SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
KURRIE THOMPSON JR

(Last) (First) (Middle)
3250 NORTH VALDOSTA ROAD

(Street)
VALDOSTA GA 31602

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
PAB BANKSHARES INC [ PABK ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
09/09/2009
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 09/09/2009 C 43,333 A $3 43,333 I by PSP
Common Stock 1,315.1128 I ESPP(2)
Common Stock 2,797 I IRA
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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 Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Common Stock Warrants (right to buy) $3.75 09/09/2009 P 10,400 09/09/2009 09/09/2016 Common Stock 10,400 $0 10,400 I by PSP
Series A Convertible Preferred Stock $3 09/09/2009 P 130 (1) (1) Common Stock 43,333 $1,000 130 I by PSP
Series A Convertible Preferred Stock $3 09/09/2009 C 130 (1) (1) Common Stock 43,333 $0 0 I by PSP
Non-qualified Stock Option (Right to Buy) $3 (3) 04/28/2019 Common Stock 50,000 50,000 D
Non-qualified Stock Option (Right to Buy) $15.9314 10/18/1999 10/18/2009 Common Stock 10,200 10,200 D
Non-qualified Stock Option (Right to Buy) $13.052 01/01/2005 01/01/2010 Common Stock 2,040 2,040 D
Non-qualified Stock Option (Right to Buy) $9.1912 01/01/2006 01/01/2011 Common Stock 2,040 2,040 D
Non-qualified Stock Option (Right to Buy) $9.8137 01/01/2007 01/01/2012 Common Stock 2,040 2,040 D
Non-qualified Stock Option (Right to Buy) $7.9412 01/01/2008 01/01/2013 Common Stock 2,040 2,040 D
Explanation of Responses:
1. The series A and series B convertible preferred stock is immediately convertible at any time at a conversion price of $3.00 and has no expiration date. All of the shares were converted to common stock on 9/9/09.
2. Shares are purchased with 50% company match funds.
3. These are performance based options and will vest as follows : 5,000 shares will vest when the trading price of the Company's stock reaches $4.50 per share; 5,000 shares will vest when the trading price reaches $6.00 per share; 10,000 shares will vest when the trading price reaches $9.00 per share and 30,000 shares will vest when the trading price reaches $12.00 per share.
/s/ Thompson Kurrie, Jr. 09/11/2009
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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 Number.