-----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, V+/E8DKbWOWBnIiVjE6ngRi7KwRznqzAy/WaQezIAxPMQoCLVk/3MBcCVdiJRCCl TvARVzcE1CzYc3o7WWrVbA== 0001209191-05-036675.txt : 20050712 0001209191-05-036675.hdr.sgml : 20050712 20050712111728 ACCESSION NUMBER: 0001209191-05-036675 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20050711 FILED AS OF DATE: 20050712 DATE AS OF CHANGE: 20050712 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Purdon Robert L CENTRAL INDEX KEY: 0001322052 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51100 FILM NUMBER: 05949669 BUSINESS ADDRESS: BUSINESS PHONE: 352-735-6161 MAIL ADDRESS: STREET 1: 18055 US HIGHWAY 441 CITY: MT DORA STATE: FL ZIP: 32757 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FLORIDA CHOICE BANKSHARES, INC. CENTRAL INDEX KEY: 0001311482 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 201990219 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 18055 U.S. HIGHWAY 441 CITY: MT. DORA STATE: FL ZIP: 32757 BUSINESS PHONE: 352-735-6161 MAIL ADDRESS: STREET 1: 18055 U.S. HIGHWAY 441 CITY: MT. DORA STATE: FL ZIP: 32757 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2005-07-11 0 0001311482 FLORIDA CHOICE BANKSHARES, INC. 34058X107 0001322052 Purdon Robert L 37940 APIARY ROAD GRAND ISLAND FL 32735 1 0 0 0 Common Stock 2005-07-11 2005-07-11 4 P 0 32500 16.00 A 74500 D Director Stock Options 16.00 2005-07-11 2005-07-11 4 A 0 3656 16.00 A 2005-07-11 2015-04-25 Common Stock 3656 16595 D Stephen R. Jeuck, Executive Officer, Florida Choice Bankshares, Inc., as Power of Attorney for Robert L. Purdon 2005-07-11 EX-24.4_93145 2 poa.txt POA DOCUMENT P0WER OF ATTORNEY Know All Men By These Presents: That the undersigned has made, constituted and appointed, and by these presents does make, constitute and appoint any Executive Officer of Florida Choice Bankshares, Inc. (the "Company"), my lawful attorney for me and in my name, place and stead, giving and granting unto said attorney full power and authority to do and perform all and every act and thing whatsoever requisite and necessary to be done in and about the premises as fully, to all intents and purposes, as I might or could do if personally present, with full power of substitution and revocation, hereby ratifying and confirming all that said attorney or substitute shall lawfully do or cause to be done by virtue hereof in connection with the execution and delivery of the following documents for and on behalf of the undersigned: All Forms 3, 4, and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934, as amended, and the rules and regulations thereunder, and to do and perform all necessary or desirable acts to complete and execute any of those Forms 3, 4 or 5 or any amendments, and timely file those Forms with the Securities and Exchange Commission and any stock exchange or similar authority; and take other action in connection with the foregoing which, in the opinion of such Executive Officer, is in my best interests or legally required. In Witness Whereof, I have hereunto set my hand and seal the 24th day of January, 2005. Signed, sealed and delivered in the presence of: Witness Signature /Stephen R. Jeuck/ Signature /Robert L. Purdon/ Printed Name: Stephen R. Jeuck Printed Name: Robert L. Purdon STATE OF FLORIDA COUNTY OF LAKE The foregoing instrument was acknowledged before me this 24th day of January, 2005, by Robert L. Purdon. Notary Signature: /Tammy Holt/ Printed Name: Tammy Holt Notary Public, State of Florida My Commission Expires: June 10, 2007 Personally Known /X/ or Produced Identification / / Type of Identification Produced _______________ -----END PRIVACY-ENHANCED MESSAGE-----