0001209191-18-047843.txt : 20180821 0001209191-18-047843.hdr.sgml : 20180821 20180821185142 ACCESSION NUMBER: 0001209191-18-047843 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180817 FILED AS OF DATE: 20180821 DATE AS OF CHANGE: 20180821 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SIEBENMORGEN PAUL S CENTRAL INDEX KEY: 0001199382 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38084 FILM NUMBER: 181031174 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 2018-08-17 0 0000792966 FARMERS & MERCHANTS BANCORP INC FMAO 0001199382 SIEBENMORGEN PAUL S 405 QUAIL RUN ARCHBOLD OH 43502 1 1 0 0 President & CEO COMMON 2018-08-17 4 A 0 4000 0.00 A 62908 D Stock acquired as a result of stock awards issued pursuant to the Company's Long Term Incentive Plan Shares reflect a 2 for 1 split of the Issuer's Common Stock which became effective on 9/20/17. Shares also reflect the Dividend Reinvestment Plan of the Issuer's Common Stock which were credited to the reporting individual s/s Paul S. Siebenmorgen 2018-08-21