SEC Form 3
FORM 3 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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*
(Street)
| 2. Date of Event Requiring Statement (Month/Day/Year) 04/30/2018 | 3. Issuer Name and Ticker or Trading Symbol First Choice Bancorp [ FCBP ] | |||||||||||||
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
| 5. If Amendment, Date of Original Filed (Month/Day/Year) | ||||||||||||||
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 10,664(1) | D | |
Common Stock | 14,415 | I | Franko Rev. Living Trust |
Common Stock | 10,467 | I | IRA |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Stock Options (Right to buy) | (3) | 11/12/2023 | Common Stock | 32,448(4) | 11.3258(2) | D |
Explanation of Responses: |
1. Includes (i) 400 unvested Restricted Stock Awards ("RSAs") awarded on November 28, 2013 and (ii) 96 unvested RSAs awarded on March 3, 2014 and (iii) 4,592 RSAs awarded on December 21, 2017 to the reporting person for no additional cash consideration, each of which represent a contingent right to receive one share of First Choice Bancorp. common stock. |
2. Price reflects dividend equivalents paid on April 15, 2015 and July 22, 2016. |
3. These options vests equally over five years starting from the grant date anniversary, which is November 12, 2014. |
4. The quantity includes 2,448 shares of dividend equivalents paid on April 15, 2015 and July 22, 2016. |
Remarks: |
Yvonne Chen, as attorney in fact for Robert Franko | 04/30/2018 | |
** 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 5 (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. |