9
c. By FRY-6 OMB Number7100-0297 Approval expires December 31, 2015 Page 1 of2 Board of Governors of the Federal Reserve System Annual Report of Holding Compan1 Report at the close of business as of the end of fiscal year This Report is required by law: Section 5(c)(1 )(A) of the Bank Holding Company Act (12 U.S.C. § 1844 (c)(t)(A)); Section 8(a) of the International Banking Act (12 U.S.C. § 3106(a)); Sections 11(a)(1 ), 25 and 25A of the Federal Reserve Act (12 U.S.C. §§ 248(a)(1), 602, and 611a); Section 211 .13(c) of Regulation K (12 C.F.R. § 211 .13(c)); and Section 225.5(b) of Regulation Y (12 C.F.R. § 225.5(b)) and section 10(c)(2)(H) of the Home Owners' Loan Act. Return to the appropriate Federal Reserve Bank the original and the number of copies specified. This report form is to be filed by all top-tier bank holding compa- nies and top-tier savings and loan holding companies organized under U.S. law, and by any foreign banking organization that does not meet the requirements of and is not treated as a qualify- ing foreign banking organization under Section 211.23 of Regulation K (12 C.F.R. § 211 .23). (See page one of the general instructions for more detail of who must file.) The Federal Reserve may not conduct or sponsor, and an organization (or a person) is not required to respond to, an information collection unless it displays a currently valid OMB control number. NOTE: The Annual Report of Holding Companies must be signed by one director of the top-tier holding company. This individual should also be a senior official of the top-tier holding company. In the event that the top-tier holding company does not have an individual who is a senior official and is also a director, the chair- man of the board must sign the report. 1,J. Corey ____ _ __________ Name of t he Holding Company Director and Official President Title of the Holding Company Director and Official attest that the Annual Report of Holding Companies (including the supporting attachments) for this report date has been pre- pared in conformance with the instructions issued by the Federal Reserve System and are true and correct to the best of my knowledge and belief. With respect to information regarding individuals contained in this report, the Reporter certifies that it has the authority to provide this information to the Federal Reserve. The Reporter also certifies that it has the authority, on behalf of each individual, to consent or object to public release of information regarding that individual. The Federal Reserve may assume, in the absence of a request for confidential treatment submitted in accordance with the Board's "Rules Regarding Availability of lnfor ation," 12 C.F.R. Part 261, that port individual ent to public release of all at For holding companies flQJ. registered with the SEC- Indicate status of Annual Report to Shareholders: 1:8:1 is included with the FR Y-6 report D will be sent under separate cover D is not prepared For Federal Reserve Bank Use Only RSSDID C.I. ------- -- Date of Report (top-tier holdi ng company's fiscal year-end): December 31, 2013 Month I Day I Year Reporter's Name, Street, and Mailing Address CBC Holding Company Legal Title of Holding Company P.O. Box 130 (Mailing Address of the Holding Company) Street I P.O. Box Fitzgerald GA _3_17_5_0 ____ City State Zip Code 102 West Roanoke Drive Physical location (If different from malling address) Person to whom questions about this report should be directed: J . Corey Gibbs President Name Tille 229-423-4321 Area Code I Phone Number I Extension 229-423-6656 Area Code I FAX Number [email protected] E-mail Address http://www.cbcfitzgerald.com Address (URL) for the Holding Company's web page Does t he reporter request confidential treatment for any portion of this submission? D Yes Please identify the report items to which t his request applies: D In accordance with the instructions on pages GEN-2 and 3, a letter justifying the request is being provided. D The information for which confidential treatment is sought is being submitted separately labeled "Confidential." [gi No Public reporting burden for this lnrormation collection is estimated to vary from 1.3 to 1 01 hours per response, with an average of 5.25 hours per response, including time to gather and maintain data in the required form and to review Instructions and complete the information collection. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Secretary, Board of Governors of the Federal Reserve System, 20th and C Streets, N.W., Washington, DC 20551, and to the Office of Management and Budget, Paperwork Reduction Project (7100-0297), Washington, DC 20503. 1212012

Annual Report of Holding Compan1 · Annual Report of Holding Compan1 . ... City State Zip Code . ... 35,006 5.76% ITEM 3.2 -None \ CBCIJOLDtG COMPANY : FITZGE~LD, GA

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  • c.

    By

    FRY-6 OMB Number7100-0297 Approval expires December 31, 2015 Page 1 of2

    Board of Governors of the Federal Reserve System

    Annual Report of Holding Compan1

    Report at the close of business as of the end of fiscal year

    This Report is required by law: Section 5(c)(1 )(A) of the Bank Holding Company Act (12 U.S.C. 1844 (c)(t)(A)); Section 8(a) of the International Banking Act (12 U.S.C. 3106(a)); Sections 11(a)(1), 25 and 25A of the Federal Reserve Act (12 U.S.C. 248(a)(1), 602, and 611a); Section 211 .13(c) of Regulation K (12 C.F.R. 211 .13(c)); and Section 225.5(b) of Regulation Y (12 C.F.R. 225.5(b)) and section 10(c)(2)(H) of the Home Owners' Loan Act. Return to the appropriate Federal Reserve Bank the original and the number of copies specified.

    This report form is to be filed by all top-tier bank holding companies and top-tier savings and loan holding companies organized under U.S. law, and by any foreign banking organization that does not meet the requirements of and is not treated as a qualifying foreign banking organization under Section 211.23 of Regulation K (12 C.F.R. 211 .23). (See page one of the general instructions for more detail of who must file.) The Federal Reserve may not conduct or sponsor, and an organization (or a person) is not required to respond to, an information collection unless it displays a currently valid OMB control number.

    NOTE: The Annual Report ofHolding Companies must be signed by one director of the top-tier holding company. This individual should also be a senior official of the top-tier holding company. In the event that the top-tier holding company does not have an individual who is a senior official and is also a director, the chairman of the board must sign the report. 1,J. Corey Gib~_s____ _ __________

    Name of the Holding Company Director and Official

    President Title of the Holding Company Director and Official

    attest that the Annual Report of Holding Companies (including the supporting attachments) for this report date has been prepared in conformance with the instructions issued by the Federal Reserve System and are true and correct to the best of my knowledge and belief.

    With respect to information regarding individuals contained in this report, the Reporter certifies that it has the authority to provide this information to the Federal Reserve. The Reporter also certifies that it has the authority, on behalf of each individual, to consent or object to public release of information regarding that individual. The Federal Reserve may assume, in the absence of a request for confidential treatment submitted in accordance with the Board's "Rules Regarding Availability of lnfor ation," 12 C.F.R. Part 261, that port individual ent to public release of all

    at ~vidual.

    For holding companies flQJ. registered with the SECIndicate status of Annual Report to Shareholders:

    1:8:1 is included with the FR Y-6 report D will be sent under separate cover D is not prepared

    For Federal Reserve Bank Use Only

    RSSDID

    C.I . ------- -

    Date of Report (top-tier holding company's fiscal year-end):

    December 31, 2013 Month I Day I Year

    Reporter's Name, Street, and Mailing Address

    CBC Holding Company Legal Title of Holding Company

    P.O. Box 130 (Mailing Address of the Holding Company) Street I P.O. Box

    Fitzgerald GA _3_17_5_0____ City State Zip Code

    102 West Roanoke Drive Physical location (If different from malling address)

    Person to whom questions about this report should be directed:

    J . Corey Gibbs President -----------~

    Name Tille

    229-423-4321 Area Code I Phone Number I Extension

    229-423-6656 Area Code I FAX Number

    [email protected] E-mail Address

    http://www.cbcfitzgerald.com Address (URL) for the Holding Company's web page

    Does the reporter request confidential treatment for any portion of this submission?

    D Yes Please identify the report items to which this request applies:

    D In accordance with the instructions on pages GEN-2 and 3, a letter justifying the request is being provided.

    D The information for which confidential treatment is sought is being submitted separately labeled "Confidential."

    [gi No

    Public reporting burden for this lnrormation collection is estimated to vary from 1.3 to 101 hours per response, with an average of 5.25 hours per response, including time to gather and maintain data in the required form and to review Instructions and complete the information collection. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Secretary, Board of Governors of the Federal Reserve System, 20th and C Streets, N.W., Washington, DC 20551, and to the Office of Management and Budget, Paperwork Reduction Project (7100-0297), Washington, DC 20503.

    1212012

    http:http://www.cbcfitzgerald.commailto:[email protected]

  • FRY-6 Page 2 of2

    For Use By Tiered Holding Companies Top-tiered holding companies must list the names, mailing address, and physical locations of each of their subsidiary holding companies below.

    Legal Title of Subsidiary Holding Company

    (Mailing Address of the Subsidiary Holding Company) Street I P.O. Box

    City State Zip Code

    Physical location (if different from malling address)

    Legal Tiiie of Subsidiary Holding Company

    (Mailing Address of the Subsidiary Holding Company) Street I P.O. Box

    City State Zip Code

    Physical location (if different from malling address)

    Legal Title of Subsidiary Holding Company

    (Mailing Address of the Subsidiary Holding Company) Street I P.O. Box

    City State Zip Code

    Physical location (if different from mailing address)

    Legal Tiiie of Subsidiary Holding Company

    (Mailing Address of the Subsidiary Holding Company) Street I P.O. Box

    City State Zip Code

    Physical location (if different from malling address)

    Legal Title of Subsidiary Holding Company

    (Mailing Address of the Subsidiary Holding Company) Street I P.O. Box

    City State Zip Code

    Physical location (if different from malling address)

    Legal Title of Subsidiary Holding Company

    (Mailing Address of the Subsidiary Holding Company) Street I P.O. Box

    City State Zip Code

    Physical location (If different from mailing address)

    Legal Title of Subsidiary Holding Company

    (Mailing Address of the Subsidiary Holding Company) Street I P.O. Box

    City State Zip Code

    Legal Title of Subsidiary Holding Company

    (Mailing Address of the Subsidiary Holding Company) Street I P.O. Box

    City State Zip Code

    Physical location (if different from mailing address) Physical location (if different from mailing address)

    12/2012

  • --~--------------~-----

    r ,.7

    ITEM2a

    CBC HOLDING COMPANY

    FITZGERALD, GEORGIA

    ORGANIZATION CHART

    PARENT COMPANY

    CBC Holding Company

    Post Office Box 130

    102 W. Roanoke Drive

    Fitzgerald, Georgia 31750

    State of Incorporation: Georgia

    John T. Croley, Chairman of the Board

    A.B.C. (Chip) Dorminy, Ill, Vice-Chairman of the Board

    John Ed Smith, Ill, Secretary

    James T. Casper, Ill, Treasurer

    J. Corey Gibbs, President and CEO

    I I I 100% I

    SUBSIDIARY

    Community Banking Company of Fitzgerald

    Post Office Box 130

    102 W. Roanoke Drive

    Fitzgerald, Georgia 31750

    State of Incorporation: Georgia

    John T. Croley, Chairman of the Board

    A.B.C. (Chip) Dorminy, Ill, Vice-Chairman of the Board

    John Ed Smith, Ill, Secretary

    J Corey Gibbs, President and CEO

  • ----~- -----------~~---'t.

    ITEM2b CBC HOLDING COMI'ANY FITZGERALD, GEORGIA

    DOMESTIC BRANCH LISTING

    Branch Popular Name Street Address City State Zip County Country

    Service Type Code

    Full Service (Head Office)

    COMMUNITY BANKING

    COMPANY OF

    102 W ROANOKE DR FITZGERALD GA 31750 BEN HILL UNITED

    STATES

    FITZGERALD

    Limited

    Service

    SOUTH MAIN STREET

    FACILITY

    220 S MAIN ST FITZGERALD GA 31750 BEN HILL UNITED STATES

  • ITEM3.1 CBC HOLDING COMPANY

    FITZGERALD, GEORGIA

    SHAREHOLDERS

    Percent of Total

    Number of Outstanding Name Address Citizenship shares owned Shares

    SidneyS. Anderson, Fitzgerald, GA . U.S.A. 110,301 18.15% Jr.

    A.B.C Dorminy, III Fitzgerald, GA U.S.A 35,006 5.76%

    ITEM 3.2 - None

  • \ CBCIJOLDtG COMPANY

    FITZGE~LD, GA INS{DERS

    Nmne & Address

    (Cftlf, Stt1te, Co1111tn1)

    Pd11cipal Occ11patio11

    if vt11er tl11111 witil Bank Holdill\ Compnm/

    Tit-le & Positio11

    witlt Hauk

    Holding Co111pm111

    Title & Position

    wit/1 Subsidiaries

    Title & Positio11 wit11

    Ot/1cr Busillesses

    Percentage of

    Voti/lg Slwrcs

    ill .Bank

    Holding

    Co111pam1

    Percentage of

    Voti11g

    Slwrcs in

    Subsidiaries

    Otlicr Companies

    in wltic11

    25% or more

    ofVoting

    Sec111itics

    arc held

    George M. Ray Fitzgerald, GA,

    I

    U.S.A.

    Scmi~retired banker

    Director (Community Chief Executive Officer Banking Company of and President Fitzgerald N/A 1.00% None None

    john T. Croley, Jr.

    Fitzgerald, GA j U.S.A.

    Attorney, sole practitioner Chairman of the

    Board

    Chairman of the

    Board

    (Community

    Banking Co. of

    Fitzgerald)

    Attorney, sole practitioner 4.22% None None

    Sidney S. Anderson, Jr.

    Fitzgerald, GA /

    U.S.A.

    General Manager

    (Dixie Peanut Company)

    Director Emeritus Directory Emeritus

    (Community

    Banking Co. of

    Fitzgerald)

    General lvlanager

    (Dixie Peanut Company)

    18.15% None None

    Lee Phillip Liles

    Fitzgerald, GAi

    U.S.A.

    Agency Nfanager

    (Georgia Fann Bureau

    Nfutual Insurance Co.)

    Director Director- (Community

    Banking Co. of

    Fitzgerald)

    Agency Manager

    (Georgia Farm Bureau

    Ivlutual Insurance Co.)

    1.02% None None

    Hulin Reeves, Jr. ,

    Fitzgerald, GA \ _

    U.S.A.

    Farmer Director Director- (Comrnw1ity

    Banking Co. of

    Fitzgerald)

    None 1.55% None None

  • ITEM 4 (cont.)

    CBC HOLDING COIVIPANY FITZGERALD, GEORGIA

    INSIDERS

    Name & Address

    (Cit111 State, CatmlnJ)

    Principal Occupatio11

    if ot!ter t!ta11 iuitl1 Bank f!oldiug Co11ipa1111

    Title & Position

    zuitlz Bank

    H'oldi11g Comn1ttf

    Title & Position

    rvitlt Subsidiaries

    Title & Positio11 ruitlz

    Otlzer Busilzesses

    Percentage of

    Voting Slrares

    in Bank

    Holrli11g

    Co111pn1111

    Percentage of

    \Toting

    Slznres i11

    Subsidiaries

    Other Co111pn11ies

    ill iulzic1t

    25/o or more

    ofVoting

    Securities

    are held

    Jaines Thon1as Casper, III

    Fitzgerald, GA ~

    U.S.A.

    Certified Public

    Accountant

    (Worthington and

    Casper, CPA, P.C.)

    Treasurer Treasurer

    (Community

    Banking Co. of

    Fitzgerald)

    Certified Public

    Accountant

    (Worthington and

    Casper, CPA, P.C.)

    1.95% None Worthington & Casper,

    CPA, P.C.-(50%)

    A.B.C. Dorminy, III

    Fitzgerald, GA\

    U.S.A.

    President (ABCD

    FaID1S, Inc.)

    CEO - (Farmers

    Quality Peanut Co.

    and D&F Graia Co.)

    Vice

    Chainnan

    Vice

    Chaim1an

    (Community

    Banking Co. of

    Fitzgerald)

    President - (ABCD

    Fam1s1 Inc.)

    CEO - (Fam1ers Quality

    Peanut Co. and D&F

    Grain Co.)

    5.76% None ABCD Fam1s, Inc.(73%)

    D&F Grain Co. - (65%)

    JohnS. Dunn

    Fitzgerald, GA\

    U.S.A.

    Owner - (Shep Dunn

    Construction)

    Director Director

    (Community

    Banking Co. of

    Fitzgerald)

    Owner- (Shep Dunn

    Construction)

    0.91% None Shep Dunn Construction

    (100%)

    Wyndall L. Walters

    Ocilla, GA ~.

    U.S.A.

    O'ivner - (Invin County

    Motors d/b/a Fitzgerald

    Ford Lincoln Mercury)

    Director Director - (Con1n1unity

    Banking Co. of

    Fitzgerald)

    Owner - (Irwin County

    Motors d/b/a Fitzgerald

    Ford Lincoln Mercury)

    0.89% None Irwin County Motors

    (75%)

  • ITEM 4 (cout)

    CBC HOLDING CONIPANY

    FITZGERALD, GEORGIA

    INSIDERS

    Name & Ari dress

    (Cit11, State, Co1111tn1)

    Steven L. Mitchell I

    Fitzgerald, GA I

    U.S.A.

    john Edward Smith, III

    Fitzgerald, GA I U.S.A.

    Charles A. Clark, Sr.

    Fitzgerald, GAi

    U.S.A.

    Art Anderson

    Fitzgerald, GAj

    U.S.A.

    Pri11cipal Occupatio11

    if ot/zer t/11111 wit/z B1111k Holding Co111a111/

    Co-Owner- (Irwin

    Timber Co.)

    Attorney- (Jay, Sherrell,

    Smith and Braddy)

    Executive Officer and

    Owner - (C & S Aircraft

    Service, Inc. and E1ving

    Dusting Service, Inc.)

    Self Employed

    Investn1ent ivfanager

    Title & Position

    1vitJ1 Bank

    Ilolding Co111a11tf

    Director

    Secretary

    Director

    Director

    Title & Position

    witlz Subsidiaries

    Direclor

    (Community

    Banking Co. of

    Fitzgerald)

    Secretary

    (Community

    Banking Co. of

    Fitzgerald)

    Director

    (Community

    Banking Co. of

    Fitzgerald)

    Director

    (Community

    Banking Co. of

    Fitzgerald)

    Title & Position 1vitll

    Otlwr Busi11esscs

    Co-Owner- (Irwin

    Timber Co.)

    Atlomey-(Jay, Sherrell,

    Smith and Braddy)

    Executive Officer and

    Owner - (C & S Aircraft

    Service, Inc. and E'iving

    Dusting Service1 Inc.)

    None

    Percentage. of

    Voting Sltares

    i11Ba11k

    Holdi11g

    CompnJtl/

    0.64%

    0.45%

    2.39%

    0.18%

    Percell tnge of

    Voti11g

    Sllnres i11

    Subsidiaries

    None

    None

    None

    None

    Other Companies

    -in which

    25% or more

    ofVoti11g

    Securit"ies

    are lzelrl

    Mitchell Brothers

    Timber Co. - (100%)

    jay, Sherrell, Smith

    and Braddy-(25%)

    C & S Aircraft Services,

    Inc. (100%), Ewing

    Dusting Services, Inc (100%)

    None

  • ITEM 4 (cont)

    CBC HOLDING COMPANY

    Name & Address

    (Citt/, State, Co1mtn1)

    Louis E, Harper, Jr.

    Fitzgerald, GA\ I

    U.S.A.

    Principal Occupation

    if other than witIt

    Bank Holding Compa1111

    President

    LE. Harper Construction Co

    Tit-le & Positio11

    with Ba11k

    Holding Co1111m1111

    Director

    FITZGERALD, GEORGIA INSIDERS

    Title & Position Title & Positio11 with

    with S11l1sidimies Otlter B11s{11esses

    Director President

    (Commwtlty

    Banking Co. of

    Fitzgerald)

    Perce11tage of

    Voting Shares

    ill Bank

    Holding

    Co111pm111

    0.18%

    Perce11tage of

    Voting

    Slmres in

    Subsitfian'es

    None

    Otlwr Co111pa11ics

    i11wliicll

    25% or more

    of Voti11g

    Securities

    are 11eld

    L EHarperConslruction Co (100%)

    LE Harper Conunercial Properties, LLC (100%)

    Howard A Wiley

    Fitzgerald, GA

    U.S.A.

    VP Digital Express

    \Vireless, Inc

    Director Director

    (Conm1unity

    llanklng Co. of

    Fitzgerald)

    Partner 0.00% None Digital Express \Vireless,

    Inv (50%)

    EricHStone

    Fitzgerald, G~ U.S.A.

    CPA

    YVorthington Casper Stone

    And Conger

    Director Director

    (Conununity

    Banking Co. of

    Fitzgerald)

    Partner

    Partner

    0.00% None \Vortltington, Casper Stone

    And Conger (33%)

    =Properties LLC (33% )

    jack Paulk

    Fitzgerald, GA\

    U.S.A.

    Retired Director Director

    (Community

    Banking Co. of

    Fitzgerald)

    Partner

    Partner

    Partner

    1.92% None Halie's Bldg (51%)

    Cracker Cabins, LLC(51%)

    Sturgeon Creek Parb1ers, LLP (50%)

    JCorey Gibbs Fitzgerald, GA !

    I

    U.S.A.

    President and CEO

    Community Bank of

    Fitzgerald

    Director President/CEO

    Community Banking

    Company of

    Fitzgerald

    N/A 0.09% None None

    FR Y-6 Cover Page For Use by Tiered Bank Holding Companies Report Item 2a: Organization ChartReport Item 2b: Domestic Branch ListingReport Item 3: Securities HoldersReport Item 4: InsidersReport Item 4: Insiders page 2Report Item 4: Insiders page 3Report Item 4: Insiders page 4