Statement of Changes in Beneficial Ownership (4)
04 Outubro 2021 - 12:31PM
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).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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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
*
Wierschem Steven L |
2. Issuer Name and Ticker or Trading Symbol
FFBW, Inc. /MD/
[
FFBW
]
|
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
__X__ Officer (give title below) _____ Other (specify below)
CFO |
|
(Last)
(First)
(Middle)
1360 SOUTH MOORLAND ROAD |
3. Date of Earliest Transaction
(MM/DD/YYYY)
9/30/2021 |
|
(Street)
BROOKFIELD, WI 53005
(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)
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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)
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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)
|
|
Code
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V
|
Amount
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(A) or (D)
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Price
|
| Common Stock | 9/30/2021 | | A | | 1500 (2) | A | $0.00 | 11500 (1) | 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 |
| Stock Options | $11.25 | | | | | | | 5/26/2022 | 5/26/2031 | Common Stock | 30000 (3) | | 30000 (3) | D | |
| Explanation of Responses: |
| (1) | Includes shares of restricted stock which vest at a rate of 20% per year commencing on May 26, 2022. |
| (2) | Shares of restricted stock vest at a rate of 20% per year commencing on September 30, 2022. |
| (3) | Stock options vest at a rate of 20% per year commencing on May 26, 2022. |
Reporting Owners
|
| Reporting Owner Name / Address | Relationships |
| Director | 10% Owner | Officer | Other |
Wierschem Steven L
1360 SOUTH MOORLAND ROAD
BROOKFIELD, WI 53005 |
|
| CFO |
|
Signatures
|
| /s/ Steven T. Lanter, pursuant to power of attorney | | 10/4/2021 |
| **Signature of Reporting Person | Date |
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