4//SEC Filing
Sullivan John P 4
Accession 0001140361-13-008796
CIK 0001071264other
Filed
Feb 20, 7:00 PM ET
Accepted
Feb 21, 7:21 PM ET
Size
13.4 KB
Accession
0001140361-13-008796
Insider Transaction Report
Form 4
Sullivan John R
Director
Transactions
- Other
Series A Mandatorily Convertible Preferred Stock
2013-02-19−200→ 0 total(indirect: By Trust) - Other
Common Stock, par value $0.01 per share
2013-02-19+24,000,000→ 26,684,144 total(indirect: Held by CapGen Capital Group IV LP) - Other
Nonvoting Common Stock, par value $0.01 per share
2013-02-19+31,060,000→ 31,060,000 total(indirect: Held by CapGen Capital Group IV LP) - Other
Nonvoting Common Stock, par value $0.01 per share
2013-02-19+400,000→ 400,000 total(indirect: By Trust) - Other
Series A Mandatorily Convertible Preferred Stock
2013-02-19−27,530→ 0 total(indirect: Held by CapGen Capital Group IV LP)
Footnotes (4)
- [F1]On February 19, 2013, the 27,530 shares of Series A Mandatorily Convertible Preferred Stock held by CapGen Capital Group IV LP ("CapGen LP") automatically converted into 24,000,000 shares of Common Stock, par value $0.01 per share ("Common Stock") and 31,060,000 shares of Nonvoting Common Stock, par value $0.01 per share ("Nonvoting Common Stock") at a conversion price of $0.50 per share and a conversion rate of 2,000 shares of Common Stock and/or Nonvoting Common Stock for each share of Series A Mandatorily Convertible Preferred Stock. 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. Mr. Sullivan disclaims that he is the beneficial owner of such shares, except to the extent of his pecuniary interest.
- [F3]On February 19, 2013, the 200 shares of Series A Mandatorily Convertible Preferred Stock automatically converted into 400,000 shares of Nonvoting Common Stock at a conversion price of $0.50 per share and a conversion rate of 2,000 shares of Nonvoting Common Stock for each share of Series A Mandatorily Convertible Preferred Stock.
- [F4]The shares reported in this row are held through a revocable trust, for which Mr. Sullivan is the settlor. Maureen C. Sullivan, Mr. Sullivan's spouse, as trustee, has sole voting and dispositive power over such shares.
Documents
Issuer
JACKSONVILLE BANCORP INC /FL/
CIK 0001071264
Entity typeother
Related Parties
1- filerCIK 0001503574
Filing Metadata
- Form type
- 4
- Filed
- Feb 20, 7:00 PM ET
- Accepted
- Feb 21, 7:21 PM ET
- Size
- 13.4 KB