-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, R6typYrsqDetPT8qFL9z8v5VRsmUz4PxO/y8g37+YvV2H83BSnKEGEudGJpaFljr cZlaAnnhIkyLROGoQHzYqA== 0000950144-98-001558.txt : 19980218 0000950144-98-001558.hdr.sgml : 19980218 ACCESSION NUMBER: 0000950144-98-001558 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19980213 SROS: NONE GROUP MEMBERS: LEMLEY JAMES L M D GROUP MEMBERS: ROBERT K. LEMLEY, M.D. SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: GEORGIA CAROLINA BANCSHARES INC CENTRAL INDEX KEY: 0001044082 STANDARD INDUSTRIAL CLASSIFICATION: [] IRS NUMBER: 582226075 STATE OF INCORPORATION: GA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-51835 FILM NUMBER: 98539804 BUSINESS ADDRESS: STREET 1: 110 E HILL ST CITY: THOMPSON STATE: GA ZIP: 30824 BUSINESS PHONE: 7065951600 MAIL ADDRESS: STREET 1: 110 E HILL ST CITY: THOMPSON STATE: GA ZIP: 30824 FORMER COMPANY: FORMER CONFORMED NAME: PINNACLE BANCSHARES INC /GA DATE OF NAME CHANGE: 19970808 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: LEMLEY JAMES L M D CENTRAL INDEX KEY: 0001055457 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 1603 MATTOX CREEK DR STREET 2: PO BOX 1898 CITY: THOMSON STATE: GA ZIP: 30824 MAIL ADDRESS: STREET 1: 1603 MATTOX CREEK DR STREET 2: PO BOX 1898 CITY: THOMSON STATE: GA ZIP: 30824 SC 13G 1 GEORGIA-CAROLINA BANCSHARES, INC. 1 SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G INFORMATION STATEMENT PURSUANT TO RULES 13d-1 AND 13d-2 UNDER THE SECURITIES EXCHANGE ACT OF 1934 (Amendment No. ________________)* Georgia-Carolina Bancshares, Inc. ------------------------------------------------ (Name of Issuer) Common Stock ------------------------------------ (Title of Class of Securities) 373145 10 1 ------------------------------ (CUSIP Number) *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). (Continued on the following page(s)) Page 1 of 8 pages 2
CUSIP No. 373145 10 1 Page 2 of 9 Pages 13G - ---------------------------------------------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON James L. Lemley, M.D. S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON - ---------------------------------------------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] - ---------------------------------------------------------------------------------------------------------------------- 3 SEC USE ONLY - ---------------------------------------------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States - ---------------------------------------------------------------------------------------------------------------------- 5 SOLE VOTING POWER NUMBER OF 300 SHARES ------------------------------------------------------------------------------------------- BENEFICIALLY 6 SHARED VOTING POWER OWNED BY 33,500 EACH ------------------------------------------------------------------------------------------- REPORTING 7 SOLE DISPOSITIVE POWER PERSON 300 WITH ------------------------------------------------------------------------------------------- 8 SHARED DISPOSITIVE POWER 33,500 - ---------------------------------------------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 33,800 - ---------------------------------------------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW 9 EXCLUDES CERTAIN SHARES* [ ] - ---------------------------------------------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 5.3% - ---------------------------------------------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* IN - ----------------------------------------------------------------------------------------------------------------------
*SEE INSTRUCTIONS BEFORE FILLING OUT! Page 2 of 8 Pages 3
CUSIP No. 373145 10 1 Page 3 of 9 Pages 13G - ---------------------------------------------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON Robert K. Lemley, M.D. S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON - ---------------------------------------------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] - ---------------------------------------------------------------------------------------------------------------------- 3 SEC USE ONLY - ---------------------------------------------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States - ---------------------------------------------------------------------------------------------------------------------- 5 SOLE VOTING POWER NUMBER OF 300 SHARES ------------------------------------------------------------------------------------------- 6 SHARED VOTING POWER BENEFICIALLY 33,500 OWNED BY ------------------------------------------------------------------------------------------- EACH 7 SOLE DISPOSITIVE POWER REPORTING 300 PERSON ------------------------------------------------------------------------------------------- 8 SHARED DISPOSITIVE POWER WITH 33,500 - ---------------------------------------------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 33,800 - ---------------------------------------------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW 9 EXCLUDES CERTAIN SHARES* [ ] - ---------------------------------------------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 5.3% - ---------------------------------------------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* IN - ----------------------------------------------------------------------------------------------------------------------
*SEE INSTRUCTIONS BEFORE FILLING OUT! Page 3 of 8 Pages 4 Item 1(a). Name of Issuer. Georgia-Carolina Bancshares, Inc. Item 1(b). Address of Issuer's Principal Executive Offices. 110 East Hill Street, Thomson, Georgia 30824 Item 2(a). Name of Person Filing. This statement is filed by James L. Lemley, M.D. and Robert K. Lemley (collectively, the "Lemleys") with respect to the shares of common stock of Georgia-Carolina Bancshares, Inc. (the "Company") beneficially owned by them. Item 2(b). Address of Principal Business Office or, if none, Residence. 1. James L. Lemley, M.D. P.O. Box 1898 Thomson, Georgia 30824 2. Robert K. Lemley, M.D. 1286 Wolf Pen Drive Thomson, Georgia 30824 Item 2(c). Citizenship. The Lemleys are United States citizens. Item 2(d). Title of Class of Securities. Common Stock, .001 par value per share Item 2(e). CUSIP Number. 373145 10 1 Item 3. If this statement is filed pursuant to Rule 13d-1(b), or 13d-2(b), check whether the person filing is a: Not applicable. Item 4(a). Amount Beneficially Owned as of December 31, 1997. 1. James L. Lemley, M.D. Dr. Lemley beneficially owns 33,800 shares of Company common stock. Page 4 of 8 Pages 5 Dr. Lemley is a Co-Trustee of the Patricia M. Lemley Trust ("the Trust") and shares voting and investing power with respect to the 33,500 shares of Company common stock held by the Trust. 2. Robert K. Lemley, M.D. Dr. Lemley beneficially owns 33,800 shares of Company common stock. Dr. Lemley is a Co-Trustee of the Trust and shares voting and investing power with respect to the 33,500 shares of Company common stock held by the Trust. Item 4(b). Percent of Class. The Lemleys beneficially own 5.3% of the Company's common stock. Item 4(c). Number of Shares as to Which Such Person has: 1. James L. Lemley, M.D. (i) sole power to vote or to direct the vote: 300 (ii) shared power to vote or to direct the vote: 33,500 (iii) sole power to dispose or to direct the disposition of: 300 (iv) shared power to dispose or to direct the disposition of: 33,500 2. Robert K. Lemley, M.D. (i) sole power to vote or to direct the vote: 300 (ii) shared power to vote or to direct the vote: 33,500 (iii) sole power to dispose or to direct the disposition of: 300 (iv) shared power to dispose or to direct the disposition of: 33,500 Item 5. Ownership of Five Percent or Less of a Class. Not applicable. Item 6. Ownership of More than Five Percent on Behalf of Another Person. Not applicable. Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company. Not applicable. Item 8. Identification and Classification of Members of the Group. Not applicable. Page 5 of 8 Pages 6 Item 9. Notice of Dissolution of Group. Not applicable. Item 10. Certification. By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were acquired in the ordinary course of business and were not acquired for the purpose of and do not have the effect of changing or influencing the control of the issuer of such securities and were not acquired in connection with or as a participant in any transaction having such purpose or effect. Page 6 of 8 Pages 7 SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. February 13, 1998 /s/ James L. Lemley --------------------------- James L. Lemley, M.D. /s/ Robert K. Lemley --------------------------- Robert K. Lemley, M.D. Page 7 of 8 Pages 8 EXHIBIT 1 JOINT ACQUISITION STATEMENT PURSUANT TO RULE 13D-1 (F)(1) The undersigned acknowledge and agree that the foregoing statement on Schedule 13G, is filed on behalf of each of the undersigned and that all subsequent amendments to this statement on Schedule 13G, shall be filed on behalf of each of the undersigned without the necessity of filing additional joint acquisition statements. The undersigned acknowledge that each shall be responsible for the timely filing of such amendments, and for the completeness and accuracy of the information concerning him or it contained therein, but shall not be responsible for the completeness and accuracy of the information concerning the other, except to the extent that he or it knows or has reason to believe that such information is inaccurate. February 13, 1998 /s/ James L. Lemley -------------------------- James L. Lemley, M.D. /s/ Robert K. Lemley -------------------------- Robert K. Lemley, M.D. Page 8 of 8 Pages -----END PRIVACY-ENHANCED MESSAGE-----