JACKSONVILLE BANCORP INC /FL/·4

Jan 3, 9:22 PM ET

Sullivan John P 4

4 · JACKSONVILLE BANCORP INC /FL/ · Filed Jan 3, 2013

Insider Transaction Report

Form 4
Period: 2012-09-27
Transactions
  • Purchase

    Series A Mandatorily Convertible Preferred Stock

    2012-12-31$200000.00/sh+200$40,000,000200 total(indirect: By Trust)
  • Purchase

    Series A Mandatorily Convertible Preferred Stock

    2012-12-31$22530000.00/sh+22,530$507,600,900,00022,530 total(indirect: Held by CapGen Capital Group IV LP)
  • Purchase

    Series A Mandatorily Convertible Preferred Stock

    2012-12-31$5000000.00/sh+5,000$25,000,000,0005,000 total(indirect: Held by CapGen Capital Group IV LP)
  • Purchase

    Series B Preferred Stock

    2012-09-27$1000.00/sh+5,000$5,000,0005,000 total(indirect: Held by CapGen Capital Group IV LP)
  • Sale

    Series B Preferred Stock

    2012-12-315,0000 total(indirect: Held by CapGen Capital Group IV LP)
Footnotes (4)
  • [F1]CapGen Capital Group IV LP ("CapGen LP") acquired the shares of Noncumulative, Nonvoting Perpetual Preferred Stock, Series B (the "Series B Preferred Stock") of Jacksonville Bancorp, Inc. (the "Issuer") reported in this row on September 27, 2012. CapGen Capital Group IV LLC ("CapGen LLC") is the sole general partner of CapGen LP.
  • [F2]The shares reported in this row were (in the case of disposition) or are (in the case of acquisition) owned directly by CapGen LP. As a principal member and member of the investment committee of CapGen LLC, the sole general partner of CapGen LP, Mr. Sullivan may be deemed to be the indirect beneficial owner of such shares under Rule 16a-1(c)(2) promulgated under the Securities Exchange Act of 1934, as amended (the "Exchange Act"). Mr. Sullivan disclaims that he is the beneficial owner of such shares, except to the extent of his pecuniary interest.
  • [F3]Upon receipt of regulatory approval, the Series B Preferred Stock became exchangeable, on a one-for-one basis, into shares of Series A Mandatorily Convertible Preferred Stock ("Series A Preferred Stock"). On December 31, 2012, the 5,000 shares of Series B Preferred Stock were exchanged into 5,000 shares of Series A Preferred Stock.
  • [F4]Upon receipt of requisite shareholder approvals, each share of Series A Preferred Stock will convert into 2,000 shares of common stock and/or nonvoting common stock (subject to adjustments), as more fully described in the Series A Preferred Stock Designation.

Documents

1 file
  • 4
    doc1.xmlPrimary

    FORM 4