0001209191-17-037536.txt : 20170605
0001209191-17-037536.hdr.sgml : 20170605
20170605103550
ACCESSION NUMBER: 0001209191-17-037536
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170530
FILED AS OF DATE: 20170605
DATE AS OF CHANGE: 20170605
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: FARMERS & MERCHANTS BANCORP INC
CENTRAL INDEX KEY: 0000792966
STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035]
IRS NUMBER: 341469491
STATE OF INCORPORATION: OH
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 307-11 N DEFIANCE ST
CITY: ARCHBOLD
STATE: OH
ZIP: 43502
BUSINESS PHONE: 4194462501
MAIL ADDRESS:
STREET 1: 307-11 NORTH DEFIANCE ST
CITY: ARCHBOLD
STATE: OH
ZIP: 43502
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Burkholder Eugene N
CENTRAL INDEX KEY: 0001542390
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38084
FILM NUMBER: 17890160
MAIL ADDRESS:
STREET 1: 12730 US HIGHWAY 20A
CITY: WAUSEON
STATE: OH
ZIP: 43567
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-05-30
0
0000792966
FARMERS & MERCHANTS BANCORP INC
FMAO
0001542390
Burkholder Eugene N
12730 US HIGHWAY 20A
WAUSEON
OH
43567
1
0
0
0
COMMON
2017-05-30
4
S
0
129
58.00
D
12529
D
Eugene N Burkholder Trust/Eugene N Burkholder TTEE
Lydia Huber
2017-06-05