SEC Form 4 · accession 0001209191-17-058937
FARMERS & MERCHANTS BANCORP INC · FMAO
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Steven Everhart
Director
Period of report
Nov 2, 2017
Accepted (ET)
Nov 2, 2017 · 5:20 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 | Nov 2, 2017 | G | 340 | $0.00 | A | 340 | I | By Spouse |
| COMMON | Nov 2, 2017 | G | 340 | $0.00 | A | 680 | I | By Spouse |
| COMMONF1 | holding | — | — | — | 20,900 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1All shares directly held by Mr. Everhart reflect a 2-for-1 split of the Issuer's common stock which became effective as of September 20, 2017. In addition DRP shares were credited to Mr. Everhart on October 26, 2017.