0001356555-17-000004.txt : 20171212
0001356555-17-000004.hdr.sgml : 20171212
20171212140229
ACCESSION NUMBER: 0001356555-17-000004
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171206
FILED AS OF DATE: 20171212
DATE AS OF CHANGE: 20171212
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LaHaise James A
CENTRAL INDEX KEY: 0001356555
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-13901
FILM NUMBER: 171251476
MAIL ADDRESS:
STREET 1: C/O FLAG FINANCIAL CORPORATION
STREET 2: 3475 PIEDMONT ROAD, NE
CITY: ATLANTA
STATE: GA
ZIP: 30305
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Ameris Bancorp
CENTRAL INDEX KEY: 0000351569
STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022]
IRS NUMBER: 581456434
STATE OF INCORPORATION: GA
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 24 2/ND/ AVENUE
CITY: MOULTRIE
STATE: GA
ZIP: 31768
BUSINESS PHONE: 9128901111
MAIL ADDRESS:
STREET 1: PO BOX 1500
CITY: MOULTRIE
STATE: GA
ZIP: 31776
FORMER COMPANY:
FORMER CONFORMED NAME: ABC BANCORP
DATE OF NAME CHANGE: 19920703
FORMER COMPANY:
FORMER CONFORMED NAME: ABC HOLDING CO
DATE OF NAME CHANGE: 19870119
4
1
edgar.xml
PRIMARY DOCUMENT
X0306
4
2017-12-06
0000351569
Ameris Bancorp
ABCB
0001356555
LaHaise James A
PO BOX 3668
MOULTRIE
GA
31776
0
1
0
0
Corporate Banking Executive
Common Stock
2017-12-06
4
M
0
18684
37.46
A
88186
D
Common Stock
37.46
2017-05-17
4
M
0
18684
37.46
A
2007-12-31
2017-12-31
Common
18684
0
D
On December 31, 2007, the reporting person previously held unexercised options to purchase 40,000 shares of common stock, no par value per share, of Coastal Bankshares, Inc. at an exercise price of $17.50 per share. AS a result of the merger of Coastal with Ameris Bancorp, which is effective as of June 30, 2014, the options to acquire Coastal shares have been automatically converted in their entirety into options to purchase 18,684 shares of the common stock, $1.00 par value per share, of Ameris at an exercise price of $37.46 per share. These options will expire on 12-31-2017.
JAmes A. LaHaise, by Angela A. Redd as attorney-in-fact
2017-12-12