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PCBN Piedmont Community Bank Group Inc (CE)

0.0002
0.00 (0.00%)
14 Jun 2024 - Closed
Delayed by 15 minutes
Share Name Share Symbol Market Type
Piedmont Community Bank Group Inc (CE) USOTC:PCBN OTCMarkets Common Stock
  Price Change % Change Share Price Bid Price Offer Price High Price Low Price Open Price Shares Traded Last Trade
  0.00 0.00% 0.0002 0.00 01:00:00

- Statement of Changes in Beneficial Ownership (4)

02/04/2009 10:50pm

Edgar (US Regulatory)


FORM 4
[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).         
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
                                                                                  
OMB APPROVAL
OMB Number: 3235-0287
Expires: February 28, 2011
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public
Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940
                      

1. Name and Address of Reporting Person *

Goolsby Arthur J
2. Issuer Name and Ticker or Trading Symbol

Piedmont Community Bank Group, Inc. [ PCBN ]
5. Relationship of Reporting Person(s) to Issuer (Check all applicable)

__ X __ Director                      _____ 10% Owner
_____ Officer (give title below)      _____ Other (specify below)
(Last)          (First)          (Middle)

P.O. BOX 1669
3. Date of Earliest Transaction (MM/DD/YYYY)

3/31/2009
(Street)

GRAY, GA 31032
(City)        (State)        (Zip)
4. If Amendment, Date Original Filed (MM/DD/YYYY)

 
6. Individual or Joint/Group Filing (Check Applicable Line)

_ X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Trans. Date 2A. Deemed Execution Date, if any 3. Trans. Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock                  82091   D    

Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Trans. Date 3A. Deemed Execution Date, if any 4. Trans. Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
6. Date Exercisable and Expiration Date 7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Series A Preferred Stock   $6   3/31/2009        2000         (1)   (1) Common Stock   8333   (1) $25   2000   D    
Options to acquire Common Stock   $11.67                     (2) 2/15/2016   Common Stock   24728     24728   D    

Explanation of Responses:
( 1)  This Form 4 covers Mr. Goolsby's acquisition of 2,000 shares of Series A Preferred Stock at a per share acquisition price of $25.00 per share. Beginning one year after the issue date, each share of Series A Preferred Stock is convertible into such number of shares of common stock equal to $25.00 (plus accrued plus unpaid dividends) by the applicable conversion price, plus cash in lieu of fractional shares. Assuming that there are no anti-dilution adjustments, the applicable conversion price is $6.00. Therefore, each share of Series A Preferred Stock is initially convertible into eight shares of common stock (plus cash in lieu of fractional shares).
( 2)  The Options are fully vested and exercisable.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director 10% Owner Officer Other
Goolsby Arthur J
P.O. BOX 1669
GRAY, GA 31032
X



Signatures
Arthur J. Goolsby * 4/2/2009
** Signature of Reporting Person Date

* by Miller & Martin PLLC as attorney-in-fact 4/2/2009
** Signature of Reporting Person Date


Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.

1 Year Piedmont Community Bank (CE) Chart

1 Year Piedmont Community Bank (CE) Chart

1 Month Piedmont Community Bank (CE) Chart

1 Month Piedmont Community Bank (CE) Chart

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