Statement of Changes in Beneficial Ownership (4)
September 16 2015 - 1:57PM
Edgar (US Regulatory)
FORM 4
[
X
]
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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OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
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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
*
CALLIA C. HOLLY
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2. Issuer Name
and
Ticker or Trading Symbol
LOUISIANA BANCORP INC
[
LABC
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director
_____ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
SVP of Bank of New Orleans
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(Last)
(First)
(Middle)
C/O BANK OF NEW ORLEANS, 1600 VETERANS BLVD.
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3. Date of Earliest Transaction
(MM/DD/YYYY)
9/15/2015
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(Street)
METAIRIE, LA 70005
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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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 Stock
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9/15/2015
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D
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39600
(1)
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D
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$24.25
(2)
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0
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D
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Common Stock
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9/15/2015
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D
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13815.0626
(3)
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D
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$24.25
(2)
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0
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I
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By Employee Stock Ownership Plan
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Common Stock
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9/15/2015
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D
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4800.9678
(4)
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D
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$24.25
(2)
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0
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I
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By 401(k) Plan
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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)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. 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
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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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Stock Option
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$21.98
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9/15/2015
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D
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4000
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(5)
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1/5/2025
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Common Stock
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4000
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$24.25
(6)
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0
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D
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Stock Option
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$18.19
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9/15/2015
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D
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4000
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(5)
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12/16/2023
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Common Stock
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4000
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$24.25
(6)
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0
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D
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Stock Option
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$16.56
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9/15/2015
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D
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8000
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(5)
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12/17/2022
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Common Stock
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8000
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$24.25
(6)
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0
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D
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Stock Option
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$14.41
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9/15/2015
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D
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2000
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(5)
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12/14/2020
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Common Stock
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2000
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$24.25
(6)
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0
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D
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Stock Option
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$13.50
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9/15/2015
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D
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3400
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(5)
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8/25/2019
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Common Stock
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3400
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$24.25
(6)
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0
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D
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Explanation of Responses:
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(
1)
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Reported amount includes 7,400 shares awarded under the 2007 Recognition and Retention Plan that vested on the legal date of the merger pursuant to terms of the merger agreement.
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(
2)
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Disposed of pursuant to merger between issuer and Home Bancorp, Inc. Pursuant to the merger agreement, each share of Louisiana Bancorp, Inc. common stock was converted into cash in the amount of $24.25.
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(
3)
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The reported shares represent the number of shares allocated to the reporting person's account as of December 31, 2014.
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(
4)
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The reported securities represent the number of shares held in the Issuer's 401(k) Plan, based on a report dated September 15, 2015. These shares represent 5,213.0768 ownership units.
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(
5)
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Reported securities were awarded under the Company's 2007 Recognition and Retention Plan. Such securities vested ratably over five years beginning on the first anniversary date of the award. Pursuant to terms of the merger agreement with Home Bancorp, Inc., vesting of all options accelerated and were exercisable as of the merger date.
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(
6)
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Disposed of pursuant to merger agreement between issuer and Home Bancorp, Inc. Pursuant to the merger agreement, each stock option was cancelled in exchange for a cash payment equal to the excess of $24.25 over the exercise price of such option.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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CALLIA C. HOLLY
C/O BANK OF NEW ORLEANS
1600 VETERANS BLVD.
METAIRIE, LA 70005
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SVP of Bank of New Orleans
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Signatures
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John P. LeBlanc, by POA for C. Holly Callia
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9/16/2015
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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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