0001437749-19-017873.txt : 20190904 0001437749-19-017873.hdr.sgml : 20190904 20190904143255 ACCESSION NUMBER: 0001437749-19-017873 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190901 FILED AS OF DATE: 20190904 DATE AS OF CHANGE: 20190904 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CHAFFIN H DOUGLAS CENTRAL INDEX KEY: 0001244299 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-30973 FILM NUMBER: 191074125 MAIL ADDRESS: STREET 1: 4215 BREST ROAD CITY: NEWPORT STATE: MI ZIP: 48166 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MBT FINANCIAL CORP CENTRAL INDEX KEY: 0001118237 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 383516922 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 102 EAST FRONT STREET CITY: MONROE STATE: MI ZIP: 48161 BUSINESS PHONE: 7342422893 MAIL ADDRESS: STREET 1: 102 EAST FRONT STREET CITY: MONROE STATE: MI ZIP: 48161 4 1 rdgdoc.xml FORM 4 X0306 4 2019-09-01 1 0001118237 MBT FINANCIAL CORP MBTF 0001244299 CHAFFIN H DOUGLAS 102 E. FRONT ST. MONROE MI 48161 1 1 President & CEO Common Stock 2019-09-01 4 D 0 189965 D 0 D Stock Only Stock Appreciation Rights 5.79 2019-09-01 4 D 0 19000 0 D 2025-05-28 Common Stock 19000 0 D Stock Only Stock Appreciation Right 8.26 2019-09-01 4 D 0 15000 0 D 2026-02-25 Common Stock 15000 0 D Disposed of pursuant to the merger agreement between the issuer and First Merchants Corporation ("First Merchants"), each share of which was converted into 0.2750 shares of First Merchants common stock having a market value of $35.72 per share on the effective date of the merger. This SOSAR, which originally vested in 3 equal annual installments beginning on December 31, 2015, was cancelled in the merger in exchange for a cash payment of $71,872.25, based upon the closing price of the acquirer's common stock on August 27, 2019. This SOSAR, which originally vested in 3 equal annual installments beginning on December 31, 2016, was cancelled in the merger in exchange for a cash payment of $19,691.25, based upon the closing price of the acquirer's common stock on August 27, 2019. /s/ H.Douglas Chaffin 2019-09-04