0001209191-19-002406.txt : 20190107 0001209191-19-002406.hdr.sgml : 20190107 20190107111019 ACCESSION NUMBER: 0001209191-19-002406 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190104 FILED AS OF DATE: 20190107 DATE AS OF CHANGE: 20190107 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LANTZ ALLEN CENTRAL INDEX KEY: 0001271327 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38084 FILM NUMBER: 19512617 MAIL ADDRESS: STREET 1: 307 11 N DEFIANCE ST CITY: ARCHBOLD 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 2019-01-04 0 0000792966 FARMERS & MERCHANTS BANCORP INC FMAO 0001271327 LANTZ ALLEN 800 E. LINFOOT ST WAUSEON OH 43567 0 1 0 0 Executive Vice President COMMON 12198 D COMMON 2019-01-04 4 F 0 911 38.26 D 11287 D 1,900 shares representing restricted stock awards issued pursuant to the Company's Long Term Incentive Plan were VESTED by Mr. Lantz due to his retirement from the "Company". 911 shares were repurchased by the "Company" to cover taxation. The "Company" calculated taxes owed - federal, state, and local on 1,900 shares that were vested on 1/4/2019 as a result of stock awards issued pursuant to the Company's Long Term Incentive plan. /s/Allen G Lantz 2019-01-04