0001415889-16-004621.txt : 20160205 0001415889-16-004621.hdr.sgml : 20160205 20160205094618 ACCESSION NUMBER: 0001415889-16-004621 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151231 FILED AS OF DATE: 20160205 DATE AS OF CHANGE: 20160205 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: APPLEBEE ANDREW F CENTRAL INDEX KEY: 0001211683 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34821 FILM NUMBER: 161390389 MAIL ADDRESS: STREET 1: C/O JACKSONVILLE SAVINGS BANK STREET 2: 1211 WEST MORTON AVE CITY: JACKSONVILLE STATE: IL ZIP: 62650 5 1 form5-02052016_060209.xml X0306 5 2015-12-31 0 0 0001484949 Jacksonville Bancorp, Inc. JXSB 0001211683 APPLEBEE ANDREW F C/O JACKSONVILLE BANCORP, INC. 1211 W. MORTON AVE. JACKSONVILLE IL 62650 true true false false CHAIRMAN OF THE BOARD Common Stock 2014-12-31 5 A 0 50.0580 23 A 3754 I By ESOP Common Stock 9014 I By IRA Common Stock 25959 I By 401k Common Stock 9000 I By Trust Common Stock 24201 I By Spouse Trust cCommon Stock 4500 D Stock Option 15.65 2013-04-24 2022-04-24 Common Stock 3000 3000 D /s/ Andrew F. Applebee 2016-02-05