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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
WOODS M TROY P. O. BOX 2506 COLUMBUS, GA 31902-2506 |
X | Chairman and CEO |
Garilou Page, Attorney-in-Fact | 01/18/2019 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | The total number of directly held shares shown in Column 5 has changed since the reporting person's last Form 4 report as a result of changes in the form of ownership of his shares, including the transfer of shares in 2018 to the reporting person's grantor retained annuity trusts, as set forth in footnotes 2 and 3 to this Form 4 report, and the receipt of 30,710 shares on December 4, 2018 which were transferred for no consideration from the reporting person's 2016 grantor retained annuity trust to the reporting person. |
(2) | The form of ownership of these shares changed on April 3, 2018 when they were transferred for no consideration by the reporting person to the reporting person's grantor retained annuity trust. |
(3) | The form of ownership of these shares changed on December 21, 2018 when they were transferred for no consideration by the reporting person to the reporting person's grantor retained annuity trust. |