0001140361-12-003146.txt : 20120120
0001140361-12-003146.hdr.sgml : 20120120
20120120114641
ACCESSION NUMBER: 0001140361-12-003146
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120117
FILED AS OF DATE: 20120120
DATE AS OF CHANGE: 20120120
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DWOZAN M FREDERICK
CENTRAL INDEX KEY: 0001539888
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-12436
FILM NUMBER: 12536222
MAIL ADDRESS:
STREET 1: 718 MEDICAL CENTER DRIVE
CITY: EASTMAN
STATE: GA
ZIP: 31023-6736
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
doc1.xml
FORM 3
X0204
3
2012-01-17
0
0000711669
COLONY BANKCORP INC
CBAN
0001539888
DWOZAN M FREDERICK
718 MEDICAL CENTER DRIVE
EASTMAN
GA
31023-6736
1
0
0
0
COLONY BANKCORP INC COMMON STOCK
24000
D
M. FREDERICK DWOZAN
2012-01-20