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4//SEC Filing

STOCK KEITH 4

Accession 0001311828-18-000004

CIK 0001311828other

Filed

Jan 24, 7:00 PM ET

Accepted

Jan 25, 4:25 PM ET

Size

10.2 KB

Accession

0001311828-18-000004

Insider Transaction Report

Form 4
Period: 2018-01-23
STOCK KEITH
Director
Transactions
  • Disposition to Issuer

    Common Stock

    2018-01-23$0.13/sh125,000$15,6250 total(indirect: By First Financial Partners Fund II, L.P.)
  • Disposition to Issuer

    Options

    2018-01-2320,0000 total
    Exercise: $0.01Exp: 2025-05-14Common Stock (20,000 underlying)
  • Other

    Series A Preferred Stock

    2018-01-23$1000.00/sh100$100,0000 total(indirect: By First Financial Partners Fund II, L.P.)
    Exercise: $1000.00Common Stock (125,000 underlying)
Footnotes (4)
  • [F1]Disposed of pursuant to that certain Agreement and Plan of Merger dated as of September 25, 2017, between First Reliance Bancshares, Inc. (First Reliance), FR Merger Subsidiary, Inc. (Merger Sub), and Independence Bancshares, Inc. (Independence), pursuant to which Independence was merged with and into First Reliance (the Merger). At the effective time of the Merger, each share of Independence common stock was converted into the right to receive $0.125 in cash.
  • [F2]On May 14, 2015, the reporting person was granted an option to purchase 20,000 shares of common stock at $0.65 per share. The option immediately vested for all of the shares. Prior to the effective time of the Merger, all holders of options granted by Independence surrendered their rights under the options for a cash payment of $0.01 per share of common stock underlying the options.
  • [F3]Immediately prior to the effective time of the merger, each share of Independence Series A Preferred Stock was redeemed for its stated per share redemption price by the payment of cash in the amount of $1,000.
  • [F4]Not Applicable

Issuer

Independence Bancshares, Inc.

CIK 0001311828

Entity typeother

Related Parties

1
  • filerCIK 0001241317

Filing Metadata

Form type
4
Filed
Jan 24, 7:00 PM ET
Accepted
Jan 25, 4:25 PM ET
Size
10.2 KB