0001225208-16-023082.txt : 20160104 0001225208-16-023082.hdr.sgml : 20160104 20160104140536 ACCESSION NUMBER: 0001225208-16-023082 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151231 FILED AS OF DATE: 20160104 DATE AS OF CHANGE: 20160104 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMERIANA BANCORP CENTRAL INDEX KEY: 0000855574 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035] IRS NUMBER: 351782688 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2118 BUNDY AVENUE CITY: NEW CASTLE STATE: IN ZIP: 47263 BUSINESS PHONE: 7655292230 MAIL ADDRESS: STREET 1: 2118 BUNDY AVENUE CITY: NEW CASTLE STATE: IN ZIP: 47263 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Haywood Charles R CENTRAL INDEX KEY: 0001575685 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18392 FILM NUMBER: 161317508 MAIL ADDRESS: STREET 1: 2118 BUNDY AVENUE CITY: NEW CASTLE STATE: IN ZIP: 47362 4 1 doc4.xml X0306 4 2015-12-31 0000855574 AMERIANA BANCORP ASBI 0001575685 Haywood Charles R 2118 BUNDY AVENUE NEW CASTLE IN 47362 1 Stock Option (Right to Buy) 11.9300 2015-12-31 4 D 0 500.0000 0.0000 D 2023-09-20 Common Stock 500.0000 0.0000 D Pursuant to the Merger Agreement, prior to the effective time of the merger each outstanding option to purchase Ameriana Bancorp common stock was cancelled and the reporting person received a cash payment equal to $22.92 per share minus the applicable option exercise price. Nicole Weaver, Attorney-in-Fact 2015-12-31