0001209191-23-033240.txt : 20230601 0001209191-23-033240.hdr.sgml : 20230601 20230601112723 ACCESSION NUMBER: 0001209191-23-033240 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230601 FILED AS OF DATE: 20230601 DATE AS OF CHANGE: 20230601 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Briggs Andrew J CENTRAL INDEX KEY: 0001763764 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38084 FILM NUMBER: 23983550 MAIL ADDRESS: STREET 1: 307 N DEFIANCE STREET 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 X0407 4 2023-06-01 0 0000792966 FARMERS & MERCHANTS BANCORP INC FMAO 0001763764 Briggs Andrew J 130 E. LINE ST GENEVA IN 46740 1 0 0 0 0 COMMON 210108 D COMMON 2023-06-01 4 A 0 754 0.00 A 210862 D COMMON 173850 I By Family Trust COMMON 283650 I By Family Trust COMMON 42311 I By ESOP COMMON 345 I By ESOP (spouse) COMMON 89 I By ESOP (mother/POA) Stock acquired as a result of stock awards issued pursuant to the Company's Long Term Incentive Plan 113 Shares reflect the Dividend Reinvestment Plan of the Issuer's Common Stock which were credited to the reporting individual. //s//Lydia Huber, Attorney in Fact 2023-06-01