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