0000711669-21-000130.txt : 20210805 0000711669-21-000130.hdr.sgml : 20210805 20210805112844 ACCESSION NUMBER: 0000711669-21-000130 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210802 FILED AS OF DATE: 20210805 DATE AS OF CHANGE: 20210805 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fountain T Heath CENTRAL INDEX KEY: 0001382232 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-12436 FILM NUMBER: 211147031 MAIL ADDRESS: STREET 1: C/O COLONY BANKCORP, INC. STREET 2: 115 S. GRANT ST. P.O. BOX 989 CITY: FITZGERALD STATE: GA ZIP: 31750 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_162817730712368.xml FORM 4 X0306 4 2021-08-02 0 0000711669 COLONY BANKCORP INC CBAN 0001382232 Fountain T Heath 115 SOUTH GRANT STREET FITZGERALD GA 31750 1 1 0 0 President and CEO COLONY BANKCORP, INC. COMMON STOCK 2021-08-02 4 P 0 316 A 35955.84 D COLONY BANKCORP, INC COMMON STOCK 9863.32 I 401(K) COLONY BANKCORP, INC. COMMON STOCK 600 I UTMA for daughter COLONY BANKCORP, INC. COMMON STOCK 800 I UTMA for son Acquired in exchange for 500 shares of SouthCrest Financial Group, Inc. ("SouthCrest") in connection with the merger of SouthCrest with and into the issuer (the "Merger"). At the effective time of the Merger, each share of SouthCrest capital stock that was allocated stock consideration was converted into the right to receive approximately 0.7318 shares of the issuer's common stock. On the effective date of the Merger, the closing price of the issuer's common stock was $17.90 per share. Includes shares acquired through salary deferral. Lee Bagwell, Attorney-in-fact for T. Heath Fountain. 2021-08-05