0001127602-17-004693.txt : 20170209
0001127602-17-004693.hdr.sgml : 20170209
20170209105804
ACCESSION NUMBER: 0001127602-17-004693
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20161231
FILED AS OF DATE: 20170209
DATE AS OF CHANGE: 20170209
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: FIDELITY SOUTHERN CORP
CENTRAL INDEX KEY: 0000822662
STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022]
IRS NUMBER: 581416811
STATE OF INCORPORATION: GA
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3490 PIEDMONT RD
STREET 2: STE 1550
CITY: ATLANTA
STATE: GA
ZIP: 30305
BUSINESS PHONE: 4043715500
MAIL ADDRESS:
STREET 1: PO BOX 105075
CITY: ATLANTA
STATE: GA
ZIP: 30348
FORMER COMPANY:
FORMER CONFORMED NAME: FIDELITY NATIONAL CORP /GA/
DATE OF NAME CHANGE: 19960207
FORMER COMPANY:
FORMER CONFORMED NAME: FIDELITY SOUTHERN CORP
DATE OF NAME CHANGE: 19920703
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Choate William Millard
CENTRAL INDEX KEY: 0001490046
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34981
FILM NUMBER: 17585848
MAIL ADDRESS:
STREET 1: 3490 PIEDMONT ROAD, SUITE 1550
CITY: ATLANTA
STATE: 2Q
ZIP: 30305
5
1
form5.xml
PRIMARY DOCUMENT
X0306
5
2016-12-31
0
0
0000822662
FIDELITY SOUTHERN CORP
LION
0001490046
Choate William Millard
3490 PIEDMONT ROAD, SUITE 1550
ATLANTA
GA
30305
1
Fidelity Southern Corporation - Common Stock
2016-12-31
5
J
0
6136.4705
0
A
220173.0973
D
Fidelity Southern Corporation - Common Stock
0
I
By Family Partnership
Fidelity Southern Corporation - Common Stock
0
I
By partnership
Stock Option (Right to Buy)
15.56
2015-01-23
2019-01-23
Fidelity Southern Corporation - Common Stock
6000
6000
D
Stock Option (Right to Buy)
17.87
2017-01-21
2021-01-21
Fidelity Southern Corporation - Common Stock
10000
10000
D
Stock Option (Right to Buy)
16.82
2016-03-19
2020-03-19
Fidelity Southern Corporation - Common Stock
10000
10000
D
Reinvested cash dividends received in the reporting year.
Exercisable: 1/3 on 1/23/15; 1/3 on 1/23/16; 1/3 on 1/23/17
Exercisable: 1/3 on 1/21/2017; 1/3 on 1/21/2018; 1/3 on 1/21/2019
Exercisable: 1/3 on 3/19/16, 1/3 on 3/19/17, 1/3 on 3/19/18
Barbara McNeill, Attorney in Fact for Wm. Millard Choate
2017-02-09
EX-24
2
doc1.txt
POWER OF ATTORNEY (PUBLIC): WM MILLARD CHOATE
CONFIRMATION OF SIGNATURE AUTHORITY
The undersigned individual may be deemed to be a "Director" or
"Officer" of Fidelity Southern Corporation, and thus may be required to execute
and file with the Securities and Exchange Commission reports on Forms 3, 4, and
5 regarding beneficial ownership of securities of Fidelity Southern Corporation.
By executing this Confirmation, the undersigned hereby confirms that any one of
the following individuals is authorized and designated to sign such beneficial
ownership reports on behalf of the undersigned and to cause such reports to be
filed with the Securities and Exchange Commission:
Martha C. Fleming, Corporate Secretary, or
Stephen H. Brolly, Chief Financial Officer, or
Barbara McNeill, Executive Assistant, or
Elna Kolarich, Assistant Corporate Secretary, or
Brittany Caylor, Executive Assistant
This authority shall be deemed to continue until it is expressly
withdrawn by a filing with the Securities and Exchange Commission. This
Confirmation shall be filed and kept on file by the Securities and Exchange
Commission to document the authority set forth herein.
IN WITNESS WHEREOF, the undersigned has executed this Confirmation on
the 25th day of January 2017.
s/ William Millard Choate
--------------------------------------------