SEC Form 4 · accession 0001415889-17-001028
Jacksonville Bancorp, Inc. · JXSB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
John C Williams
Officer — SVP AND TRUST OFFICER · Director
Period of report
Dec 31, 2016
Accepted (ET)
Jun 23, 2017 · 2:46 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 StockF1 | Jun 23, 2017 | M | 5,650 | $15.65 | A | 18,450 | D | |
| Common Stock | Dec 31, 2016 | A | 110 | $30.00 | A | 496 | I | By ESOP |
| Common Stock | holding | — | — | — | 10,100 | I | By IRA | |
| Common Stock | holding | — | — | — | 1,050 | I | By Company | |
| Common Stock | holding | — | — | — | 11,274 | I | By 401k |
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 | Jun 23, 2017 | M | 5,650 | D | Apr 24, 2014 | Apr 24, 2022 | Common Stock | 5,650 | 0 | D |
Explanation of responses
- F1Exercise of options at $15.65 per share, first exercisable on 4/24/14 and expire on 4/24/22. FMV of $29.81 per share.