SEC Form 4 · accession 0000899243-17-024559
FARMERS & MERCHANTS BANCORP INC · FMAO
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Eugene N Burkholder
Director
Period of report
Dec 14, 2012
Accepted (ET)
Oct 23, 2017 · 4:01 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000792966
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common stock | Dec 14, 2012 | G | 2,500 | $0.00 | D | 5,240 | I | By Trust |
| Common stock | Dec 14, 2012 | G | 2,500 | $0.00 | A | 2,500 | I | by spouse trust |
| Common stock | May 6, 2013 | P | 717 | $21.90 | A | 5,957 | I | By Trust |
| Common stock | May 6, 2013 | P | 716 | $21.90 | A | 3,216 | I | by spouse trust |
Table II — derivative securities
No Table II lines on this filing.