Insider filing report for Changes in Beneficial Ownership
- Schedule 13G & 13D forms are used to report a party's ownership of stock which exceeds 5% of a company's total stock issue.
- Schedule 13G is a shorter version of Schedule 13D with fewer reporting requirements.
- Peter Lynch
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
____________________________
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. ___)*
____________________________
| SOUTHERN STATES BANCSHARES, INC. |
| (Name of Issuer) |
Common Stock, par value $5.00 per share
(Title of Class of Securities)
843878307
(CUSIP Number)
December 31, 2021
(Date of Event Which Requires Filing of this Statement)
____________________________
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
☐ Rule l3d-l(b)
☐ Rule l3d-l(c)
☒ Rule l3d-1(d)
| * | The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. |
The information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section l8 of the Securities Exchange Act of l934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
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| CUSIP NO. 843878307 | SCHEDULE l3G | PAGE 2 OF 5 PAGES |
| l | NAME OF REPORTING PERSON
Floyd C. Davis | ||
| 2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) ☐ (b) ☐ | ||
| 3 | SEC USE ONLY
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| 4 | CITIZENSHIP OR PLACE OF ORGANIZATION
US | ||
| NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH:
| 5 | SOLE VOTING POWER
150,672 |
| 6 | SHARED VOTING POWER
521,674(l) | |
| 7 | SOLE DISPOSITIVE POWER
150,672 | |
| 8 | SHARED DISPOSITIVE POWER
521,674(l) |
| 9 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
672,346(l) | ||
| l0 | CHECK BOX IF THE AGGREGATE AMOUNT IN EXCLUDES CERTAIN SHARES
☐ | ||
| ll | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
7.5% | ||
| l2 | TYPE OF REPORTING PERSON
IN | ||
| (l) | Includes 115,477 shares owned by Angela G. Davis, the spouse of Mr. Davis, over which he has shared voting and investment power, and 406,197 shares held by the Floyd C. Davis Sr. Family Partnership LP, for which Mr. Davis serves as trustee, and over which he has shared voting and investment power. |
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| CUSIP NO. 843878307 | SCHEDULE l3G | PAGE 3 OF 5 PAGES |
| Item 1(a). | Name of Issuer. |
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| Southern States Bancshares, Inc. |
| Item 1(b). | Address of Issuer’s Principal Executive Offices. |
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| 615 Quintard Avenue Anniston, Alabama 36201 |
| Item 2(a). | Name of Person Filing. |
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| Floyd C. Davis |
| Item 2(b). | Address of Principal Business Office or, if None, Residence. |
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| 271 Lynnlee Way Heflin, AL 36264 |
| Item 2(c). | Citizenship or Place of Organization. |
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| US |
| Item 2(d). | Title of Class of Securities. |
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| Common stock, par value $5.00 per share |
| Item 2(e). | CUSIP Number. |
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| 843878307 |
| Item 3. | If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a: |
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| (a) | ☐ | Broker or dealer registered under section l5 of the Act (l5 U.S.C.78o). |
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| (b) | ☐ | Bank as defined in section 3(a)(6) of the Act (l5 U.S.C. 78c). |
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| (c) | ☐ | Insurance company as defined in section 3(a)(l9) of the Act (l5 U.S.C. 78c). |
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| (d) | ☐ | Investment company registered under section 8 of the Investment Company Act of l940 (l5 U.S.C. 80a-8). |
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| (e) | ☐ | An investment adviser in accordance with §240.l3d-l(b)(l)(ii)(E); |
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| (f) | ☐ | An employee benefit plan or endowment fund in accordance with §240.l3d-l(b)(l)(ii)(F); |
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| (g) | ☐ | A parent holding company or control person in accordance with §240.l3d-l(b)(l)(ii)(G); |
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| (h) | ☐ | A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (l2 U.S.C. l8l3); |
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| (i) | ☐ | A church plan that is excluded from the definition of an investment company under section 3(c)(l4) of the Investment Company Act of l940 (l5 U.S.C. 80a-3); |
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| (j) | ☐ | A non-U.S. institution in accordance with §240.l3d-l(b)(l)(ii)(J); |
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| (k) | ☐ | Group, in accordance with §240.l3d-l(b)(l)(ii)(K). |
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| If filing as a non-U.S. institution in accordance with §240.l3d-l(b)(l)(ii)(J), please specify the type of institution: . |
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| CUSIP NO. 843878307 | SCHEDULE l3G | PAGE 4 OF 5 PAGES |
| Item 4. | Ownership. |
Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item l:
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| (a) | Amount beneficially owned: 672,346(l) |
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| (b) | Percent of Class: 7.5% |
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| (c) | Number of shares as to which such person has: |
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| (i) | sole power to vote or direct the vote: 150,672 |
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| (ii) | shared power to vote or direct the vote: 521,674(l) |
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| (iii) | sole power to dispose or direct the disposition of: 150,672 |
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| (iv) | shared power to dispose or direct the disposition of: 521,674(l) |
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| (l) | Includes 115,477 shares owned by Angela G. Davis, the spouse of Mr. Davis, over which he has shared voting and investment power, and 406,197 shares held by the Floyd C. Davis Sr. Family Partnership LP, for which Mr. Davis serves as trustee, and over which he has shared voting and investment power. |
The Issuer had 9,012,857 shares of Common Stock outstanding as of December 31, 2021. All beneficial ownership and voting percentage calculations with respect to the Common Stock are based on the outstanding shares as of such date.
| Item 5. | Ownership of Five Percent or Less of a Class. |
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| Not Applicable |
| Item 6. | Ownership of More than Five Percent on Behalf of Another Person. |
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| Not Applicable |
| Item 7. | Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company or Control Person. |
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| Not Applicable |
| Item 8. | Identification and Classification of Members of the Group. |
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| Not Applicable |
| Item 9. | Notice of Dissolution of Group. |
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| Not Applicable |
| Item 10. | Certification. |
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| Not Applicable |
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| CUSIP NO. 843878307 | SCHEDULE l3G | PAGE 5 OF 5 PAGES |
SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
| Dated: February 14, 2022 | ||
| By: | /s/ Floyd C. Davis | |
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| Floyd C. Davis | |