0000711669-21-000102.txt : 20210706 0000711669-21-000102.hdr.sgml : 20210706 20210706160033 ACCESSION NUMBER: 0000711669-21-000102 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210701 FILED AS OF DATE: 20210706 DATE AS OF CHANGE: 20210706 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ROSS JONATHAN W R CENTRAL INDEX KEY: 0001399499 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-12436 FILM NUMBER: 211074020 MAIL ADDRESS: STREET 1: P.O. BOX 7326 CITY: TIFTON STATE: GA ZIP: 31793 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: COLONY BANKCORP INC CENTRAL INDEX KEY: 0000711669 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 581492391 STATE OF INCORPORATION: GA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 115 SOUTH GRANT STREET STREET 2: . CITY: FITZGERALD STATE: GA ZIP: 31750 BUSINESS PHONE: 229-426-6000 MAIL ADDRESS: STREET 1: 115 SOUTH GRANT STREET STREET 2: . CITY: FITZGERALD STATE: GA ZIP: 31750 4 1 wf-form4_162560160563278.xml FORM 4 X0306 4 2021-07-01 0 0000711669 COLONY BANKCORP INC CBAN 0001399499 ROSS JONATHAN W R P. O. BOX 7326 TIFTON GA 31793 1 0 0 0 COLONY BANKCORP, INC COMMON STOCK 2021-07-01 4 A 0 3000 0 A 463380 D COLONY BANKCORP, INC COMMON STOCK 21163 I By Ross Life Insurance Trust Shares granted July 1, 2021 per Colony Bankcorp, Inc 2020 Incentive Plan. Includes 21,079 shares held in Ross Life Insurance Trust and 84 shares held by Family Trust. /S/ JONATHAN ROSS 2021-07-06