- Statement of Changes in Beneficial Ownership (4)
31 Dezembro 2012 - 7:32PM
Edgar (US Regulatory)
FORM 4
[ ]
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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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
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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
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1. Name and Address of Reporting Person
*
Abington Leonard Q
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2. Issuer Name
and
Ticker or Trading Symbol
MIDSOUTH BANCORP INC
[
MSL
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
_____ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Last)
(First)
(Middle)
102 VERSAILLES BLVD.
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3. Date of Earliest Transaction
(MM/DD/YYYY)
12/28/2012
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(Street)
LAFAYETTE, LA 70501
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. 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
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V
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Amount
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(A) or (D)
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Price
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Common Stock
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12/28/2012
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A
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441981
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A
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(1)
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441981
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D
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Common Stock
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2/28/2012
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A
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13064
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A
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(1)
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13064
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I
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By Family Trust 1
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Common Stock
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12/28/2012
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A
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13064
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A
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(1)
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13064
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I
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By Family Trust 2
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. 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
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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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Series C Convertible Preferred Stock
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$18
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12/28/2012
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A
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58421
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12/28/2012
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(2)
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Common Stock
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324561
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(1)
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58421
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D
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Series C Convertible Preferred Stock
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$18
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12/28/2012
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A
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1726
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12/28/2012
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(2)
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Common Stock
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9588
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(1)
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1726
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I
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By Family Trust 1
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Series C Convertible Preferred Stock
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$18
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12/28/2012
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A
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1726
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12/28/2012
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(2)
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Common Stock
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9588
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(1)
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1726
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I
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By Family Trust 2
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Explanation of Responses:
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(
1)
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Received in exchange for shares of PSB Financial Corporation common stock in connection with the merger of PSB into MidSouth Bancorp, Inc., effective as of December 28, 2012, pursuant to the Agreement and Plan of Merger, dated as of September 26, 2012. Pursuant to the Merger Agreement each share of PSB common stock was converted into the right to receive (i) $218.77 in cash, (ii) 10.3441 shares of MidSouth common stock, (iii) 1.3673 shares of MidSouth Series C Convertible Preferred Stock, and (iv) one contingent value right representing the right to receive a cash payment of up to $27.35, plus interest in the amount of 4.00% per annum, with the exact amount based on the resolution of certain identified PSB loans over a three-year period following the December 28, 2012.
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(
2)
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The Series C Convertible Preferred Stock has no expiration date.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Abington Leonard Q
102 VERSAILLES BLVD.
LAFAYETTE, LA 70501
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X
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Signatures
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Shaleen B. Pellerin, Attorney in Fact
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12/31/2012
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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.
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