FORMER COMPANY: FORMER CONFORMED NAME: 1ST COMMUNITY BANCORP INC DATE OF NAME CHANGE: 19920703 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JOHNSON MARY J CENTRAL INDEX KEY: 0001203141 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19202 FILM NUMBER: 151043394 MAIL ADDRESS: STREET 1: 109 EAST DIVISION STREET CITY: SPARTA STATE: MI ZIP: 49345 4 1 johnsonm_081115.xml OWNERSHIP DOCUMENT X0306 4 2015-08-07 0 0000803164 CHOICEONE FINANCIAL SERVICES INC NONE 0001203141 JOHNSON MARY J 109 EAST DIVISION STREET SPARTA MI 49345 0 1 0 0 Secretary Common Stock 2015-05-14 5 L 0 E 360 23.35 A 2558.5000 I By spouse's 401(k) Plan Common Stock 2015-08-07 4 P 0 427 22.65 A 2985.5000 I By spouse's 401(k) Plan Common Stock 2015-08-11 4 P 0 473 22.65 A 3458.5000 I By spouse's 401(k) Plan Common Stock 9879.7126 D Common Stock 979.4880 I 401(k) Plan The number of shares in column 5 is based on a plan statement dated December 31, 2014. Column 5 reflects the acquisition of 55.9014 shares from the reinvestment of cash dividends and 92.2996 shares under the ChoiceOne Financial Services, Inc. Employee Stock Purchase Plan. Mary J. Johnson 2015-08-11