0001209191-15-059012.txt : 20150702 0001209191-15-059012.hdr.sgml : 20150702 20150702171720 ACCESSION NUMBER: 0001209191-15-059012 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150630 FILED AS OF DATE: 20150702 DATE AS OF CHANGE: 20150702 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: UNITED SECURITY BANCSHARES INC CENTRAL INDEX KEY: 0000717806 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 630843362 STATE OF INCORPORATION: DE FISCAL YEAR END: 0223 BUSINESS ADDRESS: STREET 1: P O BOX 249 STREET 2: 131 WEST FRONT STREET CITY: THOMASVILLE STATE: AL ZIP: 36784 BUSINESS PHONE: 3346365424 MAIL ADDRESS: STREET 1: P O BOX 249 STREET 2: 131 WEST FRONT STREET CITY: THOMASVILLE STATE: AL ZIP: 36784 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CORGILL GERALD P CENTRAL INDEX KEY: 0001194028 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14549 FILM NUMBER: 15970972 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-06-30 0 0000717806 UNITED SECURITY BANCSHARES INC USBI 0001194028 CORGILL GERALD P PO BOX 249 131 WEST FRONT STREET THOMASVILLE AL 36784 1 0 0 0 Phantom Stock Units 2015-06-30 4 A 0 423.59 8.05 A Common Stock 423.59 6330.36 D The units convert to common stock on a 1-for-1 basis. Includes 13.66 shares attributable to quarterly dividends accrued under the United Security Bancshares, Inc. Non-employee Directors' Deferred Compensation Plan. The phantom stock units were accrued under the United Security Bancshares, Inc. Non-Employee Directors' Deferred Compensation Plan and are to be settled in common stock at the end of the deferral period. /s/ Beverly J. Dozier, by power of attorney 2015-07-02