-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Rfv9qoz8EA3QdaFvjJfhMeaiT9tzlPZNKgVhKWCEOO+lsFUFkt/i2WrW4JMy9KU+ T0ZKbfn6EGOgFVxybXPigw== 0001209191-04-033840.txt : 20040701 0001209191-04-033840.hdr.sgml : 20040701 20040701145747 ACCESSION NUMBER: 0001209191-04-033840 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040701 FILED AS OF DATE: 20040701 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SIEBENMORGEN PAUL S CENTRAL INDEX KEY: 0001199382 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14492 FILM NUMBER: 04894807 BUSINESS ADDRESS: STREET 1: 1121 E. MAIN STREET CITY: PLAINFIELD STATE: IN ZIP: 46168 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FARMERS & MERCHANTS BANCORP INC CENTRAL INDEX KEY: 0000792966 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035] IRS NUMBER: 341469491 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 307-11 N DEFIANCE ST CITY: ARCHBOLD STATE: OH ZIP: 43502 BUSINESS PHONE: 4194462501 MAIL ADDRESS: STREET 1: 307-11 NORTH DEFIANCE ST CITY: ARCHBOLD STATE: OH ZIP: 43502 3 1 doc3.xml FORM 3 SUBMISSION X0202 3 2004-07-01 0 0000792966 FARMERS & MERCHANTS BANCORP INC NONE 0001199382 SIEBENMORGEN PAUL S 307-11 N DEFIANCE ST ARCHBOLD OH 43502 0 1 0 0 Sr. Executive VP common stock 104 D Carol J. England 2004-07-01 -----END PRIVACY-ENHANCED MESSAGE-----