Filing Details

Accession Number:
0001181431-11-022572
Form Type:
4
Zero Holdings:
No
Publication Time:
2011-04-05 17:54:29
Reporting Period:
2010-11-16
Filing Date:
2011-04-05
Accepted Time:
2011-04-05 17:54:29
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
1091449 W John Rose 100 North Laura Street, Suite 1000
Jacksonville FL 32202
Yes No Yes No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2010-11-16 2,684,144 $9.00 2,684,144 No 4 P Indirect See footnote
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect See footnote
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 80,700 Direct
Common Stock 8,050 Indirect See footnote
Common Stock 4,900 Indirect See footnote
Common Stock 4,900 Indirect See footnote
Footnotes
  1. Shares are held by the reporting person's wife, Cheryl H. Rose.
  2. Shares are held by the reporting person's daughter, Hayley Rose.
  3. Shares are held by the reporting person's daughter, Chelsea Rose.
  4. CapGen Capital Group IV LP ("CapGen LP") acquired the shares of common stock, par value $0.01 per share (the "Common Stock") on November 16, 2010. CapGen Capital Group IV LLC ("CapGen LLC") is the sole general partner of CapGen LP. As a principal member and member of the investment committee of CapGen LLC, the sole general partner of CapGen LP, Mr. Rose 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. Rose disclaims that he is the beneficial owner of such shares, except to the extent of his pecuniary interest.