SEC Form 4 · accession 0001415889-17-000700
Jacksonville Bancorp, Inc. · JXSB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Dean H Hess
Director
Period of report
Jan 4, 2017
Accepted (ET)
May 4, 2017 · 4:47 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 | Jan 4, 2017 | P | 12 | $29.651 | A | 20,735 | D | |
| Common StockF2 | Mar 15, 2017 | G | 4,875 | — | D | 15,860 | D | |
| Common StockF2 | Mar 15, 2017 | G | 4,875 | — | A | 4,875 | I | By Trust |
| Common StockF3 | Mar 15, 2017 | G | 751 | — | D | 9,362 | I | By Spouse |
| Common StockF3 | Mar 15, 2017 | G | 751 | — | A | 751 | I | By Spouse Trust |
| Common StockF4 | Mar 15, 2017 | G | 860 | — | D | 15,000 | D | |
| common StockF4 | Mar 15, 2017 | G | 860 | — | A | 1,611 | I | By Spouse Trust |
| Common StockF3 | Mar 24, 2017 | G | 4,362 | — | D | 5,000 | I | By Spouse |
| common stockF3 | Mar 24, 2017 | G | 4,362 | — | A | 5,973 | I | By Spouse Trust |
| Common StockF3 | Mar 27, 2017 | G | 5,000 | — | D | 0 | I | By Spouse |
| common stockF3 | Mar 27, 2017 | G | 5,000 | — | A | 10,973 | I | By Spouse Trust |
| Common StockF4 | Apr 26, 2017 | G | 15,000 | — | D | 0 | D | |
| Common StockF4 | Apr 26, 2017 | G | 15,000 | — | A | 25,973 | I | By Spouse Trust |
| Common Stock | May 4, 2017 | M | 300 | $15.65 | A | 300 | D | |
| 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 Options | $15.65 | May 4, 2017 | M | 300 | D | Apr 24, 2017 | Apr 24, 2022 | Common Stock | 300 | 0 | D |
Explanation of responses
- F1Dividend Reinvestment
- F2Shares transferred from direct ownership to his trust
- F3Shares transferred from spouse to spouse's trust
- F4Shares transferred from jointly held direct account to spouse trust