0001209191-21-063360.txt : 20211108 0001209191-21-063360.hdr.sgml : 20211108 20211108160021 ACCESSION NUMBER: 0001209191-21-063360 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211104 FILED AS OF DATE: 20211108 DATE AS OF CHANGE: 20211108 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Smith J. Henry IV CENTRAL INDEX KEY: 0001869968 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40727 FILM NUMBER: 211387799 MAIL ADDRESS: STREET 1: 7 OFFICE PARK CIRCLE CITY: BIRMINGHAM STATE: AL ZIP: 35223 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Southern States Bancshares, Inc. CENTRAL INDEX KEY: 0001689731 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 262518085 STATE OF INCORPORATION: AL FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 615 QUINTARD AVENUE CITY: ANNISTON STATE: AL ZIP: 36201 BUSINESS PHONE: 205-820-8065 MAIL ADDRESS: STREET 1: 615 QUINTARD AVENUE CITY: ANNISTON STATE: AL ZIP: 36201 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-11-04 0 0001689731 Southern States Bancshares, Inc. SSBK 0001869968 Smith J. Henry IV 615 QUINTARD AVE ANNISTON AL 36201 1 0 0 0 Common Stock, par value $5 per share 2021-11-04 4 P 0 245 19.90 A 245 I By son (CGS) Common Stock, par value $5 per share 2021-11-04 4 P 0 245 19.86 A 245 I By daughter (EHS) Common Stock, par value $5 per share 2021-11-04 4 P 0 240 19.86 A 240 I By daughter (VWS) Common Stock, par value $5 per share 50051 D The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other reason. /s/ James H. Smith IV, by Jeff Shanks as Attorney-in-Fact 2021-11-08