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
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form5-02072017_080251.xml
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2016-12-31
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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