0000892712-22-000161.txt : 20220729 0000892712-22-000161.hdr.sgml : 20220729 20220729144607 ACCESSION NUMBER: 0000892712-22-000161 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220729 DATE AS OF CHANGE: 20220729 EFFECTIVENESS DATE: 20220729 FILER: COMPANY DATA: COMPANY CONFORMED NAME: First Southern Bank CENTRAL INDEX KEY: 0001940294 IRS NUMBER: 580379465 STATE OF INCORPORATION: GA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-454204 FILM NUMBER: 221120236 BUSINESS ADDRESS: STREET 1: 930 MEMORIAL DRIVE CITY: WAYCROSS STATE: GA ZIP: 31501 BUSINESS PHONE: 9124901010 MAIL ADDRESS: STREET 1: 930 MEMORIAL DRIVE CITY: WAYCROSS STATE: GA ZIP: 31501 D 1 primary_doc.xml X0708 D LIVE 0001940294 First Southern Bank 930 MEMORIAL DRIVE WAYCROSS GA GEORGIA 31501 9124901010 GEORGIA None None Corporation true Daniel S. Hager 930 Memorial Drive Waycross GA GEORGIA 31501 Executive Officer Director Jonathan A. Drawdy 930 Memorial Drive Waycross GA GEORGIA 31501 Director Kelly H. Ellis 930 Memorial Drive Waycross GA GEORGIA 31501 Executive Officer Jack S. Fu 930 Memorial Drive Waycross GA GEORGIA 31501 Director Michael Godby 930 Memorial Drive Waycross GA GEORGIA 31501 Director James D. Hull 930 Memorial Drive Waycross GA GEORGIA 31501 Director William E. Hughes, Jr. 930 Memorial Drive Waycross GA GEORGIA 31501 Executive Officer Director Joseph P. Ierardi 930 Memorial Drive Waycross GA GEORGIA 31501 Director David I. Lee 930 Memorial Drive Waycross GA GEORGIA 31501 Director Terry E. Rehfeldt 930 Memorial Drive Waycross GA GEORGIA 31501 Director John C. Shoop 930 Memorial Drive Waycross GA GEORGIA 31501 Executive Officer Director Robert B. Smith 930 Memorial Drive Waycross GA GEORGIA 31501 Director Michael F. Turner 930 Memorial Drive Waycross GA GEORGIA 31501 Executive Officer Alan J. Wildstein 930 Memorial Drive Waycross GA GEORGIA 31501 Director Commercial Banking Decline to Disclose 06b false 2022-07-14 false true false 90000 12000000 4768362 7231638 false 45 0 0 0 false First Southern Bank /s/ Daniel S. Hager Daniel S. Hager Chief Executive Officer 2022-07-29