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