SEC Form 4 · accession 0001209191-15-081502
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
Nov 20, 2015
Accepted (ET)
Nov 20, 2015 · 3:51 pm EST
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 STOCKF1 | Nov 20, 2015 | P | 1,000 | $26.50 | A | 8,561 | I | By Trust |
| COMMON STOCKF2 | Nov 20, 2015 | P | 1,000 | $26.50 | A | 5,393 | I | Spouse ByTrust |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Eugene N Burkholder Trust/Eugene N Burkholder TTE
- F2Shannon L Burkholder Trust / Shannon L Burkholder TTEE