Statement of Changes in Beneficial Ownership (4)
January 15 2021 - 10:51AM
Edgar (US Regulatory)
FORM 4
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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3235-0287
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
DAVIS J KIMBROUGH |
2. Issuer Name and Ticker or Trading Symbol
CAPITAL CITY BANK GROUP INC
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CCBG
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) EVP & CFO |
(Last)
(First)
(Middle)
217 N. MONROE STREET |
3. Date of Earliest Transaction
(MM/DD/YYYY)
1/13/2021 |
(Street)
TALLAHASSEE, FL 32302
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock | 1/13/2021 | | A | | 6203 (1) | A | $0.00 | 76910.852 (2)(3) | D | |
Common Stock | 1/13/2021 | | A | | 1325 (4) | A | $0.00 | 78235.852 | D | |
Common Stock | | | | | | | | 32388.376 (3) | I | Joint with Spouse |
Common Stock | | | | | | | | 4765.345 (5) | I | 401(k) Plan |
Common Stock | | | | | | | | 7257.423 (6) | I | Spouse's IRA |
Common Stock | | | | | | | | 6711.262 (7) | I | IRA |
Common Stock | | | | | | | | 10.211 (8) | I | Spouse |
Common Stock | | | | | | | | 519447.37 | I | Co-Trustee of J&W Trust |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
(1) | Shares granted to the reporting person under the Registrant's Stock-based Long-term Incentive Plan (LTIP). |
(2) | Includes 1816.982 shares of common stock acquired through the Dividend Reinvestment Plan (DRIP). |
(3) | Includes 356.362 shares of common stock acquired through the Dividend Reinvestment Plan (DRIP). |
(4) | Shares granted to the reporting person under the Registrant's Associate Stock-based Incentive Plan(ASIP). |
(5) | Includes 135.409 shares of common stock acquired through the Dividend Reinvestment Plan (DRIP). |
(6) | Includes 205.134 shares acquired through the Registrant's Dividend Reinvestment Plan (DRIP). |
(7) | Includes 189.696 shares of common stock acquired through the Dividend Reinvestment Plan (DRIP). |
(8) | Includes 0.274 shares of common stock acquired through the Dividend Reinvestment Plan (DRIP). |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
DAVIS J KIMBROUGH 217 N. MONROE STREET TALLAHASSEE, FL 32302 |
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| EVP & CFO |
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Signatures
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/s/John K. Davis | | 1/15/2021 |
**Signature of Reporting Person | Date |
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