0001179110-17-013485.txt : 20171026
0001179110-17-013485.hdr.sgml : 20171026
20171026203621
ACCESSION NUMBER: 0001179110-17-013485
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20171020
FILED AS OF DATE: 20171026
DATE AS OF CHANGE: 20171026
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Belser Richard L.
CENTRAL INDEX KEY: 0001718507
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38258
FILM NUMBER: 171157636
MAIL ADDRESS:
STREET 1: 11555 NORTH MERIDIAN STREET, SUITE 400
CITY: CARMEL
STATE: IN
ZIP: 46032
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Merchants Bancorp
CENTRAL INDEX KEY: 0001629019
STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022]
IRS NUMBER: 205747400
STATE OF INCORPORATION: IN
BUSINESS ADDRESS:
STREET 1: 11555 NORTH MERIDIAN ST., SUITE 400
CITY: CARMEL
STATE: IN
ZIP: 46032
BUSINESS PHONE: 317-569-7420
MAIL ADDRESS:
STREET 1: 11555 NORTH MERIDIAN ST., SUITE 400
CITY: CARMEL
STATE: IN
ZIP: 46032
4
1
edgar.xml
FORM 4 -
X0306
4
2017-10-20
0
0001629019
Merchants Bancorp
MBIN
0001718507
Belser Richard L.
11555 NORTH MERIDIAN STREET
SUITE 400
CARMEL
IN
46032
0
1
0
0
Senior Vice President
Common Stock
2017-10-26
4
P
0
1
1
A
1
D
/s/ Richard L. Belser
2017-10-30
EX-24
2
ex24belser.txt
POWER OF ATTORNEY
Know all by these presents, that the undersigned hereby constitutes and
appoints each of Michael F. Petrie, John F. Macke, and Brian J. Sullivan, acting
singly and with full power of substitution, the undersigned's true and lawful
attorney-in-fact to:
1. prepare, execute in the undersigned's name and on the undersigned's
behalf, and submit to the United States Securities and Exchange Commission (the
"SEC") a Form ID, Uniform Application for Access Codes to File on EDGAR, if
necessary, and any other documents necessary or appropriate to obtain codes,
passwords, or anything similar, as applicable, enabling the undersigned to make
electronic filings with the SEC of reports required by Section 16(a) of the
Securities Exchange Act of 1934, as amended (the "Exchange Act") or any rule or
regulation of the SEC;
2. execute for and on behalf of the undersigned, in the undersigned's
capacity as an officer and/or director of Merchants Bancorp (the "Company"),
Forms 3, 4 and 5 (and any amendments thereto) in accordance with Section 16(a)
of the Exchange Act and the rules and regulations thereunder, and any other
forms or reports the undersigned may be required to file in connection with the
undersigned's ownership, acquisition, or disposition of securities of the
Company;
3. do and perform any and all acts for and on behalf of the undersigned
which may be necessary or desirable to complete and execute any such Forms 3, 4,
or 5, Form ID, or other form or report, or any amendments thereto, and timely
file such form or report with the SEC and any stock exchange or similar
authority; and
4. take any other action in connection with the foregoing which, in the
opinion of such attorney-in-fact, may be of benefit to, in the best interest of,
or legally required by or for, the undersigned, it being understood that the
documents executed by such attorney-in-fact on behalf of the undersigned
pursuant to this Power of Attorney shall be in such form and shall contain such
information, disclosures, terms, and conditions as such attorney-in-fact may
approve in such attorney-in-fact's discretion.
The undersigned hereby grants to each such attorney-in-fact full power and
authority to do and perform any and every act and thing whatsoever required,
necessary or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that such attorneys-in-fact, or such
attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be
done by virtue of this Power of Attorney and the rights and powers herein
granted.
The undersigned acknowledges that the foregoing attorneys-in-fact, in
serving in such capacity at the request and on the behalf of the undersigned,
are not assuming, nor is the Company assuming, any of the undersigned's
responsibilities to comply with, or any liability for the failure to comply
with, any provision of Section 16 of the Exchange Act.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4 or 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
unless earlier revoked by the undersigned in a signed writing delivered to each
of the foregoing attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has executed this Power of Attorney as
of this 13 day of October, 2017.
/s/Richard L. Belser
_____________________
Signature
Richard L. Belser
_____________________
Printed Name