0001368853-16-000002.txt : 20160509 0001368853-16-000002.hdr.sgml : 20160509 20160509084648 ACCESSION NUMBER: 0001368853-16-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160506 DATE AS OF CHANGE: 20160509 EFFECTIVENESS DATE: 20160506 FILER: COMPANY DATA: COMPANY CONFORMED NAME: First Citizens Financial CORP CENTRAL INDEX KEY: 0001368853 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 061746405 STATE OF INCORPORATION: GA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-262760 FILM NUMBER: 161630035 BUSINESS ADDRESS: STREET 1: 32 JACK HEARD ROAD STREET 2: BAILEY TOWERS, SUITE 110 CITY: DAWSONVILLE STATE: GA ZIP: 30534 BUSINESS PHONE: (678) 643-4639 MAIL ADDRESS: STREET 1: P. O. BOX 809 CITY: DAWSONVILLE STATE: GA ZIP: 30534-0017 D 1 primary_doc.xml X0707 D LIVE 0001368853 First Citizens Financial CORP 70 Carlisle Road DAWSONVILLE GA GEORGIA 30534 706-216-5900 GEORGIA None None Corporation true W. Bryan Hendrix 70 Carlisle Road Dawsonville GA GEORGIA 30534 Executive Officer Michael L. Berg 70 Carlisle Road Dawsonville GA GEORGIA 30534 Director Steven K. Leibel 70 Carlisle Road Dawsonville GA GEORGIA 30534 Director John D. Pearson 70 Carlisle Road Dawsonville GA GEORGIA 30534 Director Eugene E. Pearson 70 Carlisle Road Dawsonville GA GEORGIA 30534 Director Kevin K. Tanner 70 Carlisle Road Dawsonville GA GEORGIA 30534 Director Commercial Banking $1,000,001 - $5,000,000 06b false 2016-05-03 false true false 5000 Donnelly Penmen & Partners, Inc. 104448 None None 17160 Kercheval Ave. Grosse Pointe MI MICHIGAN 48230 FL FLORIDA GA GEORGIA MI MICHIGAN NJ NEW JERSEY NY NEW YORK NC NORTH CAROLINA OH OHIO SC SOUTH CAROLINA false 10000000 10000000 0 true 5 65 310000 true 0 143000 true Paid to Lewis Financial Group, Inc. for the consulting and advisory services of John L. Lewis. false First Citizens Financial CORP John L. Lewis John L. Lewis President and CEO 2016-05-06