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Filing Details

Accession Number:: 0001140361-13-000895
Form Type:: 4
Zero Holdings:: No
Publication Time:: 2013-01-03 21:18:37
Reporting Period:: 2012-12-31

Filing Date:: 2013-01-03
Accepted Time:: 2013-01-03 21:18:37
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	Director	Officer	Large Shareholder	Other
1453863	Eugene Ludwig	1185 Avenue Of The Americas Suite 2000 New York NY 10036	Yes	No	Yes	Yes
1505877	Capgen Capital Group Iv Lp	1185 Avenue Of The Americas Suite 2000 New York NY 10036	Yes	No	Yes	Yes
1505878	Capgen Capital Group Iv Llc	1185 Avenue Of The Americas Suite 2000 New York NY 10036	Yes	No	Yes	Yes

Reported Non-Derivative Transactions

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Sec. Name	Acquisiton - Disposition	Date	Amount	Price	Remaning Holdings	Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
Series B Preferred Stock	Disposition	2012-12-31	5,000	$0.00	0	No	4	S	Indirect	Held by CapGen Capital Group IV LP
Series A Mandatorily Convertible Preferred Stock	Acquisiton	2012-12-31	5,000	$5,000,000.00	5,000	No	4	P	Indirect	Held by CapGen Capital Group IV LP
Series A Mandatorily Convertible Preferred Stock	Acquisiton	2012-12-31	22,530	$22,530,000.00	22,530	No	4	P	Indirect	Held by CapGen Capital Group IV LP
Series A Mandatorily Convertible Preferred Stock	Acquisiton	2012-12-31	830	$830,000.00	830	No	4	P	Direct

Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
No	4	S	Indirect	Held by CapGen Capital Group IV LP
No	4	P	Indirect	Held by CapGen Capital Group IV LP
No	4	P	Indirect	Held by CapGen Capital Group IV LP
No	4	P	Direct

Footnotes

The shares reported in this row are owned directly by CapGen Capital Group IV LP ("CapGen LP"). CapGen Capital Group IV LLC ("CapGen LLC") is the sole general partner of CapGen LP. Mr. Eugene A. Ludwig is the managing member of CapGen LLC.
As the sole general partner of CapGen LP, CapGen LLC may be deemed to be the indirect beneficial owner of the shares reported in this row under Rule 16a-1(a)(2) promulgated under the Securities Exchange Act of 1934, as amended (the "Exchange Act"). Pursuant to Rule 16a-1(a)(4) promulgated under the Exchange Act, CapGen LLC disclaims that it is the beneficial owner of such shares, except to the extent of its pecuniary interest.
As the managing member of CapGen LLC, Mr. Ludwig may be deemed to be the indirect beneficial owner of the shares reported in this row under Rule 16a-1(a)(2) promulgated under the Exchange Act. Pursuant to Rule 16a-1(a)(4) promulgated under the Exchange Act, Mr. Ludwig disclaims that he is the beneficial owner of such shares, except to the extent of his pecuniary interest.
Upon receipt of regulatory approval, the Noncumulative, Nonvoting Perpetual Preferred Stock, Series B (the "Series B Preferred Stock") of Jacksonville Bancorp, Inc. (the "Issuer") became exchangeable, on a one-for-one basis, into shares of Series A Mandatorily Convertible, Noncumulative, Nonvoting Perpetual Preferred Stock, Series A (the "Series A Preferred Stock"). On December 31, 2012, all 5,000 shares of Series B Preferred Stock held by the Reporting Persons were exchanged into 5,000 shares of Series A Preferred Stock.
Mr. Ludwig directly owns the shares reported in this row.
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.