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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Employee Stock Option (Right to Buy) | $ 5 (6) | 11/29/2017 | M | 4,234 | 05/14/2013(7) | 05/14/2018 | Common Stock | 4,234 (6) | $ 0 | 0 | D | ||||
Employee Stock Option (Right to Buy) | $ 8.1 (6) | (8) | 05/08/2023 | Common Stock | 10,000 (6) | 10,000 (6) | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
COLYER DIANE J C/O QUAINT OAK BANCORP, INC. 501 KNOWLES AVENUE SOUTHAMPTON, PA 18966 |
SVP and Corporate Secretary |
/s/Diane J. Colyer | 11/30/2017 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | On September 8, 2015, the Issuer effected a 2-for-1 stock split. The number of shares reported throughout this Form 4 have been adjusted to reflect the stock split. |
(2) | Includes 640 shares granted pursuant to the 2008 Recognition and Retention Plan that represent the unvested portion of a grant amount originally covering 3,200 shares (adjusted to reflect the 2-for-1 stock split) that are vesting ratably over five years at 20% per year commencing on May 8, 2014. |
(3) | Represents previously owned shares of common stock delivered to the Issuer in payment for the exercise price of the subject options. |
(4) | Includes shares allocated to the reporting person's ESOP account since the last filed Form 4. |
(5) | Includes shares acquired in the Quaint Oak Bank 401(k) Plan since the last filed Form 4, based on a report dated November 29, 2017. |
(6) | In accordance with the terms of the stock option plan and stock incentive plan the exercise price of the options and number of shares subject to the option have been adjusted to reflect the stock split. |
(7) | The options vested at a rate of 20% per year beginning on May 14, 2009. |
(8) | The options are vesting ratably over five years at 20% per year commencing May 8, 2014. |