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