0001493152-18-004606.txt : 20180402
0001493152-18-004606.hdr.sgml : 20180402
20180402203343
ACCESSION NUMBER: 0001493152-18-004606
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180329
FILED AS OF DATE: 20180402
DATE AS OF CHANGE: 20180402
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HERPICH MARK A
CENTRAL INDEX KEY: 0001074516
STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021]
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-33203
FILM NUMBER: 18731059
MAIL ADDRESS:
STREET 1: 701 POYNTZ AVENUE
CITY: MANHATTAN
STATE: KS
ZIP: 66052
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: LANDMARK BANCORP INC
CENTRAL INDEX KEY: 0001141688
STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021]
IRS NUMBER: 431930755
STATE OF INCORPORATION: CA
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 701 POYNTZ AVENUE
CITY: MANHATTAN
STATE: KS
ZIP: 66502
BUSINESS PHONE: 7855652000
MAIL ADDRESS:
STREET 1: 701 POYNTZ AVENUE
CITY: MANHATTAN
STATE: KS
ZIP: 66502
FORMER COMPANY:
FORMER CONFORMED NAME: LANDMARK MERGER CO
DATE OF NAME CHANGE: 20010530
4
1
form-4.xml
X0306
4
2018-03-29
0
0001141688
LANDMARK BANCORP INC
LARK
0001074516
HERPICH MARK A
3225 WILLOWOOD CIR
MANHATTAN
KS
66502
0
1
0
0
Chief Financial Officer
Common Stock
2018-03-29
4
M
0
1200
29.1179
A
72784
D
Common Stock
2018-03-29
4
S
0
1200
29.1179
D
71584
D
Common Stock
3456
I
IRA
Common Stock
2018-04-02
4
M
0
200
29.00
A
71784
D
Common Stock
2018-04-02
4
S
0
200
29.00
D
71584
D
Options to Purchase Common Stock
14.1
2018-03-29
4
M
0
1200
0.00
D
2018-04-23
Common Stock
1200
19240
D
Options to Purchase Common Stock
14.10
2018-04-02
4
M
0
200
0.00
D
2018-04-23
Common Stock
200
19040
D
The options vested in 4 equal installments on April 23, 2009, 2010, 2011, and 2012.
The sales reported in the Form 4 were effected pursuant to a Rule 10b 5-1 trading plan adopted by the reporting person on March 15, 2018.
/s/ Mark A. Herpich
2018-04-02