0001140361-16-048681.txt : 20160126 0001140361-16-048681.hdr.sgml : 20160126 20160126154627 ACCESSION NUMBER: 0001140361-16-048681 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151207 FILED AS OF DATE: 20160126 DATE AS OF CHANGE: 20160126 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SURREY BANCORP CENTRAL INDEX KEY: 0001229146 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 593772016 STATE OF INCORPORATION: NC FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 199 NORTH RENFRO STREET CITY: MOUNT AIRY STATE: NC ZIP: 27030 BUSINESS PHONE: 3367833911 MAIL ADDRESS: STREET 1: 199 NORTH RENFRO STREET CITY: MOUNT AIRY STATE: NC ZIP: 27030 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ASHBY EDWARD C III CENTRAL INDEX KEY: 0001245215 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50313 FILM NUMBER: 161361512 4 1 doc1.xml FORM 4 X0306 4 2015-12-07 0 0001229146 SURREY BANCORP SYRB 0001245215 ASHBY EDWARD C III SURREY BANCORP P.O. BOX 1227 MOUNT AIRY NC 27030 1 1 0 0 President & CEO Common Stock 2015-12-07 2015-12-07 5 P 0 312 12.50 A 451 I Trustee for granddaughter Common Stock 81505 D Common Stock 55748 I Held in an IRA for Mr. Ashby Common Stock 5016 I Held by Wife Common Stock 939 I Trustee for grandson Series A 4.5% Convertible Cumulative Perpetural Preferred Common Stock 11684 5090 D Series D 5.0% Convertible Non-cumulative Perpetual Preferred Common Stock 19420 17655 D Convertible into common stock Perpetual Preferred Stock Series A 4.5% Convertible Non-cumulative Perpetual Preferred Stock is convertible into 2.2955 shares of common stock per share Series A 5.0% Convertible Non-cumulative Perpetual Preferred Stock is convertible into 1.1000 shares of common stock per share Mark H Towe POA for Edward C. Ashby, III 2016-01-26