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*
Seaton Andrew G.

(Last) (First) (Middle)
319 S. SHERIDAN BLVD.

(Street)
LAKEWOOD CO 80226

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
10/14/2013
3. Issuer Name and Ticker or Trading Symbol
Solera National Bancorp, Inc. [ OTCQB:SLRK ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Credit 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)
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) (1) 04/07/2021 Common Stock 3,000 $3.05 D
Stock Option (Right to Buy) (2) 01/13/2022 Common Stock 1,000 $3.35 D
Stock Option (Right to Buy) (3) 01/02/2023 Common Stock 1,500 $5.36 D
Explanation of Responses:
1. Derivative security vests as follows: 750 shares vested on April 7, 2012 and the remaining 2,250 shares are vesting in 36 equal monthly installments beginning May 7, 2012.
2. Derivative security vests as follows: 250 shares vested on January 13, 2013 and the remaining 750 shares are vesting in 36 equal monthly installments beginning February 13, 2013.
3. Derivative security vests as follows: 375 shares vest on January 2, 2014 and the remaining 1,125 shares vest in 36 equal monthly installments beginning February 2, 2014.
/s/ Robert J. Fenton 10/22/2013
** 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.