0001140361-17-038857.txt : 20171017 0001140361-17-038857.hdr.sgml : 20171017 20171017152429 ACCESSION NUMBER: 0001140361-17-038857 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171017 FILED AS OF DATE: 20171017 DATE AS OF CHANGE: 20171017 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rosinski Rick A. CENTRAL INDEX KEY: 0001508039 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35034 FILM NUMBER: 171140668 MAIL ADDRESS: STREET 1: 5710 EASTMAN AVENUE CITY: MIDLAND STATE: MI ZIP: 48640 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Wolverine Bancorp, Inc. CENTRAL INDEX KEY: 0001500836 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTIONS, NOT FEDERALLY CHARTERED [6036] IRS NUMBER: 000000000 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5710 EASTMAN AVE CITY: MIDLAND STATE: MI ZIP: 48640 BUSINESS PHONE: (989) 631-4280 MAIL ADDRESS: STREET 1: 5710 EASTMAN AVE CITY: MIDLAND STATE: MI ZIP: 48640 4 1 doc1.xml FORM 4 X0306 4 2017-10-17 1 0001500836 Wolverine Bancorp, Inc. WBKC 0001508039 Rosinski Rick A. 5710 EASTMAN AVENUE MIDLAND MI 48640 0 1 0 0 COO and Treasurer Common Stock 2017-10-17 4 J 0 14447 D 0 D Common Stock 2017-10-17 4 J 0 2713.0911 D 0 I By 401(k) Common Stock 2017-10-17 4 J 0 6596 D 0 I By ESOP Common Stock 2017-10-17 4 J 0 10257 D 0 I By Long Term Incentive Plan Stock Options 17.30 2017-10-17 4 J 0 90 D 2013-08-21 2022-08-21 Common Stock 90 0 D Stock Options 26.03 2017-10-17 4 J 0 2500 D 2016-12-15 2025-12-15 Common Stock 2500 0 D Each share of common stock was converted into and became exchangeable for the right to receive 1.0152 shares of Horizon Bancorp common stock and $14.00 in cash. Stock options have been cancelled and each option holder will receive a cash payment upon such cancellation in an amount equal to the product of (i) the number of shares of Issuer common stock provided for by such option and (ii) $40.00 minus the exercise price of the option. /s/ Jeffrey Cass, pursuant to power of attorney 2017-10-17