Form 4 ACCESS NATIONAL CORP For: Oct 26 Filed by: Clarke Michael W
October 28, 2015 4:18 PM EDT
FORM
4 |
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 or Section 30(h) of the Investment Company Act of
1940
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OMB APPROVAL |
OMB Number: |
3235-0287 |
Expires: |
December 31, 2014 |
Estimated average burden |
hours per response: |
0.5 |
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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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1. Name and Address of Reporting Person
*
C/O ACCESS NATIONAL CORPORATION |
1800 ROBERT FULTON DRIVE, SUITE 300 |
(Street)
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2. Issuer Name
and
Ticker or Trading Symbol
ACCESS NATIONAL CORP
[
ANCX
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X |
Director |
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10% Owner |
X |
Officer (give title below) |
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Other (specify below) |
President, CEO |
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3. Date of Earliest Transaction
(Month/Day/Year) 10/26/2015
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4. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check
Applicable Line)
X |
Form filed by One Reporting Person |
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Form filed by More than One Reporting
Person |
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Table I - Non-Derivative Securities Acquired, Disposed of, or
Beneficially Owned |
1.
Title of Security (Instr.
3)
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2.
Transaction Date
(Month/Day/Year) |
2A.
Deemed Execution Date, if any
(Month/Day/Year) |
3.
Transaction Code (Instr.
8)
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4.
Securities Acquired (A) or Disposed Of (D) (Instr.
3, 4 and 5)
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5.
Amount of Securities Beneficially Owned Following Reported
Transaction(s) (Instr.
3 and 4)
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6.
Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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7.
Nature of Indirect Beneficial Ownership (Instr.
4)
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Code |
V |
Amount |
(A) or (D) |
Price |
common stock
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10/26/2015 |
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M |
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2,500
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A
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$
9.24
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697,029.68
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D
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common stock
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10/26/2015 |
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M |
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2,500
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A
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$
15.21
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699,529.68
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D
|
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common stock
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10/26/2015 |
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M |
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2,500
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A
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$
16.22
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702,029.68
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D
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common stock
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10/26/2015 |
|
M |
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2,500
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A
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$
15.97
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704,529.68
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D
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common stock
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|
|
|
|
|
|
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92,224.04
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I
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By spouse.
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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 Derivative Security (Instr.
3)
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2. Conversion or Exercise Price of Derivative Security
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3. Transaction Date
(Month/Day/Year) |
3A. Deemed Execution Date, if any
(Month/Day/Year) |
4. Transaction Code (Instr.
8)
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5.
Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr.
3, 4 and 5)
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6. Date Exercisable and Expiration Date
(Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr.
3 and 4)
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8. Price of Derivative Security (Instr.
5)
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9.
Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr.
4)
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10. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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11. Nature of Indirect Beneficial Ownership (Instr.
4)
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Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
options to purchase
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$
9.24
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10/26/2015 |
|
M |
|
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2,500
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01/31/2015 |
01/31/2017 |
common stock
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2,500
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$
0
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2,500
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D
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options to purchase
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$
15.21
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10/26/2015 |
|
M |
|
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2,500
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01/28/2015 |
01/28/2018 |
common stock
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2,500
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$
0
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5,000
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D
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options to purchase
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$
16.22
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10/26/2015 |
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M |
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2,500
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03/15/2015 |
03/15/2018 |
common stock
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2,500
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$
0
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5,000
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D
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options to purchase
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$
15.97
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10/26/2015 |
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M |
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2,500
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01/22/2015 |
01/22/2019 |
common stock
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2,500
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$
0
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7,500
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D
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Explanation of Responses: |
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Sheila M. Linton, as attorney-in-fact for Michael W. Clarke |
10/28/2015 |
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** 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 Number. |
POWER OF ATTORNEY
FOR SECTION 16 REPORTING
I, Michael W. Clarke, do hereby constitute and appoint Margaret M. Taylor and
Sheila M. Linton, my true and lawful attorneys-in-fact, any of whom acting
singly is hereby authorized, for me and in my name and on my behalf as an
officer and/or director and/or shareholder of Access National Corporation, to
prepare, execute and file any and all forms, instruments or documents (including
any necessary amendments thereof) as such attorneys or attorney deems necessary
or advisable to enable me to comply with Section 16 of the Securities Exchange
Act of 1934 and any rules, regulations, policies or requirements of the
Securities and Exchange Commission in respect thereof (collectively, "Section
16").
I do hereby ratify and confirm all acts my said attorney shall do or cause to
be done by virtue hereof.
This power of attorney shall remain in full force and effect until it is
revoked by the undersigned in a signed writing delivered to each such
attorney-in-fact or the undersigned is no longer required to comply with Section
16, whichever occurs first.
WITNESS the execution hereof this 25th day of October 2012.
Michael W. Clarke
_____________________________
Michael W. Clarke
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