0001415889-18-000128.txt : 20180126
0001415889-18-000128.hdr.sgml : 20180126
20180126081809
ACCESSION NUMBER: 0001415889-18-000128
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171231
FILED AS OF DATE: 20180126
DATE AS OF CHANGE: 20180126
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: 18549910
MAIL ADDRESS:
STREET 1: C/O JACKSONVILLE SAVINGS BANK
STREET 2: 1211 WEST MORTON AVE
CITY: JACKSONVILLE
STATE: IL
ZIP: 62650
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
5
1
form5-01262018_050156.xml
X0306
5
2017-12-31
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
2016-12-31
5
A
0
62.0422
30
A
3981
I
By ESOP
Common Stock
9014
I
By IRA
Common Stock
25959
I
By 401k
Common Stock
10572
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
2018-01-26