0001552781-17-000008.txt : 20170105 0001552781-17-000008.hdr.sgml : 20170105 20170105162143 ACCESSION NUMBER: 0001552781-17-000008 CONFORMED SUBMISSION TYPE: 15-12G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20170105 DATE AS OF CHANGE: 20170105 EFFECTIVENESS DATE: 20170105 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CITIZENS BANCSHARES CORP /GA/ CENTRAL INDEX KEY: 0000813640 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 581631302 STATE OF INCORPORATION: GA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-12G SEC ACT: 1934 Act SEC FILE NUMBER: 000-14535 FILM NUMBER: 17510977 BUSINESS ADDRESS: STREET 1: 75 PIEDMONT AVENUE NE STREET 2: P O BOX 4485 CITY: ATLANTA STATE: GA ZIP: 30302 BUSINESS PHONE: 4046595959 MAIL ADDRESS: STREET 1: P O BOX 4485 CITY: ATLANTA STATE: GA ZIP: 30303 15-12G 1 e17007_czbs-1512g.htm

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

 

FORM 15

 

CERTIFICATION AND NOTICE OF TERMINATION OF REGISTRATION UNDER SECTION 12(G) OF THE SECURITIES EXCHANGE ACT OF 1934 OR SUSPENSION OF DUTY TO FILE REPORTS UNDER SECTIONS 13 AND 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934.

 

Commission File Number: 0-14535

 

 

CITIZENS BANCSHARES CORPORATION

(Exact name of registrant as specified in its charter)

 

 

230 Peachtree Street, N.W., Suite 2700, Atlanta, Georgia 30303, (404) 659-5959

(Address, including zip code, and telephone number, including area code,
of registrant’s principal executive offices)

 

Common Stock, $1.00 par value

(Title of each class of securities covered by this Form)

 

None

(Titles of all other classes of securities for which a duty to file reports under

Section 13 (a) or 15(d) remains)

 

 

Please place an X in the box(es) to designate the appropriate rule provision(s) relied upon to terminate or suspend the duty to file reports:

 

  Rule 12g-4(a)(1)  ☒ Rule 12h-3(b)(1)(i)  ☒
  Rule 12g-4(a)(2)  ☐ Rule 12h-3(b)(1)(ii)    ☐
  Rule 12g-4(a)(2)(i)    ☐ Rule 12g-4(a)(2)(ii)  ☐
  Rule 15d-6  ☐    

 

Approximate number of holders of record as of the certification or notice date: 1,167 (as of December 31, 2016)

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person.

 

 

Date:  January 5, 2017 By:   /s/ Cynthia N. Day  
          Cynthia N. Day  
          President and Chief Executive Officer