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