X0202 4 2005-06-29 0 0001320002 Heritage Financial Group HBOS 0001338839 Heritage, MHC 310 WEST OGLETHORPE BOULEVARD ALBANY GA 31701 0 0 1 0 Common Stock 2005-06-29 4 J 0 7867875 0 A 7868875 D Shares issued by the Issuer in connection with the minority public stock offering of the Issuer for 3,372,375 shares. As required by applicable law and as reported in the Issuer's registration statement on Form SB-2 declared effective on May 16, 2005, the reporting person was required to own 70% of the outstanding shares of the Issuer after that stock offering. /s/ Tammy W. Burdette, Executive Vice President & CFO 2005-09-21