FORM 4
[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).         
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
                                                                                  
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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(f) of the Investment Company Act of 1940
                      

1. Name and Address of Reporting Person *

SYTSMA JERRY ANDREW
2. Issuer Name and Ticker or Trading Symbol

GRAND RIVER COMMERCE INC [ GNRV ]
5. Relationship of Reporting Person(s) to Issuer (Check all applicable)

__ X __ Director                      _____ 10% Owner
__ X __ Officer (give title below)      _____ Other (specify below)
VICE PRESIDENT, SECRETARY
(Last)          (First)          (Middle)

4471 WILSON AVENUE, SW
3. Date of Earliest Transaction (MM/DD/YYYY)

11/17/2010
(Street)

GRANDVILLE, MI 49418
(City)        (State)        (Zip)
4. If Amendment, Date Original Filed (MM/DD/YYYY)

 
6. Individual or Joint/Group Filing (Check Applicable Line)

_ X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Trans. Date 2A. Deemed Execution Date, if any 3. Trans. Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price

Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Trans. Date 3A. Deemed Execution Date, if any 4. Trans. 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 7. Title and Amount of Securities Underlying Derivative Security
(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)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
ORGANIZER WARRANTS   $10   11/17/2010     J   (1)       2479    4/30/2009   4/30/2019   Common Stock   13274     (2) 10795   D    

Explanation of Responses:
( 1)  In recognition of the substantial financial risks undertaken by the members of Grand River Commerce, Inc.'s organizing group, Grand River Commerce, Inc. granted warrants to purchase common stock to the organizers, including the warrants reported on the reporting person's Form 3, filed on May 4, 2010, and amended on November 16, 2010. Additionally, in recognition of the substantial financial risks undertaken by certain investors of Grand River Commerce, Inc., Grand River Commerce, Inc. and the organizers agreed to transfer a certain amount of organizer warrants to the investors, including the transfer of warrants described herein.
( 2)  The reporting person did not receive any consideration for the transaction described herein.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director 10% Owner Officer Other
SYTSMA JERRY ANDREW
4471 WILSON AVENUE, SW
GRANDVILLE, MI 49418
X
VICE PRESIDENT, SECRETARY

Signatures
/s/ Jerry A. Sytsma 11/17/2010
** 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 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).
Note: 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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Grand River Commerce (QX) (USOTC:GNRV)
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Grand River Commerce (QX) (USOTC:GNRV)
과거 데이터 주식 차트
부터 2월(2) 2024 으로 2월(2) 2025 Grand River Commerce (QX) 차트를 더 보려면 여기를 클릭.