SEC Form 4 · accession 0001209191-17-037534
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
Jun 1, 2017
Accepted (ET)
Jun 5, 2017 · 10:26 am 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 | Jun 1, 2017 | S | 815 | $55.00 | D | 13,843 | D | |
| COMMONF2 | Jun 2, 2017 | S | 185 | $55.00 | D | 13,658 | D | |
| COMMONF3 | Jun 2, 2017 | S | 1,000 | $55.00 | D | 12,658 | 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
- F2Eugene N Burkholder Trust/Eugene N Burkholder TTE
- F3Shannon L Burkholder Trust / Shannon L Burkholder TTEE