0001415889-18-000130.txt : 20180126 0001415889-18-000130.hdr.sgml : 20180126 20180126084515 ACCESSION NUMBER: 0001415889-18-000130 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171231 FILED AS OF DATE: 20180126 DATE AS OF CHANGE: 20180126 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: 18549938 MAIL ADDRESS: STREET 1: C/O JACKSONVILLE SAVINGS BANK STREET 2: 1211 WEST MORTON AVE CITY: JACKSONVILLE STATE: IL ZIP: 62650 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 5 1 form5-01262018_050102.xml X0306 5 2017-12-31 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 2016-12-31 5 A 0 230.4088 30 A 4829 I By ESOP Common Stock 2017-01-04 5 P 0 134.273 29.6518 A 39949 I By 401k Common Stock 2017-04-11 5 P 0 127.854 31.2456 A 39942 I By 401k Common Stock 2017-07-11 5 P 0 127.458 31.4429 A 40196 I By 401k Common Stock 2017-10-11 5 P 0 128.473 31.2934 A 40333 I By 401k Common Stock 4156 I By IRA Common Stock 45 I By Spouse Common Stock 28453 D Stock Option 15.65 2013-04-24 2022-04-24 Common Stock 7200 7200 D ESOP ALLOCATION 401k DIVIDEND REINVESTMENT /s/ Richard A. Foss 2018-01-26