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*
DEUR GARTH D

(Last) (First) (Middle)
235 E. MAIN STREET

(Street)
MIDLAND MI 48640

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
06/01/2015
3. Issuer Name and Ticker or Trading Symbol
CHEMICAL FINANCIAL CORP [ CHFC ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
Officer (give title below) X Other (specify below)
Officer of Principal Bus. Unit
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)
Common Stock 21,216 D
Common Stock 47,789 I(1) By wife in trust
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 Options (2) 04/28/2020 Common Stock 5,682 $11.09 D
Stock Options (2) 04/28/2021 Common Stock 7,576 $13.2 D
Stock Options (2) 04/27/2022 Common Stock 4,091.04 $14.78 D
Stock Options (2) 04/25/2023 Common Stock 15,152 $15.84 D
Phantom Stock (2) (3) Common Stock 10,926 (4) D
Explanation of Responses:
1. The reporting person disclaims any beneficial ownership of all shares owned by his wife. The filing of this statement shall not be construed as an admission that the reporting person is, for purposes of Section 16 of the Exchange Act of 1934 or for any other purpose, the beneficial owner of the securities owned by his wife.
2. Vested in conjunction with the merger of Lake Michigan Financial Corporation with and into Chemical Financial Corporation at the close of business May 31, 2015.
3. Shares of phantom stock are payable in shares of Chemical Financial Corporation common stock or in cash following termination of the reporting person's employment with Chemical Financial Corporation.
4. Each share of phantom stock represents the right to receive one share of Chemical Financial Corporation common stock or the cash value thereof.
/s/ Lori A. Gwizdala, His Attorney-In-Fact 06/04/2015
** 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.
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