0001535686-16-000004.txt : 20161025 0001535686-16-000004.hdr.sgml : 20161025 20161025142430 ACCESSION NUMBER: 0001535686-16-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161025 DATE AS OF CHANGE: 20161025 EFFECTIVENESS DATE: 20161025 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Southern Independent Bancshares, Inc. CENTRAL INDEX KEY: 0001535686 IRS NUMBER: 274429398 STATE OF INCORPORATION: AL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-273182 FILM NUMBER: 161950138 BUSINESS ADDRESS: STREET 1: 503 NORTH MAIN STREET CITY: OPP STATE: AL ZIP: 36467 BUSINESS PHONE: 334-493-2265 MAIL ADDRESS: STREET 1: 503 NORTH MAIN STREET CITY: OPP STATE: AL ZIP: 36467 D 1 primary_doc.xml X0707 D LIVE 0001535686 Southern Independent Bancshares, Inc. 503 NORTH MAIN STREET OPP AL ALABAMA 36467 334-493-2265 ALABAMA None None Corporation true Guy H. Wilkes, Jr. 503 North Main Street Opp AL ALABAMA 36467 Executive Officer Director John D Adams 503 North Main Street Opp AL ALABAMA 36467 Executive Officer Director Micah Garner 503 North Main Street Opp AL ALABAMA 36467 Executive Officer Robert S. Boothe 503 North Main Street Opp AL ALABAMA 36467 Director Robert B. Burkhardt 503 North Main Street Opp AL ALABAMA 36467 Director Charles P. Cope 503 North Main Street Opp AL ALABAMA 36467 Director Olan H. Harden 503 North Main Street Opp AL ALABAMA 36467 Director Norman E. Hobson 503 North Main Street Opp AL ALABAMA 36467 Director Johnnie M. Jackson, III 503 North Main Street Opp AL ALABAMA 36467 Director Wesley L. Laird 503 North Main Street Opp AL ALABAMA 36467 Director Charles T. Smith 503 North Main Street Opp AL ALABAMA 36467 Director Gary L. Smith 503 North Main Street Opp AL ALABAMA 36467 Director James H. Tillman, Jr. 503 North Main Street Opp AL ALABAMA 36467 Director Donna Youmans 503 North Main Street Opp AL ALABAMA 36467 Director Commercial Banking Decline to Disclose 06b false 2016-10-18 false true false 50000 5000000 3555000 1445000 false 15 0 0 0 false Southern Independent Bancshares, Inc. John D. Adams John D. Adams Chief Financial Officer 2016-10-25