0001767837-23-000011.txt : 20230504 0001767837-23-000011.hdr.sgml : 20230504 20230504133714 ACCESSION NUMBER: 0001767837-23-000011 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230503 FILED AS OF DATE: 20230504 DATE AS OF CHANGE: 20230504 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Jackson Jeffrey A. CENTRAL INDEX KEY: 0001774362 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38956 FILM NUMBER: 23887790 MAIL ADDRESS: STREET 1: RICHMOND MUTUAL BANCORPORATION, INC. STREET 2: 31 N. 9TH STREET CITY: RICHMOND STATE: IN ZIP: 47374 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Richmond Mutual Bancorporation, Inc. CENTRAL INDEX KEY: 0001767837 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 364926041 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 31 N. 9TH STREET CITY: RICHMOND STATE: IN ZIP: 47374 BUSINESS PHONE: 765-973-4299 MAIL ADDRESS: STREET 1: 31 N. 9TH STREET CITY: RICHMOND STATE: IN ZIP: 47374 4 1 wf-form4_168322182312249.xml FORM 4 X0407 4 2023-05-03 0 0001767837 Richmond Mutual Bancorporation, Inc. RMBI 0001774362 Jackson Jeffrey A. RICHMOND MUTUAL BANCORPORATION, INC. 31 N. 9TH STREET RICHMOND IN 47374 1 0 0 0 0 Common Stock 2023-05-03 4 P 0 3000 9.1062 A 18000 I Held by Spouse IRA Common Stock 44485 D Common Stock (right to buy) 10.53 2030-10-01 Common Stock 40580.0 40580 D Vests in five equal annual installments commencing on June 30, 2021. /s/ Garry D. Kleer, Attorney-in-Fact 2023-05-04