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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT 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 1474 (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 Following Reported Transaction(s) (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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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Non-Qualified Stock Option (right to buy) | $ 28.895 | 12/15/2005 | A | 12,000 | 12/15/2005(4) | 12/14/2012 | Common Stock | 12,000 | $ 0 | 12,000 | D | ||||
Non-Qualified Stock Option (right to buy) | $ 34.18 | 12/15/2005(5) | 12/09/2014 | Common Stock | 12,000 | 12,000 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
KELLEY FERDINAND T C/O INDEPENDENT BANK CORP 288 UNION STREET ROCKLAND, MA 02370 |
Executive Vice President |
Linda M. Campion, Power of Attorney for Ferdinand T. Kelley | 12/19/2005 | |
**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) | Total holdings include 59.8135 shares received pursuant to the Company's Dividend Reinvestment Plan. Such transactions are exempt from the reporting requirements of Section 16 of the Securities and Exchange Act of 1934, as amended. |
(2) | Shares held jt. w/spouse and include 1.3354 shares received pursuant to the Company's Dividend Reinvestment Plan. Such transactions are exempt from the reporting requirements of Section 16 of the Securities and Exchange Act of 1934, as amended. |
(3) | Shares held i/n/o Ferdinand T. Kelley Rev Living Trust on which Filer is a Trustee and Spouse is a Beneficiary. |
(4) | Non-Qualified Stock Options granted under the Independent Bank Corp. 2005 Employee Stock Plan. The Options granted on 12/15/05 vest immediately and will expire on December 14, 2012, unless earlier terminated in accordance with Stock Option Agreement. |
(5) | 3,043 options formerly reported as ISO's under the 12/9/04 grant have converted to NQO's due to an acceleration of vesting schedule for all options granted that date. All options granted on 12/9/04 have now immediately fully vested as of 12/15/05. |