SEC Form 4 · accession 0001415889-17-000576
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
Apr 3, 2017
Accepted (ET)
Apr 4, 2017 · 9:52 am 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 | Apr 3, 2017 | M | 2,316 | $15.65 | A | 3,474 | D | |
| Common Stock | Apr 3, 2017 | F | 1,158 | $31.30 | D | 2,316 | D | |
| Common Stock | Dec 31, 2016 | A | 141 | $30.00 | A | 820 | I | By ESOP |
| Common Stock | holding | — | — | — | 6,226 | I | By 401k | |
| Common Stock | holding | — | — | — | 945 | 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 | Apr 3, 2017 | M | 2,316 | D | Apr 24, 2014 | Apr 24, 2022 | Common Stock | 1,158 | 4,526 | D |