Statement of Changes in Beneficial Ownership (4)
02 October 2021 - 01:19AM
Edgar (US Regulatory)
FORM 4
[X] Check this box if no longer subject to Section 16.
Form 4 or Form 5 obligations may continue. See Instruction
1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL
OWNERSHIP OF SECURITIES
|
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APPROVAL
OMB Number: 3235-0287
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Filed pursuant to Section 16(a) of the
Securities Exchange Act of 1934 or Section 30(h) of the Investment
Company Act of 1940
|
|
1. Name
and Address of Reporting Person * Kirkham Judd
Peterson |
2. Issuer Name and Ticker or Trading
Symbol Altabancorp [ ALTA ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)_____
Director _____
10% Owner
__X__ Officer (give title
below) _____ Other
(specify below)
Executive Officer |
(Last)
(First)
(Middle)
1 E MAIN |
3. Date of Earliest Transaction (MM/DD/YYYY)
9/29/2021
|
(Street)
AMERICAN FORK, UT 84003
(City)
(State)
(Zip)
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
6. Individual or Joint/Group Filing
(Check Applicable Line) _X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person |
Table I - Non-Derivative Securities Acquired, Disposed of, or
Beneficially Owned
|
1.Title of Security
(Instr. 3) |
2. Trans. Date |
2A. Deemed Execution Date, if any |
3. Trans. Code
(Instr. 8) |
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5) |
5. Amount of Securities Beneficially Owned Following
Reported Transaction(s)
(Instr. 3 and 4) |
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4) |
7. Nature of Indirect Beneficial Ownership (Instr.
4) |
Code |
V |
Amount |
(A) or (D) |
Price |
Common Shares |
10/1/2021 |
|
D |
|
12944.553 |
D |
(1) |
0 |
D |
|
Common Shares |
9/29/2021 |
|
P |
|
8.717 |
A |
(2) |
744.9167 |
I |
Altabancorp ESOP |
Common Shares |
10/1/2021 |
|
D |
|
744.9167 |
D |
(1) |
0 |
I |
Altabancorp ESOP |
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible
securities)
|
1. Title of Derivate Security
(Instr. 3) |
2. Conversion or Exercise Price of Derivative
Security |
3. Trans. Date |
3A. Deemed Execution Date, if any |
4. Trans. 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 |
7. Title and Amount of Securities Underlying
Derivative Security
(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) |
Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Explanation of
Responses: |
(1) |
Pursuant to the Agreement
and Plan of Merger, dated as of May 18, 2021, Glacier Bancorp, Inc.
(GBCI) acquired Altabancorp (ALTA) in a merger transaction (the
"Merger") which became effective on October 1, 2021. At the
effective time of the Merger, each share of ALTA common stock (par
value $0.01 per share) converted to the right to receive 0.7971 of
a share of GBCI common stock (and cash for any fractional shares).
On September 30, 2021, the closing price for GBCI common stock was
$55.35. |
(2) |
Represents the reinvestment
of certain dividends received by the Company's Employee Stock
Ownership Plan that were reinvested in common shares of the Company
and allocated to the Reporting Person. The allocation to the
Reporting Person is exempt from Section 16(b) of the Exchange Act
pursuant to Rule 16-3(c) thereunder. |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
Kirkham Judd Peterson
1 E MAIN
AMERICAN FORK, UT 84003 |
|
|
Executive Officer |
|
Signatures
|
/s/ Judd P. Kirkham, by Adelaide Maudsley,
Attorney In Fact |
|
10/1/2021 |
**Signature of Reporting
Person |
Date |
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