Sec Form 4 Filing - SCHEOPNER MICHAEL E @ LANDMARK BANCORP INC - 2017-12-06

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
SCHEOPNER MICHAEL E
2. Issuer Name and Ticker or Trading Symbol
LANDMARK BANCORP INC [ LARK]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
President / CEO
(Last) (First) (Middle)
3819 SW KINGS FOREST ROAD
3. Date of Earliest Transaction (MM/DD/YY)
12/06/2017
(Street)
TOPEKA, KS66610
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction 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)
Code V Amount (A) or (D) Price
Common Stock 12/06/2017 M 600 A $ 14.1 ( 2 ) 65,750 ( 2 ) D
Common Stock 12/06/2017 S 600 D $ 28.75 65,150 ( 2 ) D
Common Stock 12/07/2017 M 600 A $ 14.1 ( 2 ) 65,750 ( 2 ) D
Common Stock 12/07/2017 S 600 D $ 28.75 65,150 ( 2 ) D
Common Stock 12/08/2017 M 9 A $ 14.1 ( 2 ) 65,159 ( 2 ) D
Common Stock 12/08/2017 S 9 D $ 29.1 65,150 ( 2 ) D
Common Stock 8,737 ( 2 ) I IRA
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)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction 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/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Options to Purchase Common Stock $ 14.1 ( 2 ) 12/06/2017 M 600 ( 1 ) 04/23/2018 Common Stock 600 $ 0 28,148 ( 2 ) D
Options to Purchase Common Stock $ 14.1 ( 2 ) 12/07/2017 M 600 ( 1 ) 04/23/2018 Common Stock 600 $ 0 27,548 ( 2 ) D
Options to Purchase Common Stock $ 14.1 ( 2 ) 12/08/2017 M 9 ( 1 ) 04/23/2018 Common Stock 9 $ 0 27,539 ( 2 ) D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
SCHEOPNER MICHAEL E
3819 SW KINGS FOREST ROAD
TOPEKA, KS66610
X President / CEO
Signatures
Mark A. Herpich, as Attorney-in-fact for Michael E. Scheopner 12/08/2017
Signature of Reporting Person Date
Explanation of Responses:
( 1 )The options vested in 4 equal installments on April 29, 2009, 2010, 2011, and 2012.
( 2 )As adjusted for the Company's 5% stock dividend in December 2016 and 2017.

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