0001209191-22-051114.txt : 20220923
0001209191-22-051114.hdr.sgml : 20220923
20220923151015
ACCESSION NUMBER: 0001209191-22-051114
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220923
FILED AS OF DATE: 20220923
DATE AS OF CHANGE: 20220923
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: 221262068
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
2022-09-23
0
0000792966
FARMERS & MERCHANTS BANCORP INC
FMAO
0001542390
Burkholder Eugene N
12730 US HIGHWAY 20A
WAUSEON
OH
43567
1
0
0
0
COMMON
18069
D
COMMON
2022-09-23
4
P
0
1000
26.43
A
19069
D
/s/Lydia Huber - Attorney in Fact
2022-09-23