0000905729-18-000122.txt : 20180605 0000905729-18-000122.hdr.sgml : 20180605 20180605151854 ACCESSION NUMBER: 0000905729-18-000122 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180601 FILED AS OF DATE: 20180605 DATE AS OF CHANGE: 20180605 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LAMPEN THOMAS L CENTRAL INDEX KEY: 0001201747 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19202 FILM NUMBER: 18880933 MAIL ADDRESS: STREET 1: 109 EAST DIVISION STREET CITY: SPARTA STATE: MI ZIP: 49345 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 4 1 lampen4_060518.xml OWNERSHIP DOCUMENT X0306 4 2018-06-01 0 0000803164 CHOICEONE FINANCIAL SERVICES INC NONE 0001201747 LAMPEN THOMAS L 109 EAST DIVISION STREET SPARTA MI 49345 0 1 0 0 Treasurer Common Stock 11908.5537 D Common Stock 1608.1380 I 401(k) Plan Stock Option (Right to Buy) 25.65 2018-06-01 4 A 0 375 0 A 2018-06-01 2028-05-31 Common 375 375 D Stock Option (Right to Buy) 25.65 2018-06-01 4 A 0 375 0 A 2019-06-01 2028-05-31 Common 375 375 D Stock Option (Right to Buy) 25.65 2018-06-01 4 A 0 375 0 A 2020-06-01 2028-05-31 Common 375 375 D Stock Option (Right to Buy) 25.65 2018-06-01 4 A 0 375 0 A 2021-06-01 2028-05-31 Common 375 375 D On April 25, 2018, ChoiceOne Financial Services, Inc. announced a 5% stock dividend, payable to all holders of record as of May 10, 2018. As a result, the reporting person received 643.6520 shares of common stock as of May 31, 2018, of which 567.0740 shares are owned directly and 76.5780 shares are owned indirectly through the reporting person's 401(k) plan. /s/ Thomas L. Lampen 2018-06-05