0001209191-22-048959.txt : 20220907 0001209191-22-048959.hdr.sgml : 20220907 20220907101643 ACCESSION NUMBER: 0001209191-22-048959 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220906 FILED AS OF DATE: 20220907 DATE AS OF CHANGE: 20220907 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Burkholder Eugene N CENTRAL INDEX KEY: 0001542390 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38084 FILM NUMBER: 221230204 MAIL ADDRESS: STREET 1: 12730 US HIGHWAY 20A CITY: WAUSEON STATE: OH ZIP: 43567 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 2022-09-06 0 0000792966 FARMERS & MERCHANTS BANCORP INC FMAO 0001542390 Burkholder Eugene N 12730 US HIGHWAY 20A WAUSEON OH 43567 1 0 0 0 COMMON 2022-09-06 4 P 0 1000 27.10 A 18069 D /s/Marilyn K. Johnson,attorney-in-fact 2022-09-07