SEC Form 5 · accession 0001415889-17-000194
Jacksonville Bancorp, Inc. · JXSB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Diana S Tone
Officer — CHIEF FINANCIAL OFFICER
Period of report
Dec 31, 2016
Accepted (ET)
Feb 7, 2017 · 12:42 pm 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 Stock | Dec 31, 2015 | A | 147 | $26.28 | A | 679 | I | By ESOP |
| Common Stock | Jan 6, 2016 | P | 19 | $26.4772 | A | 6,182 | I | By 401k |
| Common Stock | Jul 8, 2016 | P | 21 | $29.01 | A | 6,203 | I | By 401k |
| Common Stock | Oct 12, 2016 | P | 21 | $29.973 | A | 6,226 | I | By 401k |
| Common Stock | Jan 6, 2016 | P | 3 | $26.4772 | A | 938 | I | By IRA |
| Common Stock | Jul 8, 2016 | P | 3 | $29.01 | A | 942 | I | By IRA |
| Common Stock | Oct 12, 2016 | P | 3 | $29.973 | A | 945 | I | By IRA |
| Common Stock | holding | — | — | — | 1,158 | D |
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 | 1,158 | 6,842 | D |