0001209191-17-061928.txt : 20171121 0001209191-17-061928.hdr.sgml : 20171121 20171121104636 ACCESSION NUMBER: 0001209191-17-061928 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171120 FILED AS OF DATE: 20171121 DATE AS OF CHANGE: 20171121 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Graham Todd A CENTRAL INDEX KEY: 0001429604 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38084 FILM NUMBER: 171215680 MAIL ADDRESS: STREET 1: 4083 AUTUMN VIEW CT CITY: FENTON STATE: MI ZIP: 48430 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 2017-11-20 0 0000792966 FARMERS & MERCHANTS BANCORP INC FMAO 0001429604 Graham Todd A 240 WESTFIELD DR ARCHBOLD OH 43502 0 1 0 0 Executive Vice Pres COMMON 2017-11-20 4 S 0 2800 36.9428 D 3374.7991 D Shares indicated reflect a 2 for 1 split of the Issuer's Common Stock which became effective on 9/20/17. Shares indicated reflect Dividend Reinvestment Plan of the Issuer's Common Stock which became effective 10/20/2017. Number of shares reflect Restricted Stock acquired through stock awards issued pursuant to the Company's Long Term Incentive Plan. /s/Todd A Graham 2017-11-21