UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934,
Section 17(a) of the Public Utility Holding Company Act of 1935
or Section 30(f) of the Investment Company Act of 1940
1. Name and Address of Reporting Person
Roller, Donald E.
10325 San Jose Boulevard
Jacksonville, FL 32225
2. Date of Event Requiring Statement (Month/Day/Year)
12/10/99
3. IRS or Social Security Number of Reporting Person (Voluntary)
N/A
4. Issuer Name and Ticker or Trading Symbol
Jacksonville Bancorp. Inc.
5. Relationship of Reporting Person to Issuer (Check all applicable)
[X] Director [ ] 10% Owner
[ ] Officer (give title below) [ ] Other (specify below)
6 If Amendment, Date of Original (Month/Day/Year)
N/A
<TABLE>
<CAPTION>
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Table I -- Non-Derivatie Securities Beneficially Owned
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1. Title of Security 2. Amount of Securities 3. Ownership 4. Nature of Indirect Beneficial Ownership
Beneficially Owned Form: Direct (D)
or Indirect (I)
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<S> <C> <C>
Common Stock 25,000 D
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Table II --Derivative Securities Beneficially Owned (e.g., puts, calls,
warrants, options, convertibel securities)
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1. Title of 2. Date Exercisable 3. Title and Amount 4. Conversion or 5. Ownership 6. Nature of
Derivative and Expiration Date of Securities Exercise Price Form of Indirect
Security Date Expiration Underlying of Derivative Derivative Beneficial
Exercisable Date Derivative Security Security Security: Ownership
Title Amount or Direct (D)
Number of or Indirect (I)
Shares
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<S> <C> <C> <C> <C> <C> <C>
</TABLE>
/s/Donald E. Roller 1/3/00
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Signature of Reporting Person Date
