0001493152-23-026566.txt : 20230803 0001493152-23-026566.hdr.sgml : 20230803 20230803122856 ACCESSION NUMBER: 0001493152-23-026566 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230801 FILED AS OF DATE: 20230803 DATE AS OF CHANGE: 20230803 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: 231138941 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 ownership.xml X0508 4 2023-08-01 0 0001141688 LANDMARK BANCORP INC LARK 0001074516 HERPICH MARK A 3225 WILLOWOOD CIR MANHATTAN, KS 66052 0 1 0 0 Chief Financial Officer 0 Common Stock 116464 D Common Stock 4407 I IRA Option to purchase common stock 21.17 2023-08-01 4 A 0 9013 0 A 2024-08-01 2033-08-01 Common Stock 9013 9013 D As adjusted for the Company's 5% stock dividend in December 2022. The options vest equally over the initial 4 years subsequent to grant beginning August 1, 2024. /s/ Mark A. Herpich 2023-08-03