FORM 4
[ X ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).         
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
                                                                                  
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response...
0.5
                      
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
                      

1. Name and Address of Reporting Person *

APPLEBEE ANDREW F
2. Issuer Name and Ticker or Trading Symbol

Jacksonville Bancorp, Inc. [ JXSB ]
5. Relationship of Reporting Person(s) to Issuer (Check all applicable)

__ X __ Director                      _____ 10% Owner
__ X __ Officer (give title below)      _____ Other (specify below)
CHAIRMAN OF THE BOARD
(Last)          (First)          (Middle)

C/O JACKSONVILLE BANCORP, INC., 1211 W. MORTON AVE.
3. Date of Earliest Transaction (MM/DD/YYYY)

6/4/2018
(Street)

JACKSONVILLE, IL 62650
(City)        (State)        (Zip)
4. If Amendment, Date Original Filed (MM/DD/YYYY)

 
6. Individual or Joint/Group Filing (Check Applicable Line)

_ X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Trans. Date 2A. Deemed Execution Date, if any 3. Trans. Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock   12/31/2017     A    110.9793   A $32.02   4092   I   By ESOP  
Common Stock   2/21/2018     G    2970   D   (1) 21231   I   By Spouse Trust  
Common Stock   2/21/2018     G    2225   D   (2) 19006   I   By Spouse Trust  
Common Stock   5/18/2018     G    2006   D   (1) 17000   I   By Spouse Trust  
Common Stock   5/21/2018     G    4500   D   (1) 12500   I   By Spouse Trust  
Common Stock   2/21/2018     G    2225   A   (3) 2225   I   As Custodian for grandchildren  
Common Stock   4/17/2018     G    2075   A   (4) 4300   I   As Custodian for Grandchildren  
cCommon Stock   2/21/2018     G    2970   A   (5) 7470   D  
 
cCommon Stock   4/17/2018     G    2075   D   (6) 5395   D  
 
cCommon Stock   5/18/2018     G    2006   A   (5) 7401   D  
 
cCommon Stock   5/18/2018     G    150   D   (7) 7251   D  
 
cCommon Stock   5/21/2018     G    4500   A   (5) 11751   D  
 
cCommon Stock   5/22/2018     G    3000   D   (7) 8751   D  
 
cCommon Stock   6/4/2018     D    8751   D   (8) 0   D  
 
Common Stock   6/4/2018     D    25959   D   (8) 0   I   By 401k  
Common Stock   6/4/2018     D    4092   D   (8) 0   I   By ESOP  
Common Stock   6/4/2018     D    9014   D   (8) 0   I   By IRA  
Common Stock   6/4/2018     D    10572   D   (8) 0   I   By Trust  
Common Stock   6/4/2018     D    12500   D   (8) 0   I   By Spouse Trust  
Common Stock   6/4/2018     D    4300   D   (8) 0   I   As Custodian for Grandchildren  

Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Trans. Date 3A. Deemed Execution Date, if any 4. Trans. Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
6. Date Exercisable and Expiration Date 7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option   $15.65   6/4/2018     D         3000    4/24/2013   4/24/2022   Common Stock   0     (9) 0   D  
 

Explanation of Responses:
(1)  Gift of shares from spouse trust to jointly held account
(2)  Gift of 445 shares to each of 5 grandchildren for a total gift of 2225.
(3)  Received 445 shares for each of 5 minor grandchildren, for a total of 2,225 shares and holds these shares as Custodian.
(4)  Received 415 shares for each of 5 minor grandchildren, for a total of 2,075 shares and holds these shares as Custodian.
(5)  Gift from spouse trust
(6)  Gift of 415 shares to each of 5 grandchildren for a total of 2,075 shares.
(7)  Gift to Schwab Charitable Trust
(8)  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.
(9)  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 $54,150, which is equal to the product of (i) the number of shares of Issuer common stock provided for by such option and (ii) $33.70 minus $15.65, the exercise price of the option.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director 10% Owner Officer Other
APPLEBEE ANDREW F
C/O JACKSONVILLE BANCORP, INC.
1211 W. MORTON AVE.
JACKSONVILLE, IL 62650
X
CHAIRMAN OF THE BOARD

Signatures
/s/ Andrew F. Applebee 6/5/2018
** Signature of Reporting Person Date


Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
Jacksonville Bancorp (NASDAQ:JXSB)
Historical Stock Chart
From Apr 2024 to May 2024 Click Here for more Jacksonville Bancorp Charts.
Jacksonville Bancorp (NASDAQ:JXSB)
Historical Stock Chart
From May 2023 to May 2024 Click Here for more Jacksonville Bancorp Charts.