SEC Form 4
FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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OMB APPROVAL |
OMB Number: |
3235-0287 |
Estimated average burden |
hours per response: |
0.5 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b). |
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Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10. |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
ALERUS FINANCIAL CORP
[ ALRS ]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X |
Director |
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10% Owner |
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Officer (give title below) |
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Other (specify below) |
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3. Date of Earliest Transaction
(Month/Day/Year) 05/21/2024
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4. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
X |
Form filed by One Reporting Person |
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Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
1. Title of Security (Instr.
3)
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2. Transaction Date
(Month/Day/Year) |
2A. Deemed Execution Date, if any
(Month/Day/Year) |
3. Transaction Code (Instr.
8)
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4. Securities Acquired (A) or Disposed Of (D) (Instr.
3, 4 and 5)
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5.
Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr.
3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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7. Nature of Indirect Beneficial Ownership (Instr.
4)
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Code |
V |
Amount |
(A) or (D) |
Price |
Common stock |
05/21/2024 |
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A |
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2,559
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A |
$0
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48,572
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D |
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Common Stock |
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1,318
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I |
By Spouse |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative Security (Instr.
3)
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2. Conversion or Exercise Price of Derivative Security
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3. Transaction Date
(Month/Day/Year) |
3A. Deemed Execution Date, if any
(Month/Day/Year) |
4. Transaction Code (Instr.
8)
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5.
Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr.
3, 4 and 5)
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6. Date Exercisable and Expiration Date
(Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr.
3 and 4)
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8. Price of Derivative Security (Instr.
5)
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9.
Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr.
4)
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10. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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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 |
Explanation of Responses: |
Remarks: |
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/s/ Nicholas Brenckman, by power of attorney |
05/23/2024 |
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** Signature of Reporting Person |
Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
* 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). |
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure. |
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 Number. |
Exhibit 24
POWER OF ATTORNEY
Know all by these presents,
that the undersigned hereby constitutes and appoints each of Nick Brenckman, Meredith Blee and Kelsey Tosheff, each with full power and
authority to act alone, as the undersigned’s true and lawful attorney-in-fact to:
(1) prepare,
execute for and on behalf of the undersigned, and submit to the United States Securities and Exchange Commission (the “Commission”)
a Form ID, including amendments thereto, and any other documents necessary or appropriate to obtain codes and passwords enabling
the undersigned to make electronic filings with the Commission 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 Commission;
(2) execute
for and on behalf of the undersigned, in the undersigned’s capacity as a reporting person of Alerus Financial Corporation (the “Company”),
Forms 3, 4 and 5 in accordance with Section 16(a) of the Exchange Act and the rules thereunder, or Forms 144 pursuant to
the Exchange Act;
(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
Form 3, 4, 5, or Form 144 including any amendment or amendments thereto and file such form with the Commission and the applicable
stock exchange or similar authority;
(4) seek
or obtain, as the undersigned’s representative and on the undersigned’s behalf, information on transactions in the Company’s
securities from any third party, including brokers, employee benefit plan administrators and trustees, and the undersigned hereby authorizes
any such person to release any such information to each of the undersigned’s attorneys-in-fact appointed by this Power of Attorney
and approves and ratifies any such release of information; and
(5) take
any other action of any type whatsoever in connection with the foregoing which, in the opinion of any of such attorneys-in-fact, may be
of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by any
of such attorneys-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such
terms and conditions as any of such attorneys-in-fact may approve in his or her discretion.
The undersigned hereby grants
to each such attorney-in-fact full power and authority to act separately and to do and perform any and every act and thing whatsoever
requisite, 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 any of such attorneys-in-fact, or the substitute or substitutes of any of such attorneys-in-fact, 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 of the undersigned, are not assuming, nor is the Company assuming,
any of the undersigned’s responsibilities to comply with 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 and 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 the foregoing attorneys-in-fact.
The undersigned agrees to
hold the attorneys-in-fact, or either one of them, jointly and severally, free and harmless from any and all loss, damage or liability
that they, or either one of them, may sustain as a result of any action taken in good faith hereunder and not due to the attorney-in-fact’s
own negligence, misconduct or bad faith.
IN WITNESS WHEREOF, the undersigned
has caused this Power of Attorney to be executed as of October 3, 2023.
Signature: |
/s/ Galen Vetter |
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Name: |
Galen Vetter |
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Exhibit 24
POWER OF ATTORNEY
Know all by these presents,
that the undersigned hereby constitutes and appoints each of Nick Brenckman, Meredith Blee and Kelsey Tosheff, each with full power and
authority to act alone, as the undersigned’s true and lawful attorney-in-fact to:
(1) prepare,
execute for and on behalf of the undersigned, and submit to the United States Securities and Exchange Commission (the “Commission”)
a Form ID, including amendments thereto, and any other documents necessary or appropriate to obtain codes and passwords enabling
the undersigned to make electronic filings with the Commission 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 Commission;
(2) execute
for and on behalf of the undersigned, in the undersigned’s capacity as a reporting person of Alerus Financial Corporation (the “Company”),
Forms 3, 4 and 5 in accordance with Section 16(a) of the Exchange Act and the rules thereunder, or Forms 144 pursuant to
the Exchange Act;
(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
Form 3, 4, 5, or Form 144 including any amendment or amendments thereto and file such form with the Commission and the applicable
stock exchange or similar authority;
(4) seek
or obtain, as the undersigned’s representative and on the undersigned’s behalf, information on transactions in the Company’s
securities from any third party, including brokers, employee benefit plan administrators and trustees, and the undersigned hereby authorizes
any such person to release any such information to each of the undersigned’s attorneys-in-fact appointed by this Power of Attorney
and approves and ratifies any such release of information; and
(5) take
any other action of any type whatsoever in connection with the foregoing which, in the opinion of any of such attorneys-in-fact, may be
of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by any
of such attorneys-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such
terms and conditions as any of such attorneys-in-fact may approve in his or her discretion.
The undersigned hereby grants
to each such attorney-in-fact full power and authority to act separately and to do and perform any and every act and thing whatsoever
requisite, 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 any of such attorneys-in-fact, or the substitute or substitutes of any of such attorneys-in-fact, 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 of the undersigned, are not assuming, nor is the Company assuming,
any of the undersigned’s responsibilities to comply with 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 and 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 the foregoing attorneys-in-fact.
The undersigned agrees to
hold the attorneys-in-fact, or either one of them, jointly and severally, free and harmless from any and all loss, damage or liability
that they, or either one of them, may sustain as a result of any action taken in good faith hereunder and not due to the attorney-in-fact’s
own negligence, misconduct or bad faith.
IN WITNESS WHEREOF, the undersigned
has caused this Power of Attorney to be executed as of October 3, 2023.
Signature: |
/s/ Galen Vetter |
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Name: |
Galen Vetter |
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