0001415889-18-000145.txt : 20180129
0001415889-18-000145.hdr.sgml : 20180129
20180129150610
ACCESSION NUMBER: 0001415889-18-000145
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171231
FILED AS OF DATE: 20180129
DATE AS OF CHANGE: 20180129
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: 18555155
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
form5-01292018_120156.xml
X0306
5
2017-12-31
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
2017-06-21
5
G
0
440
D
4435
I
By Trust
Common Stock
2017-07-17
5
G
0
430
D
4005
I
By Trust
Common Stock
2018-01-04
5
G
0
400
D
3605
I
By Trust
Common Stock
2018-01-04
5
G
0
400
D
3205
I
By Trust
Common Stock
2018-01-04
5
G
0
400
D
2805
I
By Trust
Common Stock
2017-07-19
5
G
0
430
D
25613
I
By Spouse Trust
Common Stock
2017-07-17
5
G
0
430
D
26043
I
By Spouse Trust
Common Stock
300
D
Common Stock
39408
I
By SEP IRA
Common Stock
4253
I
By Company
Stock Options
15.65
2017-04-24
2022-04-24
Common Stock
0
0
D
Gift of shares to son-in-law, Kevin M. Leahr
Gift of shares to grandson, Luke Hill
Gift of shares to daughter, Rebecca Leahr
Gift of shares to son-in-law, Kevin M. Leahr
Gift of shares to grandson, Jacob Leahr
Gift of shares to son-in-law, Kevin M. Leahr
Gift of shares to grandson, Luke Hill
/s/ Dean H. Hess
2018-01-29