0001415889-23-013558.txt : 20230925
0001415889-23-013558.hdr.sgml : 20230925
20230925162042
ACCESSION NUMBER: 0001415889-23-013558
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230922
FILED AS OF DATE: 20230925
DATE AS OF CHANGE: 20230925
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Shellberg Jeffrey D.
CENTRAL INDEX KEY: 0001732717
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38412
FILM NUMBER: 231276078
MAIL ADDRESS:
STREET 1: 4450 EXCELSIOR BLVD.
STREET 2: SUITE 100
CITY: ST. LOUIS PARK
STATE: MN
ZIP: 55416
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Bridgewater Bancshares Inc
CENTRAL INDEX KEY: 0001341317
STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022]
IRS NUMBER: 000000000
STATE OF INCORPORATION: MN
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4450 EXCELSIOR BLVD.
STREET 2: SUITE 100
CITY: ST. LOUIS PARK
STATE: MN
ZIP: 55416
BUSINESS PHONE: (952) 893-6868
MAIL ADDRESS:
STREET 1: 4450 EXCELSIOR BLVD.
STREET 2: SUITE 100
CITY: ST. LOUIS PARK
STATE: MN
ZIP: 55416
4
1
form4-09252023_080934.xml
X0508
4
2023-09-22
0001341317
Bridgewater Bancshares Inc
BWB
0001732717
Shellberg Jeffrey D.
C/O BRIDGEWATER BANCSHARES, INC.
4450 EXCELSIOR BLVD., SUITE 100
ST. LOUIS PARK
MN
55416
true
true
false
false
EVP AND CHIEF CREDIT OFFICER
0
Common Stock
2023-09-22
4
M
0
25000
3
A
355375
D
Common Stock
172000
I
By Trust
Common Stock
283890
I
By Trust
Option to buy
3
2023-09-22
4
X
0
25000
0
D
2023-12-31
Common Stock
25000
0
D
Option to buy
7.47
2027-09-30
Common Stock
150000
150000
D
Option to buy
12.92
2029-12-06
Common Stock
25000
25000
D
Option to buy
17.50
2032-02-01
Common Stock
20000
20000
D
Shares of common stock are held by Mr. Shellberg as co-trustee of the Susan K. Shellberg Trust under agreement dated October 1, 2014. Mr. Shellberg possesses shared voting and investment power with respect to the shares of common stock held by the Susan K. Shellberg Trust under agreement dated October 1, 2014.
Shares of common stock are held by Mr. Shellberg as co-trustee of the Jeffrey D. Shellberg Trust under agreement dated October 1, 2014. Mr. Shellberg possesses shared voting and investment power with respect to the shares of common stock held by the Jeffrey D. Shellberg Trust under agreement dated October 1, 2014.
Options to buy granted under the 2012 Combined Incentive and Non-Statutory Stock Option Plan.
Options exercisable in 20% increments on the first five anniversaries of the date of the grant which was 1/1/2014.
Options to buy granted under the 2017 Combined Incentive and Non-Statutory Stock Option Plan.
Options exercisable in 20% increments on the first five anniversaries of the date of the grant which was 10/1/2017.
Options exercisable in 25% increments on the first four anniversaries of the date of the grant which was 12/6/2019.
Options exercisable in 25% increments on the first four anniversaries of the date of the grant which was 2/1/2022.
/s/ Ben Klocke, Attorney-in-Fact
2023-09-25