0001415889-17-000202.txt : 20170207
0001415889-17-000202.hdr.sgml : 20170207
20170207152322
ACCESSION NUMBER: 0001415889-17-000202
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161231
FILED AS OF DATE: 20170207
DATE AS OF CHANGE: 20170207
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: HESS DEAN H
CENTRAL INDEX KEY: 0001211688
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34821
FILM NUMBER: 17578746
MAIL ADDRESS:
STREET 1: C/O JACKSONVILLE SAVINGS BANK
STREET 2: 1211 WEST MORTON AVE
CITY: JACKSONVILLE
STATE: IL
ZIP: 62650
5
1
form5-02072017_120213.xml
X0306
5
2016-12-31
0
0
0001484949
Jacksonville Bancorp, Inc.
JXSB
0001211688
HESS DEAN H
C/O JACKSONVILLE BANCORP, INC.
1211 W. MORTON AVE.
JACKSONVILLE
IL
62650
true
false
false
false
Common Stock
2016-01-06
5
P
0
21.864
26.4772
A
24332
D
Common Stock
2016-07-08
5
P
0
15.367
29.0100
A
24348
D
Common Stock
2016-10-12
5
P
0
14.927
29.9730
A
24363
D
Common Stock
2016-11-30
5
G
0
910
D
23453
D
Common Stock
2017-01-04
5
G
0
2730
D
20723
D
Common Stock
39408
I
By SEP IRA
Common Stock
3251
I
By Company
Common Stock
10113
I
By Spouse
Stock Option
15.65
2016-04-24
2022-04-24
Common Stock
300
300
D
Gift of 910 shares jointly held with spouse to family member
Gift of 2730 shares jointly held with spouse to family member
/s/ Dean H. Hess
2017-02-07