0001140361-16-053088.txt : 20160216 0001140361-16-053088.hdr.sgml : 20160215 20160216150432 ACCESSION NUMBER: 0001140361-16-053088 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160211 FILED AS OF DATE: 20160216 DATE AS OF CHANGE: 20160216 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: First Guaranty Bancshares, Inc. CENTRAL INDEX KEY: 0001408534 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035] IRS NUMBER: 260513559 STATE OF INCORPORATION: LA FISCAL YEAR END: 0923 BUSINESS ADDRESS: STREET 1: 400 EAST THOMAS STREET CITY: HAMMOND STATE: LA ZIP: 70401 BUSINESS PHONE: 985-345-7685 MAIL ADDRESS: STREET 1: 400 EAST THOMAS STREET CITY: HAMMOND STATE: LA ZIP: 70401 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lewis Alton B Jr CENTRAL INDEX KEY: 0001409256 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37621 FILM NUMBER: 161427010 MAIL ADDRESS: STREET 1: 400 EAST THOMAS STREET CITY: HAMMOND STATE: LA ZIP: 70401 4 1 doc1.xml FORM 4 X0306 4 2016-02-11 0 0001408534 First Guaranty Bancshares, Inc. FGBI 0001409256 Lewis Alton B Jr 400 EAST THOMAS STREET HAMMOND LA 70401 0 1 0 0 Chief Executive Officer First Guaranty Bancshares, Inc. $1 Par Common Stock 2016-02-11 4 A 0 71 0.00 A 18768 D First Guaranty Bancshares, Inc. $1 Par Common Stock 6899 I owned jointly with wife, Terri Lewis First Guaranty Bancshares, Inc. $1 Par Common Stock 17002 I held by Cede & Co., Edward Jones, custodian for Alton Lewis 401K Plan First Guaranty Bancshares, Inc. $1 Par Common Stock 3300 I held in individual account with American Capital Reflects 10% stock dividend paid to stockholders on December 17, 2015. /s/ Alton B. Lewis, Jr. 2016-02-16