0000866643-17-000005.txt : 20170208 0000866643-17-000005.hdr.sgml : 20170208 20170208155551 ACCESSION NUMBER: 0000866643-17-000005 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170206 DATE AS OF CHANGE: 20170208 EFFECTIVENESS DATE: 20170206 FILER: COMPANY DATA: COMPANY CONFORMED NAME: JEFF DAVIS BANCSHARES INC CENTRAL INDEX KEY: 0000866643 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 721171649 STATE OF INCORPORATION: LA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-280294 FILM NUMBER: 17582461 BUSINESS ADDRESS: STREET 1: 507 NORTH MAIN STREET CITY: JENNINGS STATE: LA ZIP: 70546 BUSINESS PHONE: 337-824-3424 MAIL ADDRESS: STREET 1: 507 NORTH MAIN STREET CITY: JENNINGS STATE: LA ZIP: 70546 FORMER COMPANY: FORMER CONFORMED NAME: DAVIS JEFF BANCSHARES INC DATE OF NAME CHANGE: 19960515 D 1 primary_doc.xml X0707 D LIVE 0000866643 JEFF DAVIS BANCSHARES INC 1611 ELTON ROAD JENNINGS LA LOUISIANA 70546 337-246-5399 LOUISIANA DAVIS JEFF BANCSHARES INC Corporation true Boyd R. Boudreaux 1611 Elton Road Jennings LA LOUISIANA 70546 Executive Officer Director Dan L. Donald, Jr. 1611 Elton Road Jennings LA LOUISIANA 70546 Director David B. Donald 1611 Elton Road Jennings LA LOUISIANA 70546 Director G. Vincent Bailey 1611 Elton Road Jennings LA LOUISIANA 70546 Director Clarence A. Berken 1611 Elton Road Jennings LA LOUISIANA 70546 Director Daryl V. Burckel 1611 Elton Road Jennings LA LOUISIANA 70546 Director Andrew Cormier 1611 Elton Road Jennings LA LOUISIANA 70546 Director Milton Ray Crochet 1611 Elton Road Jennings LA LOUISIANA 70546 Director Ray Hines 1611 Elton Road Jennings LA LOUISIANA 70546 Director Thomas E. Leger 1611 Elton Road Jennings LA LOUISIANA 70546 Director Sara A. Roberts 1611 Elton Road Jennings LA LOUISIANA 70546 Director Victor T. Stelly 1611 Elton Road Jennings LA LOUISIANA 70546 Director Terry J. Terrebonne 1611 Elton Road Jennings LA LOUISIANA 70546 Director Paul E. Brummett, II 1611 Elton Road Jennings LA LOUISIANA 70546 Executive Officer Other Banking and Financial Services Decline to Disclose 06b false 2017-01-11 false true false 0 Sandler O'Neill & Partners, L.P. 23328 None None 1251 Avenue of the Americas 6th Floor New York NY NEW YORK 23328 GA GEORGIA LA LOUISIANA MN MINNESOTA OH OHIO TX TEXAS false 17500000 17500000 0 false 8 350000 0 0 false JEFF DAVIS BANCSHARES INC /s/ Paul E. Brummett II Paul E. Brummett II EVP and CFO 2017-01-26