|4Jan 25, 4:56 PM ET

Hurwich Adam Gabriel 4

4 · Independence Bancshares, Inc. · Filed Jan 25, 2018

Insider Transaction Report

Form 4
Period: 2018-01-23
Transactions
  • Other

    Series A Preferred Stock

    2018-01-17$1000.00/sh300$300,0002,150 total(indirect: By Ulysses Offshore Fund, Ltd.)
    Exercise: $1000.00Common Stock (375,000 underlying)
  • Other

    Series A Preferred Stock

    2018-01-17$1000.00/sh2,150$2,150,0000 total(indirect: By Ulysses Partners, L.P.)
    Exercise: $1000.00Common Stock (2,687,500 underlying)
Footnotes (2)
  • [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. 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.
  • [F2]Not Applicable

Documents

1 file
  • 4
    primary_doc.xmlPrimary

    PRIMARY DOCUMENT