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4//SEC Filing

FOSS RICHARD A 4

Accession 0001415889-18-000884

CIK 0001484949other

Filed

Jun 5, 8:00 PM ET

Accepted

Jun 6, 12:57 PM ET

Size

17.8 KB

Accession

0001415889-18-000884

Insider Transaction Report

Form 4
Period: 2018-06-04
FOSS RICHARD A
DirectorPresident and CEO
Transactions
  • Disposition to Issuer

    Common Stock

    2018-06-0424,8530 total
  • Award

    Common Stock

    2017-12-31$32.02/sh+245$7,8455,074 total(indirect: By ESOP)
  • Disposition to Issuer

    Common Stock

    2018-06-04450 total(indirect: By Spouse)
  • Disposition to Issuer

    Common Stock

    2018-06-0440,3320 total(indirect: By 401(k))
  • Disposition to Issuer

    Stock Option

    2018-06-047,2000 total
    Exercise: $15.65From: 2013-04-24Exp: 2022-04-24Common Stock (7,200 underlying)
  • Gift

    Common Stock

    2018-05-171,00027,453 total
  • Gift

    Common Stock

    2018-05-172,60024,853 total
  • Disposition to Issuer

    Common Stock

    2018-06-045,0740 total(indirect: By ESOP)
  • Disposition to Issuer

    Common Stock

    2018-06-044,1560 total(indirect: By IRA)
Footnotes (4)
  • [F1]Gift of 250 shares to each of his 4 grandchildren.
  • [F2]Gift of 2,600 shares owned jointly with spouse to Schwab Charitable.
  • [F3]Each share of common stock was converted into and became exchangeable for the right to receive $33.70 in cash pursuant to an agreement and plan of merger between the Jacksonville Bancorp, Inc., CNB Bank Shares, Inc. and CNB Acquisition, Inc.
  • [F4]The stock option was cancelled in connection with the merger and the holder received a cash payment upon such cancellation in an amount equal to $129,960.00, the product of (i) the number of shares or Issuer common stock provided for by such option and (ii) $33.70 minus $15.65, the exercise price of the option.

Issuer

Jacksonville Bancorp, Inc.

CIK 0001484949

Entity typeother

Related Parties

1
  • filerCIK 0001211685

Filing Metadata

Form type
4
Filed
Jun 5, 8:00 PM ET
Accepted
Jun 6, 12:57 PM ET
Size
17.8 KB