SEC Form 4 · accession 0001415889-16-004469
Jacksonville Bancorp, Inc. · JXSB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Dean H Hess
Director
Period of report
Mar 18, 2015
Accepted (ET)
Jan 15, 2016 · 10:48 am EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001484949
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Mar 18, 2015 | G | 3,100 | — | D | 26,703 | D | |
| Common StockF2 | Dec 29, 2015 | G | 800 | — | D | 25,903 | D | |
| Common Stock | Jan 15, 2016 | P | 640 | $25.00 | A | 8,323 | I | By Spouse |
| Common Stock | holding | — | — | — | 39,408 | I | By SEP IRA | |
| Common Stock | holding | — | — | — | 3,251 | I | By Company |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option | $15.65 | holding | — | — | — | Apr 24, 2013 | Apr 24, 2022 | Common Stock | 600 | 600 | D |
Explanation of responses
- F1Gift of 3100 shares held jointly by Dean and Emily Hess to a family member.
- F2Gift of 800 shares jointly held by Dean and Emily Hess to a family member.