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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | 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. | SEC 2270 (9-02) |
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 Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned at End of Issuer's Fiscal Year (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | |||||||||
Stock Option (Right to buy) | $ 34.75 | Â | Â | Â | Â | Â | Â (2) | 10/16/2027 | Common Stock | Â | 8,000 (3) | Â | ||
Stock Options (Right to buy) | $ 33.575 | Â | Â | Â | Â | Â | Â (4) | 03/01/2028 | Common Stock | Â | 2,040 (5) | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Kimball James S 504 REDWOOD BOULEVARD NOVATO, CA 94947 |
 |  |  Executive Vice President |  |
Nancy R. Boatright, Attorney-in-Fact | 02/05/2019 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | On November 27, 2018, the common stock of Bank of Marin Bancorp split 2-for-1, resulting in the reporting person's ownership of 3770 additional shares of common stock. |
(2) | Exercisable 20% per year beginning on first anniversary date of grant |
(3) | This option was previously reported as covering 4,000 shares at an exercise price of $69.50 per share, but was adjusted to reflect the stock split that occurred on November 27, 2018. |
(4) | Exercisable 33% immediately, then 33% per year on first anniversary date of grant. |
(5) | This option was previously reported as covering 1,020 shares at an exercise price of $67.15 per share, but was adjusted to reflect the stock split that occurred on November 27, 2018. |