UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 8-K
CURRENT REPORT PURSUANT
TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934
Date of Report (Date of earliest event reported) October 20, 2004
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Farmers & Merchants Bancorp, Inc.
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(Exact Name of Registrant as Specified in its Charter)
Ohio 000-14492 34-1469491
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(State or Other Jurisdiction (Commission File Number) (IRS Employer
of Incorporation) Identification No.)
307-11 N. Defiance, Archbold, Ohio 43502
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(Address of Principal Executive Offices) (Zip Code)
Registrant's Telephone Number, including Area Code (419) 446-2501
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N/A
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(Former Name or Former Address, if Changed Since Last Report)
Check the appropriate box below if the Form 8-K filing is intended to
simultaneously satisfy the filing obligation of the registrant under any of the
following provisions (see General Instruction A.2. below):
[ ] Written communications pursuant to Rule 425 under the Securities Act
(17 CFR 230.425)
[ ] Soliciting material pursuant to Rule 14a-12 under the Exchange Act
(17 CFR 240.14a-12)
[ ] Pre-commencement communications pursuant to Rule 14d-2(b) under the
Exchange Act (17 CFR 240.14d-2(b))
[ ] Pre-commencement communications pursuant to Rule 13e-4(c) under the
Exchange Act (17-CFR 240.13e-4(c))
ITEM 2.02(a). RESULTS OF OPERATIONS AND FINANCIAL CONDITION
On October 20, 2004, Farmers & Merchants Bancorp, Inc. sent a letter and
financial information to shareholders also enclosing a check for dividends in
the amount of $0.45 per share. A copy of the information sent to shareholders is
attached hereto as Exhibit 20.
ITEM 9.01. FINANCIAL STATEMENTS AND EXHIBITS
(a) Financial Statements of businesses acquired. Not Applicable.
(b) Pro forma financial information. Not Applicable.
(c) Exhibits:
Exhibit Number Description of Exhibit
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20 Letter to Shareholders announcing quarterly dividends.
SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of 1934,
the registrant has duly caused this report to be signed on its behalf by the
undersigned hereunto authorized.
Dated: October 21, 2004
/s/ Joe E. Crossgrove
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Joe E. Crossgrove
President & Chief Executive Officer
/s/ Barbara J. Britenriker
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Barbara J. Britenriker
Executive Vice President &
Chief Financial Officer
(Principal Financial and Accounting
Officer)
EXHIBIT INDEX
Exhibit
Number Description of Exhibit
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20 Correspondence to Shareholders announcing quarterly
dividend.