As filed with the Securities and Exchange Commission on August 26, 2021
Registration Statement No. 333-257767
OHIO | | | 6712 | | | 34-1469491 |
(State or other jurisdiction of incorporation or organization) | | | (Primary Standard Industrial Classification Code Number) | | | (I.R.S. Employer Identification No.) |
Thomas C. Blank, Esq. Martin D. Werner, Esq. Shumaker, Loop & Kendrick, LLP 1000 Jackson Street Toledo, Ohio 43604-5573 (419) 241-9000 | | | Kimberly J. Schaefer, Esq. Jeffrey E. Smith, Esq. Vorys, Sater, Seymour and Pease LLP 301 East Fourth Street Suite 3500 Great American Tower Cincinnati, OH 45202 (513) 723-4068 |
Large accelerated filer | | | ☐ | | | Accelerated filer | | | ☐ |
Non-accelerated filer | | | ☐ (Do not check if a smaller reporting company) | | | Smaller reporting company | | | ☒ |
Exhibit No. | | | Description of Exhibit |
| | Agreement and Plan of Reorganization and Merger, dated as of May 4, 2021 by and between Farmers & Merchants Bancorp, Inc., The Farmers & Merchants State Bank and Perpetual Federal Savings Bank of Urbana (attached as Annex A to the proxy statement and prospectus contained in this Registration Statement) ** | |
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| | Farmers & Merchants Bancorp, Inc. Articles of Incorporation, as amended (incorporated by reference to Exhibit 3.1 of F&M’s Quarterly Report on Form 10-Q filed on October 25, 2017) | |
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| | Code of Regulations of Farmers & Merchants Bancorp, Inc., as amended (incorporated by reference to Exhibit 3.2 of F&M’s Form 10-Q filed on July 26, 2017) | |
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| | Opinion of Shumaker, Loop & Kendrick, LLP (legality) ** | |
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| | Opinion of Shumaker, Loop & Kendrick, LLP (tax matters) ** | |
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| | Opinion of Vorys, Sater, Seymour and Pease LLP (tax matters) ** | |
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| | Voting Agreement (attached as Annex A to the proxy statement and prospectus contained in this Registration Statement) ** | |
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| | Subsidiaries of Farmers & Merchants Bancorp, Inc. (incorporated by reference to Exhibit 21 of registrant’s Annual Report on Form 10-K filed on February 28, 2021) | |
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| | Consent of Crowe LLP ** | |
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| | Consent of BKD, LLP ** | |
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| | Consent of Shumaker, Loop & Kendrick, LLP (legality) (included in Exhibit 5.1) ** | |
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| | Consent of Shumaker, Loop & Kendrick, LLP (tax matters) (included in Exhibit 8.1) ** | |
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| | Consent of Vorys, Sater, Seymour and Pease LLP (tax matters) (included in Exhibit 8.2) ** | |
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| | Power of Attorney included on “Signature” page of Form S-4 filed on July 8, 2021 | |
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| | Consent of Keefe, Bruyette & Woods, Inc.** | |
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| | Form of Proxy for Perpetual Federal Savings Bank of Urbana Shareholder Meeting ** | |
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| | Form of Letter of Transmittal (filed herewith) |
** | Previously filed. |
| | FARMERS & MERCHANTS BANCORP, INC. | ||||
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| | By: | | | /s/ Lars B. Eller | |
| | | | Lars B. Eller, Chief Executive Officer and President |
/s/ Lars B. Eller | | | Chief Executive Officer, President and Director (Principal Executive Officer) |
Lars B. Eller | | ||
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/s/ Barbara J. Britenriker | | | Executive Vice President and Chief Financial Officer (Principal Financial and Accounting Officer) |
Barbara J. Britenriker | | ||
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/s/ Jack C. Johnson* | | | |
Jack C. Johnson | | | Chairman of the Board and Director |
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/s/ Andrew J. Briggs* | | | |
Andrew J. Briggs | | | Director |
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/s/ Eugene N. Burkholder* | | | |
Eugene N. Burkholder | | | Director |
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/s/ Jo Ellen Hornish* | | | |
Jo Ellen Hornish | | | Director |
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/s/ Lori A. Johnson* | | | |
Lori A. Johnson | | | Director |
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/s/ Marcia S. Latta* | | | |
Marcia S. Latta | | | Director |
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/s/ Steven J. Planson* | | | |
Steven J. Planson | | | Director |
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/s/ Kevin J. Sauder* | | | |
Kevin J. Sauder | | | Director |
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/s/ Frank R. Simon* | | | |
Frank R. Simon | | | Director |
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/s/ K. Brad Stamm* | | | |
K. Brad Stamm | | | Director |
* | For each of the above directors pursuant to a power of attorney included on the “Signature” page of Form S-4 filed with the Commission on July 8, 2021. |