0001209191-23-033249.txt : 20230601 0001209191-23-033249.hdr.sgml : 20230601 20230601122043 ACCESSION NUMBER: 0001209191-23-033249 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230601 FILED AS OF DATE: 20230601 DATE AS OF CHANGE: 20230601 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Johnson Jack Cornelius CENTRAL INDEX KEY: 0001272522 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38084 FILM NUMBER: 23983744 MAIL ADDRESS: STREET 1: 105 S MAIN STREET CITY: BRYAN STATE: OH ZIP: 43506 FORMER NAME: FORMER CONFORMED NAME: JACKSON JACK CORNELIUS DATE OF NAME CHANGE: 20031210 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 4 1 doc4.xml FORM 4 SUBMISSION X0407 4 2023-06-01 0 0000792966 FARMERS & MERCHANTS BANCORP INC FMAO 0001272522 Johnson Jack Cornelius 509 CARDINAL DR BRYAN OH 43506 1 1 0 0 Chairman 0 COMMON 4386 D COMMON 2023-06-01 4 A 0 754 0.00 A 5140 D Stock acquired as a result of stock awards issued pursuant to the Company's Long Term Incentive Plan //Lydia Huber// Attorney in Fact 2023-06-01