SEC Form 5
FORM 5 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ANNUAL 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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). | |||||||||||||||||
Form 3 Holdings Reported. | |||||||||||||||||
Form 4 Transactions Reported. |
1. Name and Address of Reporting Person*
(Street)
| 2. Issuer Name and Ticker or Trading Symbol BRYN MAWR BANK CORP [ BMTC ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
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3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year) 12/31/2020 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed (Month/Day/Year) 02/10/2021 | 6. Individual or Joint/Group Filing (Check Applicable Line)
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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. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (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 | 6,422.969(1) | D |
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) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 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 (Month/Day/Year) | 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: 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 | |||||||||
Restricted Stock Units | (2) | (3) | (3) | Common Stock | 169 | 169 | D | |||||||
Restricted Stock Units | (2) | (4) | (4) | Common Stock | 218 | 218 | D | |||||||
Restricted Stock Units | (2) | (5) | (5) | Common Stock | 216 | 216 | D |
Explanation of Responses: |
1. This Form 5/A corrects the number of shares owned by the reporting person at 12/31/20, and the reporting person's prior Forms 4 and 5, which inadvertently omitted several small acquisitions of shares acquired pursuant to dividend reinvestment that were exempt from reporting at the time of acquisition pursuant to Section 16 of the Securities Exchange Act of 1934, as amended. This amended amount includes the following shares acquired on the dates indicated: 6.242 shares on 6/1/18; 6.92 shares on 9/4/18; 8.547 shares on 12/3/18; 14.377 shares on 3/1/19; 18.477 shares on 6/3/19; 20.843 shares on 9/3/19; 18.146 shares on 12/2/19; 21.399 shares on 3/2/20; 39.918 shares on 6/1/20; 42.909 shares on 9/1/20; and 37.697 shares on 12/1/20. It is also noted that the above table does not include 30.494 shares the reporting person acquired via dividend reinvestment on 3/1/21 since the date of acquisition was after 12/31/20; these shares will be reported in the reporting person's next Form 4 filing. |
2. Each restricted stock unit represents a contingent right to receive one share of BMTC common stock. |
3. Represents Restricted Stock Units granted under the Bryn Mawr Bank Corporation Amended and Restated 2010 Long-Term Incentive Plan that, subject to certain conditions, will vest on August 9, 2021. |
4. Represents time-based Restricted Stock Units granted under the Bryn Mawr Bank Corporation Amended and Restated 2010 Long-Term Incentive Plan that, subject to certain conditions, will vest on February 6, 2023. |
5. Represents Restricted Stock Units granted under the Bryn Mawr Bank Corporation Amended and Restated 2010 Long-Term Incentive Plan that, subject to certain conditions, will vest on May 2, 2022. |
Remarks: |
/s/ Lori Goldman, Attorney-in-Fact | 05/05/2021 | |
** 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. |