Form 4 - Statement of changes in beneficial ownership of securities
04 Março 2025 - 10:35AM
Edgar (US Regulatory)
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). |
|
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
CHOICEONE FINANCIAL SERVICES INC
[ COFS ]
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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)
03/01/2025
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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 |
03/01/2025 |
|
A |
|
96,668 |
A |
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96,668 |
I |
by Randy D. Hicks Trust |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
|
|---|
| 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: |
|
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/s/ Malaina W. Snyder, as Power of Attorney |
03/04/2025 |
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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. |
LIMITED
POWER OF ATTORNEY
The
undersigned does hereby constitute and appoint KELLY J. POTES, MICHAEL J. BURKE JR., ADOM J. GREENLAND, CHARLIE GOODE, SARAH A. HARPER,
MALAINA W. SNYDER, CHRISTIAN D. RHOADES or any one or more of them, his or her true and lawful attorneys and agents, with full power of
substitution in the premises, to do any and all acts and things and to execute and file any and all instruments that such attorneys and
agents, or any of them, may consider necessary or advisable to enable the undersigned (in his or her individual capacity or in a fiduciary
or other capacity) to comply with the Securities Act of 1933, as amended (the "Securities Act"), and the Securities Exchange
Act of 1934, as amended (the "Act"), and any requirements of the Securities and Exchange Commission in respect thereof, in connection
with his or her intended sale of any security related to ChoiceOne Financial Services, Inc. (the "Company") pursuant to Rule
144 issued under the Securities Act and the preparation, execution and filing of any report or statement of beneficial ownership or changes
in beneficial ownership of securities of the Company that the undersigned (in his or her individual capacity or in a fiduciary or other
capacity) may be required to file pursuant to Sections 13 or 16 of the Act including, without limitation, full power and authority to
sign the undersigned's name, in his or her individual capacity or in a fiduciary or other capacity, to any report, application or statement
on Form ID, Forms 3, 4, 5 or 144, Schedules 13D or 13G, or to any amendments or any successor forms thereto, or any form or forms adopted
by the Securities and Exchange Commission in lieu thereof or in addition thereto, hereby ratifying and confirming all that such attorneys
and agents, or any of them, shall do or cause to be done by virtue hereof.
The
undersigned agrees that some of the attorneys-in-fact named herein may act as legal counsel to the Company in connection with the securities
matters addressed herein, and that such attorneys do not represent the undersigned in his or her personal capacity in connection with
such matters. The undersigned agrees that the attorneys-in-fact named herein may rely entirely on information furnished orally or in writing
by the undersigned to such attorneys-in-fact. The undersigned also agrees to indemnify and hold harmless the attorneys-in-fact against
any losses, claims, damages or liabilities (or actions in respect thereof) that arise out of or are based upon any untrue statement or
omission of necessary fact in the information provided by the undersigned to the attorneys-in-fact for purposes of executing, acknowledging,
delivering or filing any such forms, or any amendments or any successor forms thereto, or any form or forms adopted by the Securities
and Exchange Commission in lieu thereof or in addition thereto.
This
authorization shall supersede all prior authorizations to act for the undersigned with respect to securities of the Company in these matters,
which prior authorizations are hereby revoked, and shall survive the termination of the undersigned's status as a director and/or officer
of the Company and remain in effect thereafter for so long as the undersigned (in his or her individual capacity or in a fiduciary or
other capacity) is subject to Rule 144 with respect to securities of the Company or has any obligation under Section 16 of the Exchange
Act with respect to securities of the Company.
| Dated: January 17, 2025 |
/s/ Randy D. Hicks |
| |
(signature) |
| |
|
| |
Randy D. Hicks |
| |
(type or print name) |
LIMITED
POWER OF ATTORNEY
The
undersigned does hereby constitute and appoint KELLY J. POTES, MICHAEL J. BURKE JR., ADOM J. GREENLAND, CHARLIE GOODE, SARAH A. HARPER,
MALAINA W. SNYDER, CHRISTIAN D. RHOADES or any one or more of them, his or her true and lawful attorneys and agents, with full power of
substitution in the premises, to do any and all acts and things and to execute and file any and all instruments that such attorneys and
agents, or any of them, may consider necessary or advisable to enable the undersigned (in his or her individual capacity or in a fiduciary
or other capacity) to comply with the Securities Act of 1933, as amended (the "Securities Act"), and the Securities Exchange
Act of 1934, as amended (the "Act"), and any requirements of the Securities and Exchange Commission in respect thereof, in connection
with his or her intended sale of any security related to ChoiceOne Financial Services, Inc. (the "Company") pursuant to Rule
144 issued under the Securities Act and the preparation, execution and filing of any report or statement of beneficial ownership or changes
in beneficial ownership of securities of the Company that the undersigned (in his or her individual capacity or in a fiduciary or other
capacity) may be required to file pursuant to Sections 13 or 16 of the Act including, without limitation, full power and authority to
sign the undersigned's name, in his or her individual capacity or in a fiduciary or other capacity, to any report, application or statement
on Form ID, Forms 3, 4, 5 or 144, Schedules 13D or 13G, or to any amendments or any successor forms thereto, or any form or forms adopted
by the Securities and Exchange Commission in lieu thereof or in addition thereto, hereby ratifying and confirming all that such attorneys
and agents, or any of them, shall do or cause to be done by virtue hereof.
The
undersigned agrees that some of the attorneys-in-fact named herein may act as legal counsel to the Company in connection with the securities
matters addressed herein, and that such attorneys do not represent the undersigned in his or her personal capacity in connection with
such matters. The undersigned agrees that the attorneys-in-fact named herein may rely entirely on information furnished orally or in writing
by the undersigned to such attorneys-in-fact. The undersigned also agrees to indemnify and hold harmless the attorneys-in-fact against
any losses, claims, damages or liabilities (or actions in respect thereof) that arise out of or are based upon any untrue statement or
omission of necessary fact in the information provided by the undersigned to the attorneys-in-fact for purposes of executing, acknowledging,
delivering or filing any such forms, or any amendments or any successor forms thereto, or any form or forms adopted by the Securities
and Exchange Commission in lieu thereof or in addition thereto.
This
authorization shall supersede all prior authorizations to act for the undersigned with respect to securities of the Company in these matters,
which prior authorizations are hereby revoked, and shall survive the termination of the undersigned's status as a director and/or officer
of the Company and remain in effect thereafter for so long as the undersigned (in his or her individual capacity or in a fiduciary or
other capacity) is subject to Rule 144 with respect to securities of the Company or has any obligation under Section 16 of the Exchange
Act with respect to securities of the Company.
| Dated: January 17, 2025 |
/s/ Randy D. Hicks |
| |
(signature) |
| |
|
| |
Randy D. Hicks |
| |
(type or print name) |
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