0001181431-11-051592.txt : 20111004 0001181431-11-051592.hdr.sgml : 20111004 20111004173929 ACCESSION NUMBER: 0001181431-11-051592 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110930 FILED AS OF DATE: 20111004 DATE AS OF CHANGE: 20111004 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WILSON BRUCE N CENTRAL INDEX KEY: 0001194040 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14549 FILM NUMBER: 111124917 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: UNITED SECURITY BANCSHARES INC CENTRAL INDEX KEY: 0000717806 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 630843362 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: P O BOX 249 STREET 2: 131 WEST FRONT STREET CITY: THOMASVILLE STATE: AL ZIP: 36784 BUSINESS PHONE: 3346365424 MAIL ADDRESS: STREET 1: P O BOX 249 STREET 2: 131 WEST FRONT STREET CITY: THOMASVILLE STATE: AL ZIP: 36784 4 1 rrd323054.xml FORM 4 X0304 4 2011-09-30 0 0000717806 UNITED SECURITY BANCSHARES INC USBI 0001194040 WILSON BRUCE N P O BOX 249 THOMASVILLE AL 36784 1 0 0 0 Phantom Stock Units 2011-09-30 4 A 0 261.62 5.16 A Common Stock 261.62 2864.43 D The units convert to common stock on a 1-for-1 basis. The phantom stock units were accrued under the United Security Bancshares, Inc. Non-Employee Directors' Deferred Compensation Plan and are to be settled in common stock at the end of the deferral period. /s/ Beverly J. Dozier, by power of attorney 2011-10-04