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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN 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(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
SMITH WILLIAM G JR PO BOX 11248 TALLAHASSEE, FL 32302 |
X | X | Chairman, President & CEO |
/s/ William G. Smith, Jr. | 07/10/2018 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | 1. Reporting person transferred his 50% interest in 2S Partnership to SSX2, LLC for an 100% interest in SSX2, LLC. Reporting person transferred a 99% interest in SSX2 by bona fide gift to J&W Trust of which the reporting person is a Co-Trustee. 2S Partnership dissolved and SSX2 became the outright owner of 524,694.313 shares of CCBG. Reporting person was reporting 100% of the 2S Partnership due to his role a general partner even though he was only a 50% owner. Now he is only reporting his interest in CCBG Common Stock through his beneficial ownership of SSX2, LLC. This amount consists of 519,447.37 as a Co-Trustee of the J&W Trust which owns 99% of SSX2 and reporting person individually owns a 1% interest in SSX2 consisting of 5,246.943 shares of CCBG Common Stock. |
(2) | Includes 59 shares of common stock acquired through the Dividend Reinvestment Plan (DRIP) |
(3) | Includes 15 shares of common stock acquired through the Dividend Reinvestment Plan (DRIP) |
(4) | Includes 14 shares of common stock acquired through the Dividend Reinvestment Plan (DRIP) |