0001307420-16-000002.txt : 20160330 0001307420-16-000002.hdr.sgml : 20160330 20160330145950 ACCESSION NUMBER: 0001307420-16-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160328 FILED AS OF DATE: 20160330 DATE AS OF CHANGE: 20160330 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: COMMUNITY SHORES BANK CORP CENTRAL INDEX KEY: 0001070523 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 383423227 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1030 W. NORTON AVENUE CITY: MUSKEGON STATE: MI ZIP: 49441 BUSINESS PHONE: 2317801800 MAIL ADDRESS: STREET 1: 1030 W. NORTON AVENUE CITY: MUSKEGON STATE: MI ZIP: 49441 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Welsh Tracey A CENTRAL INDEX KEY: 0001307420 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51166 FILM NUMBER: 161539006 MAIL ADDRESS: STREET 1: C/O COMMUNITY SHORES BANK CORPORATION STREET 2: 1030 W NORTON AVENUE CITY: MUSKEGON STATE: MI ZIP: 49441 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2016-03-28 0 0001070523 COMMUNITY SHORES BANK CORP CSHB 0001307420 Welsh Tracey A C/O COMMUNITY SHORES BANK CORPORATION 1030 W NORTON AVENUE MUSKEGON MI 49441 0 1 0 0 Senior VP, CFO, and Treasurer Common Stock 2016-03-28 4 P 0 192 2.55 A 302 D Common Stock 5857 I In 401(k) plan Subscription Rights (Right to Buy) 2.55 2016-03-28 4 M 0 192 0 D 2015-10-12 2015-12-15 Common Stock 192 0 D This total consists of shares of Common Stock acquired from the issuer in the rights offering through the exercise of the subscription rights listed in Table II below. This total consists of subscription rights acquired from the issuer by the reporting person in the rights offering by virtue of her direct holdings and 401(k) plan holdings. Tracey A. Welsh 2016-03-30