Statement of Changes in Beneficial Ownership (4)
January 02 2018 - 2:24PM
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
*
Kirschenbaum Malcolm
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2. Issuer Name
and
Ticker or Trading Symbol
Sunshine Bancorp, Inc.
[
SBCP
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
_____ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Last)
(First)
(Middle)
102 WEST BAKER STREET
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3. Date of Earliest Transaction
(MM/DD/YYYY)
1/1/2018
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(Street)
PLANT CITY, FL 33563
(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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1/1/2018
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J
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2797
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D
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(1)
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0
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D
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Common Stock
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1/1/2018
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J
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16313
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D
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(1)
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0
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I
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By IRA
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Common Stock
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1/1/2018
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J
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4078
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D
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(1)
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0
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I
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By Child 1
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Common Stock
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1/1/2018
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J
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4078
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D
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(1)
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0
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I
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By Child 2
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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 Options
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$14.50
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1/1/2018
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J
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3000
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10/31/2017
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10/31/2026
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Common Stock
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3000
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(2)
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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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Each share of common stock was converted into and became exchangeable for the right to receive 0.89 shares of CenterState Bank Corporation common stock.
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(2)
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Each option was converted into an option to purchase a number of shares of CenterState Bank Corporation common stock determined by multiplying the number of shares of Sunshine Bancorp, Inc. common stock subject to such stock option by 0.89, at a per share exercise price equal to the quotient obtained by dividing the per share exercise price for each share of Sunshine Bancorp, Inc. common stock subject to such option by 0.89.
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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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Kirschenbaum Malcolm
102 WEST BAKER STREET
PLANT CITY, FL 33563
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X
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Signatures
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/s/ Benjamin Azoff, pursuant to Power of Attorney
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1/2/2018
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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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