SEC Form 4 · accession 0001209191-16-138076
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
Aug 19, 2016
Accepted (ET)
Aug 22, 2016 · 3:11 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 |
|---|---|---|---|---|---|---|---|---|
| COMMONF1 | Aug 19, 2016 | P | 500 | $32.00 | A | 9,065 | I | By Trust |
| COMMONF2 | Aug 19, 2016 | P | 500 | $32.00 | A | 5,893 | I | Spouse by Trust |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Eugene N Burkholder Trust/Eugene N Burkholder TTEE
- F2Shannon L Burkholder Trust/Shannon L Burkholder TTEE