Filing Details

Accession Number:
0001015325-13-000001
Form Type:
4
Zero Holdings:
No
Publication Time:
2013-01-03 16:31:19
Reporting Period:
2012-12-31
Filing Date:
2013-01-03
Accepted Time:
2013-01-03 16:31:19
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1071264 Jacksonville Bancorp Inc JAXB State Commercial Banks (6022) 593472981
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1127838 Jr F Donald Glisson 100 N. Laura Street, Suite 1000
Jacksonville FL 32202
Yes No No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Series A Mandatorily Convertible Preferred Stock Acquisiton 2012-12-31 250 $1,000.00 250 No 4 P Indirect See footnote 2
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect See footnote 2
Footnotes
  1. Upon receipt of requisite shareholder approvals, each share of Series A Mandatorily Convertible 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.
  2. Shares owned by Triad Financial Services, Inc.