Annual Statement of Changes in Beneficial Ownership (5)
24 Gennaio 2023 - 9:08PM
Edgar (US Regulatory)
FORM 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).
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Form 3 Holdings Reported
[X]
Form 4 Transactions Reported |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0362
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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
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1. Name and Address of Reporting Person
*
Colombo Russell A | 2. Issuer Name and Ticker or Trading SymbolBank of Marin Bancorp [BMRC] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
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(Last)
(First)
(Middle)
504 REDWOOD BOULEVARD, SUITE 100 | 3. Statement for Issuer's Fiscal Year Ended (MM/DD/YYYY)
12/31/2022 |
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(Street)
NOVATO, CA 94947
(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
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3) | 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) | 6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4) | 7. Nature of Indirect Beneficial Ownership
(Instr. 4) |
| Amount | (A) or (D) | Price |
| Common Stock | 12/23/2022 | | J4 (1) | 1357 | D | $0.00 | 10296 | D | |
| Common Stock | 12/23/2022 | | J4 (1) | 1357 | A | $0.00 | 30132 | I | As Trustee of Colombo Family Trust |
| Common Stock | 12/28/2022 | | G4 | 1900 | D | $0.00 | 28232 | I | As Trustee of Colombo Family Trust |
| Common Stock | 3/9/2022 | | J4 (2) | 13692 | A | $0.00 | 13692 | I | By IRA |
| Common Stock | | | (2) | | | | 0 | I | By ESOP |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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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
(MM/DD/YYYY) | 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 at End of Issuer's Fiscal Year
(Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4) | 11. Nature of Indirect Beneficial Ownership
(Instr. 4) |
| (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
| Stock Options (Right to buy) | $19.675 | | | | | | (3) | 4/1/2023 | Common Stock | 8200 | | 8200 | D | |
| Stock Options (Right to Buy) | $22.94 | | | | | | (3) | 4/1/2024 | Common Stock | 8400 | | 8400 | D | |
| Stock Options (Right to buy) | $25.375 | | | | | | (4) | 3/2/2025 | Common Stock | 14340 | | 14340 | D | |
| Stock Options (Right to buy) | $24.825 | | | | | | (4) | 3/1/2026 | Common Stock | 14820 | | 14820 | D | |
| Stock Options (Right to buy) | $34.80 | | | | | | (4) | 3/1/2027 | Common Stock | 10360 | | 10360 | D | |
| Stock Options (Right to buy) | $33.575 | | | | | | (5) | 3/1/2028 | Common Stock | 5420 | | 5420 | D | |
| Stock Options (Right to buy) | $33.575 | | | | | | (4) | 3/1/2028 | Common Stock | 11540 | | 11540 | D | |
| Stock Options (Right to Buy) | $44.45 | | | | | | (4) | 3/1/2029 | Common Stock | 10030 | | 10030 | D | |
| Stock Options (Right to buy) | $40.10 | | | | | | (4) | 3/2/2030 | Common Stock | 7430 | | 7430 | D | |
| Stock Options (Right to Buy) | $38.25 | | | | | | (4) | 3/1/2031 | Common Stock | 4723 | | 4723 | D | |
| Explanation of Responses: |
| (1) | Shares transferred from Direct ownership to Indirect ownership. |
| (2) | Since the date of the reporting person's last ownership report, the reporting person transferred his ESOP holdings to an IRA. |
| (3) | Exercisable 20% per year beginning on first anniversary date of grant |
| (4) | Exercisable 33% per year beginning on first anniversary date of grant |
| (5) | Exercisable 33% immediately, then 33% per year on first anniversary date of grant. |
Reporting Owners
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| Reporting Owner Name / Address | Relationships |
| Director | 10% Owner | Officer | Other |
Colombo Russell A
504 REDWOOD BOULEVARD, SUITE 100
NOVATO, CA 94947 | X |
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Signatures
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| Nancy Rinaldi Boatright, Attorney-in-Fact | | 1/24/2023 |
| **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 control number. |
Grafico Azioni Bank of Marin Bancorp (NASDAQ:BMRC)
Storico
Da Mag 2024 a Giu 2024
Grafico Azioni Bank of Marin Bancorp (NASDAQ:BMRC)
Storico
Da Giu 2023 a Giu 2024
