0001140361-17-001067.txt : 20170106
0001140361-17-001067.hdr.sgml : 20170106
20170106181007
ACCESSION NUMBER: 0001140361-17-001067
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161230
FILED AS OF DATE: 20170106
DATE AS OF CHANGE: 20170106
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: FIRST BANCSHARES INC /MS/
CENTRAL INDEX KEY: 0000947559
STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021]
IRS NUMBER: 640862173
STATE OF INCORPORATION: MS
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 6480 US HIGHWAY 98 WEST
STREET 2: SUITE A
CITY: HATTIESBURG
STATE: MS
ZIP: 39402
BUSINESS PHONE: 6012688998
MAIL ADDRESS:
STREET 1: 6424 US HIGHWAY 98 WEST
STREET 2: SUITE A
CITY: HATTIESBURG
STATE: MS
ZIP: 39402
FORMER COMPANY:
FORMER CONFORMED NAME: COMMUNITY CAPITAL CORP /MS/
DATE OF NAME CHANGE: 19950705
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SEIDENBURG J DOUGLAS
CENTRAL INDEX KEY: 0001250442
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-22507
FILM NUMBER: 17515387
4
1
doc1.xml
FORM 4
X0306
4
2016-12-30
0
0000947559
FIRST BANCSHARES INC /MS/
FBMS
0001250442
SEIDENBURG J DOUGLAS
18 LAKELAND DRIVE
LAUREL
MS
39440
1
0
0
0
COMMON STOCK
2016-12-30
4
C
0
11584
A
94240
D
COMMON STOCK
2016-12-30
4
C
0
2500
A
96740
I
See Footnote
Series E Preferred Stock
2016-12-30
4
C
0
11584
D
COMMON STOCK
11584
0
D
SERIES E PREFERRED STOCK
2016-12-30
4
C
0
2500
D
COMMON STOCK
2500
0
I
SEE FOOTNOTE
The company's Mandatorily Convertible, Nonvoting, Noncumulative Preferred Stock, Series E, was mandatorily converted on a 1-for-1 basis into shares of The First Bancshares, Inc.'s Common Stock on 12-30-16, following shareholder approval of the issuance of the underlying Common Stock on 12-29-16. All shares of the Mandatorily Convertible, Nonvoting, Noncumulative, Preferred Stock, Series E, are being surrendered to the company and have resumed the status of authorized and unissued preferred stock.
2,500 shares held of record by M.D. Outdoor, LLC. The reporting person is a 1/2 owner of the company. The reporting person disclaims beneficial ownership of the shares held by M.D. Outdoor, LLC except to the extent of his pecuniary interest therein and this report shall not be deemed an admission that the reporting person is the beneficial owner of the share held by M.D. Outdoor LLC for any other purposes. These shares are included in total ownership, held indirectly.
J DOUGLAS SEIDENBURG
2017-01-06