-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, RFp/mJHyERXkd9DAUziRoGKMD9GR8/gGQjXwUO/3Nphal4X6l17s1+L80v7S6Qts mod9IL433X1k/DDd6idMrQ== 0001140361-05-003951.txt : 20050524 0001140361-05-003951.hdr.sgml : 20050524 20050524162221 ACCESSION NUMBER: 0001140361-05-003951 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050516 FILED AS OF DATE: 20050524 DATE AS OF CHANGE: 20050524 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ROSS ROBERT SIDNEY CENTRAL INDEX KEY: 0000898362 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-12436 FILM NUMBER: 05854571 BUSINESS ADDRESS: BUSINESS PHONE: 9124266000 MAIL ADDRESS: STREET 1: 115 SOUTH GANT ST CITY: FITZGERALD STATE: GA ZIP: 31750 4 1 doc1.xml FORM 4 X0202 4 2005-05-16 0 0000711669 COLONY BANKCORP INC CBAN 0000898362 ROSS ROBERT SIDNEY P O BOX 666 OCILLA, GA X1 31774 1 0 1 0 COLONY BANKCORP INC COMMON STOCK 2005-05-16 4 J 0 91 A 458.5168 I OWNED BY WIFE COLONY BANKCORP INC COMMON STOCK 2005-05-16 4 J 0 136252 A 681262 D COLONY BANKCORP INC COMMON STOCK 2005-05-16 4 J 0 5591 A 27956 I ROSS FAMILY TRUSTS COLONY BANKCORP INC COMMON STOCK 2005-05-16 4 J 0 312 A 1562 I WIFE FOR MINOR CHILD COLONY BANKCORP INC COMMON STOCK 2005-05-16 4 J 0 1488 A 7440 I R SIDNEY ROSS JR TRUST COLONY BANKCORP INC COMMON STOCK 2005-05-16 4 J 0 21546 A 107732 I ROSS OF GEORGIA INC COLONY BANKCORP INC COMMON STOCK 2005-05-16 4 J 0 2623 A 13118 I ROSS LIFE INSURANCE TRUST REFLECTS A FIVE-FOR-FOUR STOCK SPLIT EFFECTED IN THE FORM OF A 25% STOCK DIVIDEND TO SHAREHOLDERS OF RECORD AS OF APRIL 30, 2005 AND ISSUED ON MAY 16, 2005. PRICE NOT APPLICABLE. ROBERT SIDNEY ROSS 2005-05-24 -----END PRIVACY-ENHANCED MESSAGE-----