0001209191-17-060364.txt : 20171113 0001209191-17-060364.hdr.sgml : 20171113 20171113171416 ACCESSION NUMBER: 0001209191-17-060364 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171113 FILED AS OF DATE: 20171113 DATE AS OF CHANGE: 20171113 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SAUDER KEVIN J CENTRAL INDEX KEY: 0001276726 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38084 FILM NUMBER: 171197062 MAIL ADDRESS: STREET 1: C/O FARMERS & MERCHANTS STATE BANK STREET 2: 307-311 N. DEFIANCE ST CITY: ARCHNOLD STATE: OH ZIP: 43502 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-11-13 0 0000792966 FARMERS & MERCHANTS BANCORP INC FMAO 0001276726 SAUDER KEVIN J 26505 COUNTY RD EF ARCHBOLD OH 43502 1 0 0 0 COMMON 2017-11-13 4 G 0 1300 0.00 D 3980 D COMMON 2017-11-13 4 G 0 1300 0.00 D 3980 I By Spouse Represents shares of Common Stock that the reporting person donated as a GIFT to the Everence Mennonite Foundation, a donor advised fund. /s/Kevin J. Sauder 2017-11-13