0001415889-17-000188.txt : 20170207 0001415889-17-000188.hdr.sgml : 20170207 20170207114101 ACCESSION NUMBER: 0001415889-17-000188 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161231 FILED AS OF DATE: 20170207 DATE AS OF CHANGE: 20170207 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Jacksonville Bancorp, Inc. CENTRAL INDEX KEY: 0001484949 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035] IRS NUMBER: 000000000 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1211 WEST MORTON AVENUE CITY: JACKSONVILLE STATE: IL ZIP: 62650 BUSINESS PHONE: (217) 245-4111 MAIL ADDRESS: STREET 1: 1211 WEST MORTON AVENUE CITY: JACKSONVILLE STATE: IL ZIP: 62650 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FOSS RICHARD A CENTRAL INDEX KEY: 0001211685 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34821 FILM NUMBER: 17577835 MAIL ADDRESS: STREET 1: C/O JACKSONVILLE SAVINGS BANK STREET 2: 1211 WEST MORTON AVE CITY: JACKSONVILLE STATE: IL ZIP: 62650 5 1 form5-02072017_080251.xml X0306 5 2016-12-31 0 0 0001484949 Jacksonville Bancorp, Inc. JXSB 0001211685 FOSS RICHARD A C/O JACKSONVILLE BANCORP, INC. 1211 W. MORTON AVE. JACKSONVILLE IL 62650 true true false false PRESIDENT AND CEO Common Stock 2015-12-31 5 A 0 329 26.28 A 4599 I By ESOP Common Stock 2016-01-06 5 P 0 119.126 26.4772 A 39546 I By 401k Common Stock 2016-07-08 5 P 0 136.317 29.0100 A 39682 I By 401k Common Stock 2016-10-12 5 P 0 132.416 29.9730 A 39815 I By 401k Common Stock 28453 D Common Stock 4156 I By IRA Common Stock 45 I By Spouse Stock Option 15.65 2013-04-24 2022-04-24 Common Stock 7200 7200 D /s/ Richard A. Foss 2017-02-07