Amended Statement of Changes in Beneficial Ownership (4/a)
26 Januar 2023 - 6:40PM
Edgar (US Regulatory)
FORM 4
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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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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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3235-0287
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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
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Bookmyer John |
2. Issuer Name and Ticker or Trading Symbol
PREMIER FINANCIAL CORP
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PFC
]
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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)
601 CLINTON STREET |
3. Date of Earliest Transaction
(MM/DD/YYYY)
1/1/2023 |
(Street)
DEFIANCE, OH 43512
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
1/4/2023 |
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)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. 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
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V
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Amount
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(A) or (D)
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Price
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Common Shares | 1/1/2023 | | M | | 9196 (1) | A | (2) | 55073.2635 (1) | D | |
Table II - Derivative Securities 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 | 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 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 |
Phantom Shares | (2) | 1/1/2023 | | M | | | 9196 (1) | (3) | (3) | Common Shares | 9196 (1) | (2) | 20594.587 (1)(4) | D | |
Explanation of Responses: |
(1) | On January 4, 2023, the reporting person filed a Form 4 which over-reported the amount of shares received upon a distribution pursuant to a deferred compensation plan due to the erroneous inclusion of fractional shares. As reported in this amendment, the reporting person acquired 9,196 common shares of the issuer instead of 9,197.393 common shares. The total shares beneficially owned by the reporting person has also been amended to reflect the correct amount of securities owned. |
(2) | Each share of phantom stock ("Phantom Shares") is the economic equivalent of one common share of the issuer. |
(3) | Phantom Shares awarded in 2009 and 2010, at the election of the reporting person, became payable on January 1, 2023. |
(4) | The total differs from amounts previously reported due to additional Phantom Shares attributable to dividends paid by the issuer. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Bookmyer John 601 CLINTON STREET DEFIANCE, OH 43512 | X |
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Signatures
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/s/ John L. Bookmyer by Shannon M. Kuhl, P.O.A. | | 1/26/2023 |
**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. |
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