Statement of Changes in Beneficial Ownership (4)
02 November 2021 - 8:12AM
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
|
OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden hours per response...
0.5
|
|
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
*
PERCIAK THOMAS P |
2. Issuer Name and Ticker or Trading Symbol
CORTLAND BANCORP INC
[
CLDB
]
|
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner _____ Officer (give title below) _____ Other (specify below)
|
(Last)
(First)
(Middle)
194 WEST MAIN ST. |
3. Date of Earliest Transaction
(MM/DD/YYYY)
11/1/2021 |
(Street)
CORTLAND, OH 44410
(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
|
Cortland Bancorp Common Stock | 11/1/2021 | | D | | 12608.664 | D | (1) | 0 | D | |
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) | Disposed of pursuant to the Agreement and Plan of Merger, dated June 22, 2021 (the "Agreement"), by and among Cortland Bancorp ("Cortland"), Farmers National Banc Corp. ("Farmers") and FMNB Merger Subsidiary, IV, LLC ("FMNB"), pursuant to which Cortland merged with and into Farmers (the "Merger") on November 1, 2021 (the "Closing Date"). Pursuant to the Agreement, each share of Cortland common stock issued and outstanding immediately prior to the effective time of the Merger (the "Effective Time") (other than certain shares held by Cortland or Farmers) was converted into the right to receive 1.75 shares (the "Exchange Ratio") of Farmers common stock. The price of Farmers common stock on NASDAQ on the Closing Date was $18.95. |
Reporting Owners
|
Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
PERCIAK THOMAS P 194 WEST MAIN ST. CORTLAND, OH 44410 | X |
|
|
|
Signatures
|
Thomas P. Perciak | | 11/1/2021 |
**Signature of Reporting Person | Date |
Cortland Bancorp (NASDAQ:CLDB)
Historical Stock Chart
From May 2024 to Jun 2024
Cortland Bancorp (NASDAQ:CLDB)
Historical Stock Chart
From Jun 2023 to Jun 2024
Real-Time news about Cortland Bancorp Inc (NASDAQ): 0 recent articles
More Cortland Bancorp Inc News Articles