-----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, GKLvKY4kBWNYqQAmCDgrf5OszgSaIjerPLA3biSXFAK3XNc1SCRu1MZ1drDBSfUC tXPLHJTYWzyp6E6dWYV6BA== 0000726601-94-000028.txt : 19970520 0000726601-94-000028.hdr.sgml : 19970520 ACCESSION NUMBER: 0000726601-94-000028 CONFORMED SUBMISSION TYPE: SC 13D/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19941115 SROS: NONE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CAPITAL CITY BANK GROUP INC CENTRAL INDEX KEY: 0000726601 STANDARD INDUSTRIAL CLASSIFICATION: 6022 IRS NUMBER: 592273542 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-37659 FILM NUMBER: 94560317 BUSINESS ADDRESS: STREET 1: 217 N MONROE ST CITY: TALLAHASSEE STATE: FL ZIP: 32301 BUSINESS PHONE: 9042241171 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: CAPITAL CITY BANK GROUP INC CENTRAL INDEX KEY: 0000726601 STANDARD INDUSTRIAL CLASSIFICATION: 6022 IRS NUMBER: 592273542 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D/A BUSINESS ADDRESS: STREET 1: 217 N MONROE ST CITY: TALLAHASSEE STATE: FL ZIP: 32301 BUSINESS PHONE: 9042241171 SC 13D 1 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13D Under the Securities Exchange Act of 1934 (Amendment No. 16)* Capital City Bank Group, Inc. (Name of Issuer) Common Stock, $.01 Par Value (Title of Class of Securities) 13974105 (CUSIP Number) J. Kimbrough Davis, P.O. Box 11248, Tallahassee, Fl (904) 224-1171 Ext. 142 (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) N/A (Date of Event which Requires Filing of this Statement) If the filing person has previously filed a statement on Schedule 13G to report the acquisition which is the subject of this Schedule 13D, nd is filing this schedule because of Rule 13d-1(b)(3) or (4), check the following area ____. Check the following area if a fee is being paid with the statement ____. (A fee is not required only if the reporting person: (1) has a previous statement on file reporting beneficial ownership of more than five percent of the class of securities described in Item 1; and (2) has filed no amendment subsequent thereto reporting beneficial ownership of five percent or less of such class.) (See Rule 13d-7.) Note: One copy of this statement, including all exhibits, should be filed with the Commission. See Rule 13d-1(a) for other parties to whom copies are to be sent. *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 disclosures provided in a prior cover page. The information required on 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). SCHEDULE 13D 1 NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON William G. Smith, Jr. 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) (b) N/A 3 SEC USE ONLY 4 SOURCE OF FUNDS* PF 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) N/A 6 CITIZENSHIP OR PLACE OF ORGANIZATION U.S.A. NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH: 7 SOLE VOTING POWER 240,191 8 SHARED VOTING POWER 196,512 9 SOLE DISPOSITIVE POWER 240,191 10 SHARES DISPOSITIVE POWER 196,512 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 436,703 12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* 6,061 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 14.93% 14 TYPE OF REPORTING PERSON* IN This Amendment 16 to Form 13D is being filed to report: 1) My receipt of 554 shares as a gift on 1/21/94 2) My minor daughter's receipt of 717 shares as a gift on 8/31/94 3) My minor son's receipt of 717 shares as a gift on 8/31/94 4) The exercise by 2 S Partnership on 12/29/93 of contingent purchase rights to acquire 20,000 shares 5) The purchase by 2 S Partnership of 4,000 shares on 10/3/94 This Amendment is being filed on a discretionary basis. The changes in ownership represent less than 1% of the issued and outstanding capital stock of Capital City Bank Group, Inc. This Amendment amends Form 13D in its entirety. Item 1. Security and Issuer Common stock, $.01 par value, Capital City Bank Group, Inc. 217 North Monroe Street Tallahassee, Florida 32301 Item 2. Identity and Background a. This statement is being filed by Mr. William G. Smith, Jr. b. 217 North Monroe Street, Tallahassee, Florida 32301 c. 1) President/Director, Capital City First National Bank (see item (b) above for address) 2) Executive Vice President and Chief Operating Officer/Director, Capital City Bank Group, Inc. (See Item 1 above for address) d. Not applicable e. Not applicable f. U.S.A. Item 3. Source and Amount of Funds or Other Conditions On January 1, 1984, Capital City Bank Group, Inc. ("CCBG") acquired six banks in which 100% of the common stock of each bank was exchanged for all of the outstanding common stock of CCBG. The common stock owned by William G. Smith, Jr., on January 1, 1984 represents the "originally issued" shares which were issued pursuant to a stock-for-stock exchange in which 669 shares of Capital City First National Bank, 3,167 shares of Capital City Second National Bank, 2,325 shares of Industrial National Bank, 9,685 shares of City National Bank, 18 shares of Havana State Bank and 7,175 shares of First National Bank of Jefferson County were exchanged for 120,668 shares of CCBG common stock. Below is a listing of Mr. Smith's transactions in CCBG common stock for the period January 1, 1984 through the date of this report. Purchase(P)/ # of % of Date Sale(S) Shares Ownership Price Per Share Source of Funds 1/1/84 Originally 120,668 4.04% N/A Exchange of Shares as Issued set forth above 4/16/84 P 485 * $9.00 Personal Funds 10/11/84 P 2,000 * Gift from father N/A 10/17/86 P 21,753 * N/A Distribution from Trust 12/29/86 P 12,500 * $15.00 Bank Debt 12/31/86 S (500) * Gift to wife N/A 5/29/87 P 1,330 * Gift from father N/A 7/27/87 P 17,700 * " " N/A 10/6/87 P 20,000 * Gift from mother N/A 10/6/87 S (3,010) * Gift to relatives N/A 2/19/88 P 54 * $20.00 Personal Funds 12/30/88 P 226 * Gift from father N/A 6/9/89 P 294 * " " N/A 7/6/89 P 1,000 * $28.00 Personal Funds 7/11/89 P 801 * $28.00 Bank Debt 10/12/89 S (401) * Gift to brother N/A 12/28/90 P 790 * Gift from father N/A 12/17/91 P 833 * " " N/A 3/27/92 P 2,500 * $24.00 Bank Debt 5/5/92 P 10,000 * $24.00 Bank Debt, Personal Funds and Unsecured Indebtedness 5/5/92 P 586 * $24.25 " " 5/5/92 S (600) * $24.00 N/A 12/18/92 P 13,636 * Gift from father N/A 1/15/93 P 833 * " " N/A 1/21/94 P 554 * " " N/A 224,032 7.66% Paula P. Smith (wife) 12/31/86 P 500 * Gift from relative N/A 7/16/87 P 1,330 * " " N/A 10/6/87 P 670 * " " N/A 6/9/89 P 420 * " " N/A 12/28/90 P 790 * " " N/A 12/17/91 P 833 * " " N/A 1/15/93 P 833 * " " N/A 5,376 * William G. Smith, Jr., as Custodian for William Godfrey Smith, III UGMAFL 12/31/86 P 665 * Gift from relative N/A 5/29/87 P 665 * " " N/A 10/6/87 P 1,170 * " " N/A 4/7/88 P 448 * Gift from relative N/A 8/19/88 P 47 * " " N/A 6/9/89 P 714 * " " N/A 12/28/90 P 790 * " " N/A 12/17/91 P 833 * " " N/A 7/10/92 P 833 * " " N/A 1/15/93 P 833 * " " N/A 8/31/94 P 717 * " " N/A 7,715 * William G. Smith, Jr., as Custodian for Jennifer Wilson Smith UGMAFL 12/31/86 P 665 * Gift from relative N/A 5/29/87 P 665 * " " N/A 10/6/87 P 1,170 * " " N/A 4/7/88 P 449 * " " N/A 8/19/88 P 46 * " " N/A 6/9/89 P 714 * " " N/A 12/28/90 P 790 * " " N/A 12/17/91 P 833 * " " N/A 7/10/92 P 833 * " " N/A 1/15/93 P 833 * " " N/A 8/31/94 P 717 * " " N/A 7,715 * The William Godfrey Smith Trust 8/9/89 P 90,000 3.07% Establishment of Transfer from directly trust owned shares of William Godfrey Smith 90,000 3.07% Capital City First National Bank as Custodian for William G. Smith, Jr., IRA 5/5/92 P 729 * $24.25 Personal Funds (existing IRA) Capital City First National Bank as Custodian for Paula P Smith, Jr., IRA 5/5/92 P 685 * $24.25 Personal Funds (existing IRA) 2 S Partnership 7/10/92 P 2,512 * Gift from relative N/A 12/29/93 P 20,000 * Exercise of Con- Personal Funds tingent Purchase Rights at $24.00 per share 6/1/93 P 80,000 2.74% Gift from relative N/A 10/3/94 P 4,000 * $29.00 Personal Funds 106,512 3.64% * Less than 1% In December 1986, Mr. Smith borrowed $400,000 from Trust Company Bank, Atlanta, Georgia for the purchase of Capital City Bank Group, Inc., Common Stock and to consolidate previous debts. The debt carries an interest rate of prime plus 1/2% and is secured with 50,000 shares of Capital City Bank Group, Inc., Common Stock. On March 18, 1992, Mr. Smith borrowed funds from SunBank, Orlando, Florida, to purchase 2,500 shares of Capital City Bank Group, Inc., Common Stock. On April 30, 1992, Mr. Smith borrowed additional funds from SunBank, Orlando, Florida, to purchase 5,000 shares of Capital City Bank Group, Inc. Common Stock. The two SunBank loans are cross-collateralized and secured by 15,000 shares of Capital City Bank Group, Inc. stock. On May 1, 1992, Mr. Smith borrowed through unsecured indebtedness funds to purchase 4,166 shares of Capital City Bank Group, Inc. Common Stock. Item 4. Purpose of Transaction The shares received in exchange for other securities or purchased by Mr. Smith were acquired for investment purposes. (a.) - (j.) Not applicable Item 5. Interest in Securities of the Issuer Number of Percentage Shares Ownership a. William G. Smith, Jr. 224,032 7.61% Paula P. Smith (wife) 5,376 * William G. Smith, Jr., as Custodian 7,715 * for Jennifer Wilson Smith UGMAFL William G. Smith, Jr., as Custodian 7,715 * for William Godfrey Smith, III UGMAFL The William Godfrey Smith Trust 90,000 3.07% Capital City First National Bank as 729 * Custodian for William G. Smith, Jr., IRA Capital City First National Bank as 685 * Custodian for Paula P. Smith, IRA 2 S Partnership 106,512 3.64% 442,764 15.13% * Less than 1%. Under the definition of "beneficial ownership" in Section 13d-4 of the Securities Exchange Act of 1934 and the Rules and Regulations promulgated thereunder, Mr. Smith may be deemed to be a beneficial owner of 6,061 shares held by his wife, Paula P. Smith. Neither the filing of this statement nor any of its contents shall be deemed to be an admission that Mr. William Godfrey Smith, Jr., is the beneficial owner of stock held by his wife. b. Mr. Smith has sole voting and investment power with respect to 240,191 shares and shares voting power with respect to the 90,000 shares in The William Godfrey Smith Trust and 106,512 shares in 2 S Partnership with Robert Hill Smith, Vice President, Capital City Bank Group, Inc., 217 N. Monroe Street, Tallahassee, Florida 32302. He has no voting or investment power with respect to the 6,061 shares held by his wife. Mr. Smith disclaims beneficial ownership of 6,061 shares held by his wife. c. See Table in Item 3 above. d. Not applicable e. Not applicable Item 6. Contracts, Arrangements, Understandings or Relationships with Respect to Securities of the Issuers Not applicable Item 7. Material to be Filed as Exhibits Not applicable 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. Date: November 9, 1994 /s/ William G. Smith, Jr. -----END PRIVACY-ENHANCED MESSAGE-----