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