0000711669-22-000165.txt : 20220916 0000711669-22-000165.hdr.sgml : 20220916 20220916110646 ACCESSION NUMBER: 0000711669-22-000165 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220912 FILED AS OF DATE: 20220916 DATE AS OF CHANGE: 20220916 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Copeland R Dallis Jr CENTRAL INDEX KEY: 0001483028 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-12436 FILM NUMBER: 221247307 MAIL ADDRESS: STREET 1: 115 S GRANT STREET STREET 2: P O BOX 989 CITY: FITZGERALD STATE: GA ZIP: 31750 FORMER NAME: FORMER CONFORMED NAME: Copeland R Dallis JR DATE OF NAME CHANGE: 20100202 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 3 1 wf-form3_166334079150455.xml FORM 3 X0206 3 2022-09-12 0 0000711669 COLONY BANKCORP INC CBAN 0001483028 Copeland R Dallis Jr 115 SOUTH GRANT STREET FITZGERALD 2Q 31750 GEORGIA (COUNTRY) 0 1 0 0 President COLONY BANKCORP, INC COMMON STOCK 14500 D COLONY BANKCORP, INC COMMON STOCK 1019.46 I 401 (K) 7,000 Shares granted January 1, 2022 per Colony Bankcorp, Inc 2020 Incentive Plan. Lee Bagwell as Attorney-in-fact for R D COPELAND, JR. 2022-09-16