-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, RpojJZo9Z3O73EbpQ4WCoWoYpbdHo1dojXF4Rm0i4mRs78Jma4myyUVMbDfmk4Xk 7ilRu2pa0xCcQUzbyUh6NA== 0001140361-10-046851.txt : 20101122 0001140361-10-046851.hdr.sgml : 20101122 20101122181310 ACCESSION NUMBER: 0001140361-10-046851 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20101116 FILED AS OF DATE: 20101122 DATE AS OF CHANGE: 20101122 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ludwig Eugene CENTRAL INDEX KEY: 0001453863 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-30248 FILM NUMBER: 101209843 MAIL ADDRESS: STREET 1: 280 PARK AVENUE, 40TH FLOOR WEST STREET 2: SUITE 401 CITY: NEW YORK STATE: NY ZIP: 10017 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: JACKSONVILLE BANCORP INC /FL/ CENTRAL INDEX KEY: 0001071264 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 593472981 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 100 NORTH LAURA STREET, SUITE 1000 CITY: JACKSONVILLE STATE: FL ZIP: 32202 BUSINESS PHONE: 9044213040 MAIL ADDRESS: STREET 1: 100 NORTH LAURA STREET, SUITE 1000 CITY: JACKSONVILLE STATE: FL ZIP: 32202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CapGen Capital Group IV LP CENTRAL INDEX KEY: 0001505877 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-30248 FILM NUMBER: 101209844 BUSINESS ADDRESS: STREET 1: 280 PARK AVENUE, 4-TH FLOOR WEST CITY: NEW YORK STATE: NY ZIP: 10017 BUSINESS PHONE: 212-542-6868 MAIL ADDRESS: STREET 1: 280 PARK AVENUE, 4-TH FLOOR WEST CITY: NEW YORK STATE: NY ZIP: 10017 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CapGen Capital Group IV LLC CENTRAL INDEX KEY: 0001505878 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-30248 FILM NUMBER: 101209845 BUSINESS ADDRESS: STREET 1: 280 PARK AVENUE, 40TH FLOOR WEST CITY: NEW YORK STATE: NY ZIP: 10017 BUSINESS PHONE: 212-542-6868 MAIL ADDRESS: STREET 1: 280 PARK AVENUE, 40TH FLOOR WEST CITY: NEW YORK STATE: NY ZIP: 10017 4 1 doc1.xml FORM 4 X0303 4 2010-11-16 0 0001071264 JACKSONVILLE BANCORP INC /FL/ JAXB 0001505877 CapGen Capital Group IV LP 280 PARK AVENUE, 40TH FLOOR WEST SUITE 401 NEW YORK NY 10017 1 0 1 1 *See Remarks 0001505878 CapGen Capital Group IV LLC 280 PARK AVENUE 40TH FLOOR WEST SUITE 401 NEW YORK NY 10017 1 0 1 0 0001453863 Ludwig Eugene 280 PARK AVENUE 40TH FLOOR WEST SUITE 401 NEW YORK NY 10017 1 0 1 0 Common Stock, par value $0.01 per share 2010-11-16 4 P 0 2684144 9 A 0 I Held by CapGen Capital Group IV LP CapGen Capital Group IV LP ("CapGen LP") acquired the shares of common stock, par value $0.01 per share (the "Common Stock"), of Jacksonville Bancorp, Inc. (the "Issuer") on November 16, 2010. CapGen Capital Group IV LLC ("CapGen LLC") is the sole general partner of CapGen LP. Mr. Eugene A. Ludwig is the managing member of CapGen LLC. CapGen LP directly owns the shares of Common Stock on this row. As the sole general partner of CapGenLP, CapGen LLC may be deemed to be the indirect beneficial owner of the shares of Common Stock on this row under Rule 16a-1(a)(2) promulgated under the Securities Exchange Act of 1934, as amended (the "Exchange Act"). Pursuant to Rule 16a-1(a)(4) promulgated under the Exchange Act, CapGen LLC disclaims that it is the beneficial owner of such shares, except to the extent of its pecuniary interest. As the managing member of CapGen LLC, Mr. Ludwig may be deemed to be the indirect beneficial owner of the shares of Common Stock under Rule 16a-1(a)(2) promulgated under the Exchange Act. Pursuant to Rule 16a-1(a)(4) promulgated under the Exchange Act, Mr. Ludwig disclaims that he is the beneficial owner of such shares, except to the extent of his pecuniary interest. CapGen LP, CapGen LLC and Mr. Ludwig disclaim their status as directors by deputization by virtue of Messrs. John Rose's and John Sullivan's positions as members of the board of directors of the Issuer. /s/ Eugene A. Ludwig, the managing member of CapGen Capital Group IV LLC, the general partner of CapGen Capital Group IV LP 2010-11-17 -----END PRIVACY-ENHANCED MESSAGE-----