SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Elliott Brad S

(Last) (First) (Middle)
7701 E KELLOGG DR., STE. 200

(Street)
WICHITA KS 67207

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
11/10/2015
3. Issuer Name and Ticker or Trading Symbol
EQUITY BANCSHARES INC [ EQBK ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Executive Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Class A Common Stock 194,941 D
Class A Common Stock 9,615(1) I By Equity Holdings, LLC
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (right to buy) (2) 12/31/2017 Class A Common Stock 24,000 $17 D
Stock Option (right to buy) (3) 01/01/2022 Class A Common Stock 150,000 $12 D
Stock Option (right to buy) 08/25/2014 08/25/2024 Class A Common Stock 30,000 $13 D
Stock Option (right to buy) 01/01/2015 01/01/2025 Class A Common Stock 40,665 $14.25 D
Explanation of Responses:
1. The reporting person is the managing member of Equity Holdings, LLC. The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all the reported shares for purposes of Section 16 or for any other purpose.
2. The option is currently exercisable. The option previously vested in accordance with its terms.
3. The option vests in five equal annual installments beginning on January 1, 2013.
Remarks:
Exhibit List Exhibit 24 - Power of Attorney
/s/ Gregory H. Kossover, attorney-in-fact 11/10/2015
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.