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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) | $ 8.23 | Â | Â | Â | Â | Â | Â (4) | 04/20/2006 | Common Stock | Â | 4,620 | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
COTTONE SALVATORE 11812 SHAWNEE POINTE SHELBY TOWNSHIP, MI 48315 |
 X |  |  |  |
s/Salvatore Cottone | 02/10/2005 | |
**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) | Adjusted to reflect 1,718.6029 shares acquired through December 31, 2004 under the Community Central Bank Corporation dividend reinvestment plan and 55.395 additional shares not previously included in the reporting person's beneficial ownership as a result of the five percent stock dividend paid June 1, 2004, to all holders of record of common stock on May 3, 2004. |
(2) | Adjusted to reflect 32.662 shares acquired through December 31, 2004 under the Community Central Bank Corporation dividend reinvestment plan. |
(3) | Adjusted to reflect 12 additional shares not previously included in the reporting person's beneficial ownership as a result of the five percent stock dividend paid June 1, 2004, to all holders of record of common stock on May 3, 2004. |
(4) | The option became exercisable in full on the date of the 2003 annual meeting of the shareholders of the issuer. |