0000905729-19-000193.txt : 20191003 0000905729-19-000193.hdr.sgml : 20191003 20191003163005 ACCESSION NUMBER: 0000905729-19-000193 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191001 FILED AS OF DATE: 20191003 DATE AS OF CHANGE: 20191003 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: 191136065 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 ownership.xml X0306 4 2019-10-01 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 2019-10-01 4 F 0 189 29.95 D 12752.2876 D Common Stock 1608.1380 I 401(k) Plan Column 5 reflects the acquisition of 80.6140 shares under the ChoiceOne Financial Services, Inc. Employee Stock Purchase Plan and 78.4895 shares from the reinvestment of cash dividends. Shares forfeited upon conversion of stock units granted on April 15, 2017 and April 15, 2018 to common stock. /s/ Thomas L. Lampen 2019-10-03