0001415889-22-012698.txt : 20221219 0001415889-22-012698.hdr.sgml : 20221219 20221219161446 ACCESSION NUMBER: 0001415889-22-012698 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221215 FILED AS OF DATE: 20221219 DATE AS OF CHANGE: 20221219 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Worthington Robert T. CENTRAL INDEX KEY: 0001675913 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26719 FILM NUMBER: 221471234 MAIL ADDRESS: STREET 1: 310 LEONARD ST NW CITY: GRAND RAPIDS STATE: MI ZIP: 49504 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MERCANTILE BANK CORP CENTRAL INDEX KEY: 0001042729 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 383360865 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 310 LEONARD STREET NW CITY: GRAND RAPIDS STATE: MI ZIP: 49504 BUSINESS PHONE: 616 406-3000 MAIL ADDRESS: STREET 1: 310 LEONARD STREET NW CITY: GRAND RAPIDS STATE: MI ZIP: 49504 4 1 form4-12192022_091214.xml X0306 4 2022-12-15 0001042729 MERCANTILE BANK CORP MBWM 0001675913 Worthington Robert T. C/O MERCANTILE BANK CORPORATION 310 LEONARD ST. GRAND RAPIDS MI 49504 false true false false SVP, CRO, SECRETARY, AND GC Common Stock 2022-12-15 4 A 0 1619 0 A 11328 D Common Stock 24970 I In 401(k) plan Employee Stock Option (right to buy) 36.22 2018-11-17 2023-11-16 Common Stock 500 500 D This award of shares is being made pursuant to the Issuer's performance-based restricted stock award agreement, such that a portion or all of this award of restricted stock may be forfeited in the future if certain performance metrics are not met. Includes shares acquired pursuant to the Issuer's 401(k) Plan since last report of common stock ownership. /s/ Bradley J. Wyatt, Attorney-in-Fact 2022-12-19