SEC Form 5 · accession 0001484949-15-000012
Jacksonville Bancorp, Inc. · JXSB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Richard A Foss
Officer — President and CEO · Director
Period of report
Dec 31, 2014
Accepted (ET)
Jan 26, 2015 · 2:38 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 |
|---|---|---|---|---|---|---|---|---|
| Jacksonville Bancorp, Inc. Common Stock | Dec 31, 2013 | A | 465 | $19.55 | A | 4,072 | I | by ESOP |
| Jacksonville Bancorp, Inc. Common Stock | Jan 3, 2014 | P | 156 | $19.6945 | A | 38,898 | I | By 401k |
| Jacksonville Bancorp, Inc. Common Stock | Apr 7, 2014 | P | 140 | $21.95 | A | 38,898 | I | by 401k |
| Jacksonville Bancorp, Inc. Common Stock | Jul 8, 2014 | P | 134 | $23.065 | A | 38,898 | I | by 401k |
| Jacksonville Bancorp, Inc. Common Stock | Oct 6, 2014 | P | 138 | $22.4837 | A | 38,898 | I | by 401k |
| Jacksonville Bancorp, Inc. Common Stock | holding | — | — | — | 28,453 | D | ||
| Jacksonville Bancorp, Inc. Common Stock | holding | — | — | — | 4,156 | I | by IRA | |
| Jacksonville Bancorp, Inc. Common Stock | holding | — | — | — | 45 | I | by Spouse |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock OptionsF1 | $15.65 | holding | — | — | — | Apr 24, 2013 | Apr 24, 2022 | Common Stock | 7,200 | 7,200 | D |
Explanation of responses
- F1Stock Options vest at a rate of 20% per year commencing on April 24, 2013.