SEC Form 4/A · accession 0001415889-16-006972
Jacksonville Bancorp, Inc. · JXSB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
John L Eyth
Director
Period of report
Aug 19, 2016
Accepted (ET)
Aug 25, 2016 · 12:37 pm EDT
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 Stock | holding | — | — | — | 906 | D | ||
| Common StockF1 | holding | — | — | — | 8,592 | I | By IRA |
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
- F1The stock purchase reported on 8/19/16 was erroneously reported as 30 shares. The actual number of shares purchased was 15 shares. All other information contained in the original 8/19/16 filing is correct.