0001140361-17-033400.txt : 20170828 0001140361-17-033400.hdr.sgml : 20170828 20170828154719 ACCESSION NUMBER: 0001140361-17-033400 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170828 FILED AS OF DATE: 20170828 DATE AS OF CHANGE: 20170828 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RAYNOR ROY MAX JR CENTRAL INDEX KEY: 0001230952 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22787 FILM NUMBER: 171054605 MAIL ADDRESS: STREET 1: 113 W. MAIN ST STREET 2: PO BOX 280 CITY: BENSON STATE: NC ZIP: 27504 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FOUR OAKS FINCORP INC CENTRAL INDEX KEY: 0001040799 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 562028446 STATE OF INCORPORATION: NC FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6114 US 301 SOUTH CITY: FOUR OAKS STATE: NC ZIP: 27524 BUSINESS PHONE: 9199632177 MAIL ADDRESS: STREET 1: 6114 US 301 SOUTH STREET 2: P O BOX 309 CITY: FOUR OAKS STATE: NC ZIP: 27524 4 1 doc1.xml FORM 4 X0306 4 2017-08-28 0 0001040799 FOUR OAKS FINCORP INC FOFN 0001230952 RAYNOR ROY MAX JR 476 DOGEYE ROAD BENSON NC 27504 1 0 0 0 Common Stock 2017-08-28 4 M 0 100 5.75 A 46455 D Common Stock 2017-08-28 4 M 0 100 8.5 A 46555 D Employee stock option(right to buy) 5.75 2017-08-28 4 M 0 100 0 A 2015-03-11 2018-03-11 Common Stock 100 0 D Employee stock option(right to buy) 8.5 2017-08-28 4 M 0 100 0 A 2016-02-24 2019-02-24 Common Stock 100 0 D Reflects adjustment of share ownership in connection with a one for five reverse stock split effected on March 8, 2017 (the "Reverse Stock Split"). This option was previously reported as covering 500 shares at an exercise price of $1.15 per share, but was adjusted to reflect the Reverse Stock Split. This option was previously reported as covering 500 shares at an exercise price of $1.70 per share, but was adjusted to reflect the Reverse Stock Split. /s/ Wanda J. Blow, attorney-in-fact 2017-08-28