0001415889-16-007253.txt : 20161006 0001415889-16-007253.hdr.sgml : 20161006 20161006104330 ACCESSION NUMBER: 0001415889-16-007253 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160923 FILED AS OF DATE: 20161006 DATE AS OF CHANGE: 20161006 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34821 FILM NUMBER: 161924129 MAIL ADDRESS: STREET 1: C/O JACKSONVILLE SAVINGS BANK STREET 2: 1211 WEST MORTON AVE CITY: JACKSONVILLE STATE: IL ZIP: 62650 4 1 form4-10062016_071020.xml X0306 4 2016-09-23 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 2016-09-23 4 W 0 1572 29 A 10572 I By Trust Common Stock 2015-12-31 5 A 0 165 26.28 A 3919 I By ESOP Common Stock 9014 I By IRA Common Stock 25959 I By 401k 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 2016-10-06