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