SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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*
Swift James Walker

(Last) (First) (Middle)
615 QUINTARD AVE

(Street)
ANNISTON AL 36201

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
08/11/2021
3. Issuer Name and Ticker or Trading Symbol
Southern States Bancshares, Inc. [ SSBK ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Operating Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock, par value $5.00 per share 22,759(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
STOCK OPTION (RIGHT TO BUY) 01/20/2021(2) 01/20/2026 Common Stock, par value $5.00 per share 15,000 $10 D
STOCK OPTION (RIGHT TO BUY) 01/21/2021(3) 01/21/2028 Common Stock, par value $5.00 per share 7,500 $14.5 D
STOCK OPTION (RIGHT TO BUY) 01/22/2022(4) 01/22/2029 Common Stock, par value $5.00 per share 9,529 $16 D
STOCK OPTION (RIGHT TO BUY) 01/22/2023(5) 01/22/2030 Common Stock, par value $5.00 per share 10,828 $20.1 D
STOCK OPTION (RIGHT TO BUY) 02/10/2024(6) 02/10/2031 Common Stock, par value $5.00 per share 3,865 $20.03 D
Explanation of Responses:
1. Includes 3,615 in unvested restricted shares which will incrementally vest annually by 2/10/2024
2. These options were granted on 1/20/2016, vest in one-fifth increments over five years, and became fully vested and exercisable on 1/20/2021
3. These options were granted on 1/21/2018, vest in one-third increments over three years, and became fully vested and exercisable on 1/21/2021
4. These options were granted on 1/22/2019, vest in one-third increments over three years, and will be fully vested and exercisable on 1/22/2022
5. These options were granted on 1/22/2020, vest in one-third increments over three years, and will be fully vested and exercisable on 1/22/2023
6. These options were granted on 2/10/2021, vest in one-third increments over three years, and will be fully vested and exercisable on 2/10/2024
Remarks:
This Form 3 is being filed in connection with the effectiveness of the Registration Statement on Form S-1 (File No. 333-257915 of Southern States Bancshares, Inc. Exhibit List: Exhibit 24 - Power of Attorney (CE)
Jeff Shanks 08/11/2021
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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