TILLEY JAMES 4

Accession 0000842518-05-000018

CIK 0000842518other

View on SEC.gov Company Profile

Filed

Sep 21, 8:00 PM ET

Accepted

Sep 22, 10:59 AM ET

Size

12.8 KB

Accession

0000842518-05-000018

Insider Transaction Report

Form 4

Period: 2005-09-20

EVANS BANCORP INCEVBN

TILLEY JAMES

Director

Transactions

Award
Employee Incentive Stock Option (Right to Buy)
2005-09-20$22.00/sh+2,500$55,000→ 7,750 total
Exercise: $22.00Exp: 2015-09-19→ Common Stock (2,500 underlying)

Holdings

Employee Incentive Stock Option (Right to Buy)
Exercise: $20.25Exp: 2013-04-18→ Common Stock (2,750 underlying)
2,750
Common Stock ($0.50 par value)
(indirect: By Spouse)
108
Common Stock ($0.50 par value)
(indirect: ITF Grandson)
14.325
Common Stock ($0.50 par value)
2,066.537

Footnotes (11)

[F1]On December 30, 2004, the issuer distributed a 5% stock dividend payable to all holders of record of common stock on December 9, 2004. As a result, the listed owner received 68.777327 additional shares of common stock.
[F10]This Option was previously reported as an Option for 2500 shares of Common Stock at an exercise price of $22.28 per share, but was adjusted to reflect the 5% stock dividend declared by Evans Bancorp, Inc. on November 16, 2004, payable on December 30, 2004 to shareholders of record on December 9, 2004. As a result of the stock dividend, pursuant to the anti-dilution provisions of Evans Bancorp, Inc.'s 1999 Stock Option and Long-Term Incentive Plan, the Option entitled the reporting person to receive, upon exercise, 250 additional shares of common stock for no additional consideration.
[F11]This number is reflected in Section 9 (Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)) for Employee Incentive Stock Option (Right to Buy) reported as transaction date 09/20/2005.
[F2]This number reflects shares acquired through the Employee Stock Purchase Plan as follows: 250 shares July 2, 2004; 283 shares January 5, 2005; 307 shares July 1, 2005.
[F3]This number reflects shares acquired under the Evans Bancorp, Inc. Dividend Reinvestment Plan as follows: 26.723346 shares in 2004; 18.212936 shares in April 2005.
[F4]On December 30, 2004, the issuer distributed a 5% stock dividend payable to all holders of record of common stock on December 9, 2004. As a result, the listed owner received 5 additional shares of common stock.
[F5]On December 30, 2004, the issuer distributed a 5% stock dividend payable to all holders of record of common stock on December 9, 2004. As a result, the listed owner received 0.101501 additional shares of common stock.
[F6]This number reflects shares acquired under the Evans Bancorp, Inc. Dividend Reinvestment Plan as follows: 0.383622 shares in 2004; 0.193249 shares in April 2005.
[F7]The Options shall be exercisable according to the following schedule: 50% of the shares of Common Stock subject to the Option - 1st year after the Date of Grant; and 50% of the shares of Common Stock subject to the Option - 18 months after the Date of Grant and thereafter.
[F8]This Option price was previously reported as an Option for 2,500 shares of Common Stock at an exercise price of $22.28 per share, but was adjusted to reflect the 5% stock dividend declared by Evans Bancorp, Inc. on November 16, 2004, payable on December 30, 2004 to shareholders of record on December 9, 2004. As a result of the stock dividend, pursuant to the anti-dilution provisions of Evans Bancorp, Inc.'s 1999 Stock Option and Long-Term Incentive Plan, the option entitled the reporting person to receive, upon exercise, 250 additional shares of Common Stock for no additional consideration. Also as a result of the 5% stock dividend, the exercise price of the option is adjusted from $22.28 per share to $20.25 per share.
[F9]The Options shall be exercisable according to the following schedule: 50% of the shares of Common Stock subject to the Option - 1st year after the Date of Grant; and 50% of the shares of Common Stock subject to the Option - 2nd year after the Date of Grant and thereafter.

Documents

1 file

4
primary_doc.xmlPrimary
PRIMARY DOCUMENT

Issuer

EVANS BANCORP INC

CIK 0000842518

→

Entity typeother

Related Parties

filerCIK 0001193741

Filing Metadata

Form type: 4
Filed: Sep 21, 8:00 PM ET
Accepted: Sep 22, 10:59 AM ET
Size: 12.8 KB

View on SEC.gov