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FR Y-6 OMB Number 7100-0297 Approval expires September 30 2018 Page 1of2
Board of Governors of the Federal Reserve System
~ Annual Report of Holding Companies-FR Y-6 ~ampgt
~~ Report at the close of business as of the end of fiscal year
This Report is required by law Section 5(c)(1 )(A) of the Bank Holding Company Act (12 USC sect 1844 (c)(1)(A)) Section 8(a) of the International Banking Act (12 USC sect 3106(a)) Sections 11 (a)(1) 25 and 25A of the Federal Reserve Act (12 USC sectsect 248(a)(1) 602 and 611a) Section 211 13(c) of Regulation K (12 CFR sect 211 13(c)) and Section 2255(b) of Regulation Y (12 CFR sect 2255(b)) and section 1 O(c)(2)(H) of the Home Owners Loan Act Return to the appropriate Federal Reserve Bank the original and the number of copies specified
This report form is to be filed by all top-tier bank holding compashynies and top-tier savings and loan holding companies organized under US law and by any foreign banking organization that does not meet the requirements of and is not treated as a qualifyshying foreign banking organization under Section 211 23 of Regulation K (12 CFR sect 21123) (See page one of the general instructions for more detail of who must file) The Federal Reserve may not conduct or sponsor and an organization (or a person) is not required to respond to an information collection unless it displays a currently valid OMB control number
NOTE The Annual Report of Holding Companies must be signed by one director of the top-tier holding company This individual should also be a senior official of the top-tier holding company In the event that the top-tier holding company does not have an individual who is a senior official and is also a director the chairshyman of the board must sign the report
1 Douglas Nichols Name of the Holding Company Director and Official
DirectorCEOPresident Title of the Holding Company Director and Official
attest that the Annual Report of Holding Companies (including the supporting attachments) for this report date has been preshypared in conformance with the instructions issued by the Federal Reserve System and are true and correct to the best of my knowledge and belief
With respect to information regarding individuals contained in this report the Reporter certifies that it has the authority to provide this information to the Federal Reserve The Reporter also certifies that it has the authority on behalf of each individual to consent or object to public release of information regarding that individual The Federal Reserve may assume in the absence of a request for confidential treatment submitted in accordance with the Boards Rules Regarding Availability of Information 12 CFR Part 261 that the Reporter and individual consent to public release of all details in the report concerning that individual
k~ Director and Official
Date of Signature
For holding companies nQ1 registered with the SEC-Indicate status of Annual Report to Shareholders
0 is included with the FR Y-6 report ~ will be sent under separate cover 0 is not prepared
For Federal Reserve Bank Use Only
RSSDID 34fib504 CI
Date of Report (top-tier holding companys fiscal year-end)
December 31 2015 Month I Day I Yea r
na Reporters Legal Entity Identifier (LEI ) (20-Character LEI Code)
Reporters Name Street and Mailing Address PEOPLES BANKTRUST INC Legal Title of Holding Company
1899 Buford Hwy (Mailing Address of the Holding Company) Street I PO Box
Buford GA 30518 City State -Z-ip_C_o-de_____
1899 Buford Hwy Buford GA 30518 Physical Location (i f different from mailing address)
Person to whom questions about this report should be directed Adam L Allison Vice President Name Title
678-714--4404 Area Code I Phone Number I Extension
678-714-9152 Area Code I FAX Number
aallisonpeoplesbanktrustnet E-mail Address
na Address (URL) for the Holding Companys web page
Does the reporter request confidential treatment for any portion of this submission
D Yes Please identify the report items to which this request applies
D In accordance with the instructions on pages GEN-2 and 3 a letter justifying the request is being provided
D The information for which confidential treatment is sought is being submitted separately labeled Confidential
l8J No
Public reporting burden for this information collection is estimated to vary from 13 to 101 hours per response with an average of 525 hours per response including time to gather and maintain data in the required form and to review instructions and complete the information collection Send comments regarding this burden estimate or any other aspect of this collection of information including suggestions for reducing this burden to Secretary Board of Governors of the Federal Reserve System 20th and C Streets NW Washington DC 20551 and to the Office of Management and Budget Paperwork Reduction Project (7100-0297) Washington DC 20503
122015
FR Y-6 Page 2 of 2
For Use By Tiered Holding Companies Top-tiered holding companies must list the names mailing address and physical locations of each of their subsidiary holding companies below
PEOPLES BANKTRUST INC Legal Tiiie of Subsidiary Holding Company Legal Title of Subsidiary Holding Company
1899 Buford Hwy (Mailing Address of the Subsidiary Holding Company) Street I PO Box (Ma iling Address of the Subsidiary Holding Company) Street I PO Box
Buford GA 30518 City State Zip Code City State Zip Code
Physical Location (if different from mailing address) Physical Location (if different from mailing address)
Legal Title of Subsidiary Holding Company Legal ntle of Subsidiary Holding Company
(Mailing Address of the Subsidiary Holding Company) Street I PO Box (Mailing Address of the Subsidiary Holding Company) Street I PO Box
City State Zip Code City State Zip Code
Physical Location (if different from mailing address) Physical Location (if different from mailing address)
Legal Title of Subsidiary Holding Company Legal Title of Subsidiary Holding Company
(Mailing Address of the Subsidiary Holding Company) Street I PO Box (Mailing Address of the Subsidiary Holding Company) Street I PO Box
City State Zip Code City State Zip Code
Physical Location (if different from mailing address) Physical Location (if different from mailing address)
Legal ntle of Subsidiary Holding Company Legal ntle of Subsidiary Holding Company
(Mailing Address of the Subsidiary Holding Company) Street I PO Box (Mailing Address of the Subsidiary Holding Company) Street I PO Box
City State Zip Code City State Zip Code
Physical Location (if different from mailing address) Physica l Location (if different from mail ing address)
122012
Form FR Y-6
PEOPLES BANKTRUST INC Buford Georgia
Fiscal Year Ending December 31 2015
Report Item
1 The bank holding company prepares an annual report for its securities holders and is not
registered with the SEC As specified by the appropriate Reserve Bank two copies
are enclosed
2a Organizational Chart
Peoples BankTrust Inc (na)
Buford GA Incorporated in Georgia
I 100
Peoples Bank ampTrust (na)
Buford GA Incorporated in Georgia
NR =Ownership percentage not reportable on the FR Y-10 Percentage of ownership is less than 25 and the companies are not controlled by any other means
2b Domestic branch listing provided to the Federal Reserve Bank
Resu lts A list of branches for your holding company PEOPLES BANKTRUST INC (3466504 of BUFORD GA
The data are as of 12312015 Data reflects information that was received and processed through 01072016
Reconciliation and Verifica tion Steps
1 tn the Data Action column of each branch row enter one or more of the actions specified below 2 If required enter the date In the Effective Date column
OK If the branch information is correct enter OK in the Data Action column
Change Jf the branch information is incorrect or incom plete revise the data enter Change in the Data Action column and the date when this information first became valid in the Effective Da te column Close If a branch listed was sold or dosed enter Close in the Data Action column and the sale or dosure date in the Effective Date column
Dele te If a branch listed was never owned by this depository institution enter Delete in the Data Action column
Add If a reportable branch is missing insert a row add the branch data and enter Add in the Data Action column and the opening or acquisition date in the Effective Date column
If printing this list you may need to adjust your page setup in MS Excel Try using landscape orientation page scaling andor legal sized paper
Submission Procedure
When you are finished send a saved copy to your FRB contact See the detailed instructions on this site for more information If you are emiddotmarting this to your FRB contact put your institution name city and state In the subject line of the e-mail
Note To satisfy the FR Y-10 reporting requirements you must also submit FR Y-10 Domestic Branch Schedules for each branch with a Data Action of Change Close Delete or Add The FR Y-10 report may be submitted in a hardcopy fo rmat or via the FR Y-10 Online application - httpsylOonlinefederalreservegov
bull FD1C UNtNUM Office Number and IO_RSSD columns are for reference only Verification of these values is not required
Data Action Effective Date Branch Service T e Branch ID RSSDbull Po ular Name Street Address Count FDIC UNJNUMbull Office Numbe Head Office Head Office ID RSSDbull comments OK Full Service Head Office 109136 PEOPLES BANK amp TRUST 1899 BUFORD HIGHWAY UNITED STATES 32024 0 PEOPLES BANK amp TRUST 109136
Form FR Y-6 PEOPLES BANKTRUST INC
Fiscal Year Ending December 31 2015 Report Item 3 Securities holders
(1 )(a)(b)(c) and (2)(a)(b)(c)
Current securities holders with ownership control or holdings of 5 or more with power to vote as of fiscal year ending 12-31-2015
(1 )(a) Name City State Country
(1)(b) Country of Citizenship of Incorporation
(1)(c) Number and Percentage of Each Class of Voting Securities
Dover amp Cheek Inc
Buford GA USA
USA 142082 - 63552
Common Stock
Morgan Stanley
Smith Barney
USA 139813 - 62538
Common Stock
As Trustee for Peoples Bank amp Trust
401 kProfit Sharing Plan and ESOP Plan
Jersey City NJ USA
Gary D Brown USA 115501 - 51663
Buford GA USA Common Stock
Securities holders not listed in 3(1)(a) through 3(1)(c) that had ownership control or holdings of 5 or more with power to vote during the fiscal year ending 12-31-2015
(2)(a) Name City State Country
(2)b) Country of Citizenship of Incorporation
(2)(c) Number and Percentage of Each Class of Voting Securities
NA NA NA
NA NA NA
NA NA NA
Form FR Y-6 PEOPLES BANKTRUST INC
Fiscal Year Ending December 31 2015 Report Item 4 Insiders
(1 ) (2) (3)(a)(b)(c) and (4)(a)(b)(c)
(4)(c) List names of other companies (includes partnerships)
(3)(c) if 25 or more of Title amp Position (4)(b) voting securities are
(1) (2) (3)(b) with Other (4)(a) Percentage of held (List names Name Principal (3)(a) Title amp Position Businesses Percentage of Voting Shares in of companies and City State Occupation if other Title amp Position with Subsidiaries (include names Voting Shares in Subsidiaries percentage of Country than with with Holding (include names of other Holding (include names voting securities
Holding Company Company of subsidiaries) businesses) Company of subsidiaries) held)
Douglas Nichols NA DirectorPresident DirectorPresidenU NA 3753 None NA
Buford GA USA CEOCFO PBampT
Ted Williams NA Vice President EVPCLO PBampT NA None None NA
Buford GA USA
Jan Wells NA Secretary Director NA 0261 None NA
Flowery Branch GA USA EVPCOO PBampT
Adam Allison NA Treasurer VP PBampT NA 0816 None NA
Gainesville GA USA
Clayton Bartlett Retired DirectorEmeritus DirectorEmeritus NA None None NA
Flowery Branch GA USA PBampT
Phillip Beard City of Buford Director Director PBampT Board MemCity of Buford 18173 None NA
Buford GA USA
Robert Bowman Retired Director Director PBampT NA 19970 None NA
Buford GA USA
Larry Cheek Wholesale ElecPlumb Director Director PBampT PresidenUDover amp Cheek 39485 None NA
Buford GA USA
Wayne Hill Retired Director Director PBampT NA 18129 None NA
Suwanee GA USA
Garrett Reed Retired Director Director PBampT NA 19096 None NA
Buford GA USA
Garland J Roberts Retired DirectorEmeritus DirectorEmeritus NA 17891 None NA
Buford GA USA PBampT
(jJJ REVIS~D IT-lJl 1J-b I
FR Y-6 Page 2 of 2
For Use By Tiered Holding Companies Top-tiered holding companies must list the names mailing address and physical locations of each of their subsidiary holding companies below
PEOPLES BANKTRUST INC Legal Tiiie of Subsidiary Holding Company Legal Title of Subsidiary Holding Company
1899 Buford Hwy (Mailing Address of the Subsidiary Holding Company) Street I PO Box (Ma iling Address of the Subsidiary Holding Company) Street I PO Box
Buford GA 30518 City State Zip Code City State Zip Code
Physical Location (if different from mailing address) Physical Location (if different from mailing address)
Legal Title of Subsidiary Holding Company Legal ntle of Subsidiary Holding Company
(Mailing Address of the Subsidiary Holding Company) Street I PO Box (Mailing Address of the Subsidiary Holding Company) Street I PO Box
City State Zip Code City State Zip Code
Physical Location (if different from mailing address) Physical Location (if different from mailing address)
Legal Title of Subsidiary Holding Company Legal Title of Subsidiary Holding Company
(Mailing Address of the Subsidiary Holding Company) Street I PO Box (Mailing Address of the Subsidiary Holding Company) Street I PO Box
City State Zip Code City State Zip Code
Physical Location (if different from mailing address) Physical Location (if different from mailing address)
Legal ntle of Subsidiary Holding Company Legal ntle of Subsidiary Holding Company
(Mailing Address of the Subsidiary Holding Company) Street I PO Box (Mailing Address of the Subsidiary Holding Company) Street I PO Box
City State Zip Code City State Zip Code
Physical Location (if different from mailing address) Physica l Location (if different from mail ing address)
122012
Form FR Y-6
PEOPLES BANKTRUST INC Buford Georgia
Fiscal Year Ending December 31 2015
Report Item
1 The bank holding company prepares an annual report for its securities holders and is not
registered with the SEC As specified by the appropriate Reserve Bank two copies
are enclosed
2a Organizational Chart
Peoples BankTrust Inc (na)
Buford GA Incorporated in Georgia
I 100
Peoples Bank ampTrust (na)
Buford GA Incorporated in Georgia
NR =Ownership percentage not reportable on the FR Y-10 Percentage of ownership is less than 25 and the companies are not controlled by any other means
2b Domestic branch listing provided to the Federal Reserve Bank
Resu lts A list of branches for your holding company PEOPLES BANKTRUST INC (3466504 of BUFORD GA
The data are as of 12312015 Data reflects information that was received and processed through 01072016
Reconciliation and Verifica tion Steps
1 tn the Data Action column of each branch row enter one or more of the actions specified below 2 If required enter the date In the Effective Date column
OK If the branch information is correct enter OK in the Data Action column
Change Jf the branch information is incorrect or incom plete revise the data enter Change in the Data Action column and the date when this information first became valid in the Effective Da te column Close If a branch listed was sold or dosed enter Close in the Data Action column and the sale or dosure date in the Effective Date column
Dele te If a branch listed was never owned by this depository institution enter Delete in the Data Action column
Add If a reportable branch is missing insert a row add the branch data and enter Add in the Data Action column and the opening or acquisition date in the Effective Date column
If printing this list you may need to adjust your page setup in MS Excel Try using landscape orientation page scaling andor legal sized paper
Submission Procedure
When you are finished send a saved copy to your FRB contact See the detailed instructions on this site for more information If you are emiddotmarting this to your FRB contact put your institution name city and state In the subject line of the e-mail
Note To satisfy the FR Y-10 reporting requirements you must also submit FR Y-10 Domestic Branch Schedules for each branch with a Data Action of Change Close Delete or Add The FR Y-10 report may be submitted in a hardcopy fo rmat or via the FR Y-10 Online application - httpsylOonlinefederalreservegov
bull FD1C UNtNUM Office Number and IO_RSSD columns are for reference only Verification of these values is not required
Data Action Effective Date Branch Service T e Branch ID RSSDbull Po ular Name Street Address Count FDIC UNJNUMbull Office Numbe Head Office Head Office ID RSSDbull comments OK Full Service Head Office 109136 PEOPLES BANK amp TRUST 1899 BUFORD HIGHWAY UNITED STATES 32024 0 PEOPLES BANK amp TRUST 109136
Form FR Y-6 PEOPLES BANKTRUST INC
Fiscal Year Ending December 31 2015 Report Item 3 Securities holders
(1 )(a)(b)(c) and (2)(a)(b)(c)
Current securities holders with ownership control or holdings of 5 or more with power to vote as of fiscal year ending 12-31-2015
(1 )(a) Name City State Country
(1)(b) Country of Citizenship of Incorporation
(1)(c) Number and Percentage of Each Class of Voting Securities
Dover amp Cheek Inc
Buford GA USA
USA 142082 - 63552
Common Stock
Morgan Stanley
Smith Barney
USA 139813 - 62538
Common Stock
As Trustee for Peoples Bank amp Trust
401 kProfit Sharing Plan and ESOP Plan
Jersey City NJ USA
Gary D Brown USA 115501 - 51663
Buford GA USA Common Stock
Securities holders not listed in 3(1)(a) through 3(1)(c) that had ownership control or holdings of 5 or more with power to vote during the fiscal year ending 12-31-2015
(2)(a) Name City State Country
(2)b) Country of Citizenship of Incorporation
(2)(c) Number and Percentage of Each Class of Voting Securities
NA NA NA
NA NA NA
NA NA NA
Form FR Y-6 PEOPLES BANKTRUST INC
Fiscal Year Ending December 31 2015 Report Item 4 Insiders
(1 ) (2) (3)(a)(b)(c) and (4)(a)(b)(c)
(4)(c) List names of other companies (includes partnerships)
(3)(c) if 25 or more of Title amp Position (4)(b) voting securities are
(1) (2) (3)(b) with Other (4)(a) Percentage of held (List names Name Principal (3)(a) Title amp Position Businesses Percentage of Voting Shares in of companies and City State Occupation if other Title amp Position with Subsidiaries (include names Voting Shares in Subsidiaries percentage of Country than with with Holding (include names of other Holding (include names voting securities
Holding Company Company of subsidiaries) businesses) Company of subsidiaries) held)
Douglas Nichols NA DirectorPresident DirectorPresidenU NA 3753 None NA
Buford GA USA CEOCFO PBampT
Ted Williams NA Vice President EVPCLO PBampT NA None None NA
Buford GA USA
Jan Wells NA Secretary Director NA 0261 None NA
Flowery Branch GA USA EVPCOO PBampT
Adam Allison NA Treasurer VP PBampT NA 0816 None NA
Gainesville GA USA
Clayton Bartlett Retired DirectorEmeritus DirectorEmeritus NA None None NA
Flowery Branch GA USA PBampT
Phillip Beard City of Buford Director Director PBampT Board MemCity of Buford 18173 None NA
Buford GA USA
Robert Bowman Retired Director Director PBampT NA 19970 None NA
Buford GA USA
Larry Cheek Wholesale ElecPlumb Director Director PBampT PresidenUDover amp Cheek 39485 None NA
Buford GA USA
Wayne Hill Retired Director Director PBampT NA 18129 None NA
Suwanee GA USA
Garrett Reed Retired Director Director PBampT NA 19096 None NA
Buford GA USA
Garland J Roberts Retired DirectorEmeritus DirectorEmeritus NA 17891 None NA
Buford GA USA PBampT
(jJJ REVIS~D IT-lJl 1J-b I
Form FR Y-6
PEOPLES BANKTRUST INC Buford Georgia
Fiscal Year Ending December 31 2015
Report Item
1 The bank holding company prepares an annual report for its securities holders and is not
registered with the SEC As specified by the appropriate Reserve Bank two copies
are enclosed
2a Organizational Chart
Peoples BankTrust Inc (na)
Buford GA Incorporated in Georgia
I 100
Peoples Bank ampTrust (na)
Buford GA Incorporated in Georgia
NR =Ownership percentage not reportable on the FR Y-10 Percentage of ownership is less than 25 and the companies are not controlled by any other means
2b Domestic branch listing provided to the Federal Reserve Bank
Resu lts A list of branches for your holding company PEOPLES BANKTRUST INC (3466504 of BUFORD GA
The data are as of 12312015 Data reflects information that was received and processed through 01072016
Reconciliation and Verifica tion Steps
1 tn the Data Action column of each branch row enter one or more of the actions specified below 2 If required enter the date In the Effective Date column
OK If the branch information is correct enter OK in the Data Action column
Change Jf the branch information is incorrect or incom plete revise the data enter Change in the Data Action column and the date when this information first became valid in the Effective Da te column Close If a branch listed was sold or dosed enter Close in the Data Action column and the sale or dosure date in the Effective Date column
Dele te If a branch listed was never owned by this depository institution enter Delete in the Data Action column
Add If a reportable branch is missing insert a row add the branch data and enter Add in the Data Action column and the opening or acquisition date in the Effective Date column
If printing this list you may need to adjust your page setup in MS Excel Try using landscape orientation page scaling andor legal sized paper
Submission Procedure
When you are finished send a saved copy to your FRB contact See the detailed instructions on this site for more information If you are emiddotmarting this to your FRB contact put your institution name city and state In the subject line of the e-mail
Note To satisfy the FR Y-10 reporting requirements you must also submit FR Y-10 Domestic Branch Schedules for each branch with a Data Action of Change Close Delete or Add The FR Y-10 report may be submitted in a hardcopy fo rmat or via the FR Y-10 Online application - httpsylOonlinefederalreservegov
bull FD1C UNtNUM Office Number and IO_RSSD columns are for reference only Verification of these values is not required
Data Action Effective Date Branch Service T e Branch ID RSSDbull Po ular Name Street Address Count FDIC UNJNUMbull Office Numbe Head Office Head Office ID RSSDbull comments OK Full Service Head Office 109136 PEOPLES BANK amp TRUST 1899 BUFORD HIGHWAY UNITED STATES 32024 0 PEOPLES BANK amp TRUST 109136
Form FR Y-6 PEOPLES BANKTRUST INC
Fiscal Year Ending December 31 2015 Report Item 3 Securities holders
(1 )(a)(b)(c) and (2)(a)(b)(c)
Current securities holders with ownership control or holdings of 5 or more with power to vote as of fiscal year ending 12-31-2015
(1 )(a) Name City State Country
(1)(b) Country of Citizenship of Incorporation
(1)(c) Number and Percentage of Each Class of Voting Securities
Dover amp Cheek Inc
Buford GA USA
USA 142082 - 63552
Common Stock
Morgan Stanley
Smith Barney
USA 139813 - 62538
Common Stock
As Trustee for Peoples Bank amp Trust
401 kProfit Sharing Plan and ESOP Plan
Jersey City NJ USA
Gary D Brown USA 115501 - 51663
Buford GA USA Common Stock
Securities holders not listed in 3(1)(a) through 3(1)(c) that had ownership control or holdings of 5 or more with power to vote during the fiscal year ending 12-31-2015
(2)(a) Name City State Country
(2)b) Country of Citizenship of Incorporation
(2)(c) Number and Percentage of Each Class of Voting Securities
NA NA NA
NA NA NA
NA NA NA
Form FR Y-6 PEOPLES BANKTRUST INC
Fiscal Year Ending December 31 2015 Report Item 4 Insiders
(1 ) (2) (3)(a)(b)(c) and (4)(a)(b)(c)
(4)(c) List names of other companies (includes partnerships)
(3)(c) if 25 or more of Title amp Position (4)(b) voting securities are
(1) (2) (3)(b) with Other (4)(a) Percentage of held (List names Name Principal (3)(a) Title amp Position Businesses Percentage of Voting Shares in of companies and City State Occupation if other Title amp Position with Subsidiaries (include names Voting Shares in Subsidiaries percentage of Country than with with Holding (include names of other Holding (include names voting securities
Holding Company Company of subsidiaries) businesses) Company of subsidiaries) held)
Douglas Nichols NA DirectorPresident DirectorPresidenU NA 3753 None NA
Buford GA USA CEOCFO PBampT
Ted Williams NA Vice President EVPCLO PBampT NA None None NA
Buford GA USA
Jan Wells NA Secretary Director NA 0261 None NA
Flowery Branch GA USA EVPCOO PBampT
Adam Allison NA Treasurer VP PBampT NA 0816 None NA
Gainesville GA USA
Clayton Bartlett Retired DirectorEmeritus DirectorEmeritus NA None None NA
Flowery Branch GA USA PBampT
Phillip Beard City of Buford Director Director PBampT Board MemCity of Buford 18173 None NA
Buford GA USA
Robert Bowman Retired Director Director PBampT NA 19970 None NA
Buford GA USA
Larry Cheek Wholesale ElecPlumb Director Director PBampT PresidenUDover amp Cheek 39485 None NA
Buford GA USA
Wayne Hill Retired Director Director PBampT NA 18129 None NA
Suwanee GA USA
Garrett Reed Retired Director Director PBampT NA 19096 None NA
Buford GA USA
Garland J Roberts Retired DirectorEmeritus DirectorEmeritus NA 17891 None NA
Buford GA USA PBampT
(jJJ REVIS~D IT-lJl 1J-b I
Resu lts A list of branches for your holding company PEOPLES BANKTRUST INC (3466504 of BUFORD GA
The data are as of 12312015 Data reflects information that was received and processed through 01072016
Reconciliation and Verifica tion Steps
1 tn the Data Action column of each branch row enter one or more of the actions specified below 2 If required enter the date In the Effective Date column
OK If the branch information is correct enter OK in the Data Action column
Change Jf the branch information is incorrect or incom plete revise the data enter Change in the Data Action column and the date when this information first became valid in the Effective Da te column Close If a branch listed was sold or dosed enter Close in the Data Action column and the sale or dosure date in the Effective Date column
Dele te If a branch listed was never owned by this depository institution enter Delete in the Data Action column
Add If a reportable branch is missing insert a row add the branch data and enter Add in the Data Action column and the opening or acquisition date in the Effective Date column
If printing this list you may need to adjust your page setup in MS Excel Try using landscape orientation page scaling andor legal sized paper
Submission Procedure
When you are finished send a saved copy to your FRB contact See the detailed instructions on this site for more information If you are emiddotmarting this to your FRB contact put your institution name city and state In the subject line of the e-mail
Note To satisfy the FR Y-10 reporting requirements you must also submit FR Y-10 Domestic Branch Schedules for each branch with a Data Action of Change Close Delete or Add The FR Y-10 report may be submitted in a hardcopy fo rmat or via the FR Y-10 Online application - httpsylOonlinefederalreservegov
bull FD1C UNtNUM Office Number and IO_RSSD columns are for reference only Verification of these values is not required
Data Action Effective Date Branch Service T e Branch ID RSSDbull Po ular Name Street Address Count FDIC UNJNUMbull Office Numbe Head Office Head Office ID RSSDbull comments OK Full Service Head Office 109136 PEOPLES BANK amp TRUST 1899 BUFORD HIGHWAY UNITED STATES 32024 0 PEOPLES BANK amp TRUST 109136
Form FR Y-6 PEOPLES BANKTRUST INC
Fiscal Year Ending December 31 2015 Report Item 3 Securities holders
(1 )(a)(b)(c) and (2)(a)(b)(c)
Current securities holders with ownership control or holdings of 5 or more with power to vote as of fiscal year ending 12-31-2015
(1 )(a) Name City State Country
(1)(b) Country of Citizenship of Incorporation
(1)(c) Number and Percentage of Each Class of Voting Securities
Dover amp Cheek Inc
Buford GA USA
USA 142082 - 63552
Common Stock
Morgan Stanley
Smith Barney
USA 139813 - 62538
Common Stock
As Trustee for Peoples Bank amp Trust
401 kProfit Sharing Plan and ESOP Plan
Jersey City NJ USA
Gary D Brown USA 115501 - 51663
Buford GA USA Common Stock
Securities holders not listed in 3(1)(a) through 3(1)(c) that had ownership control or holdings of 5 or more with power to vote during the fiscal year ending 12-31-2015
(2)(a) Name City State Country
(2)b) Country of Citizenship of Incorporation
(2)(c) Number and Percentage of Each Class of Voting Securities
NA NA NA
NA NA NA
NA NA NA
Form FR Y-6 PEOPLES BANKTRUST INC
Fiscal Year Ending December 31 2015 Report Item 4 Insiders
(1 ) (2) (3)(a)(b)(c) and (4)(a)(b)(c)
(4)(c) List names of other companies (includes partnerships)
(3)(c) if 25 or more of Title amp Position (4)(b) voting securities are
(1) (2) (3)(b) with Other (4)(a) Percentage of held (List names Name Principal (3)(a) Title amp Position Businesses Percentage of Voting Shares in of companies and City State Occupation if other Title amp Position with Subsidiaries (include names Voting Shares in Subsidiaries percentage of Country than with with Holding (include names of other Holding (include names voting securities
Holding Company Company of subsidiaries) businesses) Company of subsidiaries) held)
Douglas Nichols NA DirectorPresident DirectorPresidenU NA 3753 None NA
Buford GA USA CEOCFO PBampT
Ted Williams NA Vice President EVPCLO PBampT NA None None NA
Buford GA USA
Jan Wells NA Secretary Director NA 0261 None NA
Flowery Branch GA USA EVPCOO PBampT
Adam Allison NA Treasurer VP PBampT NA 0816 None NA
Gainesville GA USA
Clayton Bartlett Retired DirectorEmeritus DirectorEmeritus NA None None NA
Flowery Branch GA USA PBampT
Phillip Beard City of Buford Director Director PBampT Board MemCity of Buford 18173 None NA
Buford GA USA
Robert Bowman Retired Director Director PBampT NA 19970 None NA
Buford GA USA
Larry Cheek Wholesale ElecPlumb Director Director PBampT PresidenUDover amp Cheek 39485 None NA
Buford GA USA
Wayne Hill Retired Director Director PBampT NA 18129 None NA
Suwanee GA USA
Garrett Reed Retired Director Director PBampT NA 19096 None NA
Buford GA USA
Garland J Roberts Retired DirectorEmeritus DirectorEmeritus NA 17891 None NA
Buford GA USA PBampT
(jJJ REVIS~D IT-lJl 1J-b I
Form FR Y-6 PEOPLES BANKTRUST INC
Fiscal Year Ending December 31 2015 Report Item 3 Securities holders
(1 )(a)(b)(c) and (2)(a)(b)(c)
Current securities holders with ownership control or holdings of 5 or more with power to vote as of fiscal year ending 12-31-2015
(1 )(a) Name City State Country
(1)(b) Country of Citizenship of Incorporation
(1)(c) Number and Percentage of Each Class of Voting Securities
Dover amp Cheek Inc
Buford GA USA
USA 142082 - 63552
Common Stock
Morgan Stanley
Smith Barney
USA 139813 - 62538
Common Stock
As Trustee for Peoples Bank amp Trust
401 kProfit Sharing Plan and ESOP Plan
Jersey City NJ USA
Gary D Brown USA 115501 - 51663
Buford GA USA Common Stock
Securities holders not listed in 3(1)(a) through 3(1)(c) that had ownership control or holdings of 5 or more with power to vote during the fiscal year ending 12-31-2015
(2)(a) Name City State Country
(2)b) Country of Citizenship of Incorporation
(2)(c) Number and Percentage of Each Class of Voting Securities
NA NA NA
NA NA NA
NA NA NA
Form FR Y-6 PEOPLES BANKTRUST INC
Fiscal Year Ending December 31 2015 Report Item 4 Insiders
(1 ) (2) (3)(a)(b)(c) and (4)(a)(b)(c)
(4)(c) List names of other companies (includes partnerships)
(3)(c) if 25 or more of Title amp Position (4)(b) voting securities are
(1) (2) (3)(b) with Other (4)(a) Percentage of held (List names Name Principal (3)(a) Title amp Position Businesses Percentage of Voting Shares in of companies and City State Occupation if other Title amp Position with Subsidiaries (include names Voting Shares in Subsidiaries percentage of Country than with with Holding (include names of other Holding (include names voting securities
Holding Company Company of subsidiaries) businesses) Company of subsidiaries) held)
Douglas Nichols NA DirectorPresident DirectorPresidenU NA 3753 None NA
Buford GA USA CEOCFO PBampT
Ted Williams NA Vice President EVPCLO PBampT NA None None NA
Buford GA USA
Jan Wells NA Secretary Director NA 0261 None NA
Flowery Branch GA USA EVPCOO PBampT
Adam Allison NA Treasurer VP PBampT NA 0816 None NA
Gainesville GA USA
Clayton Bartlett Retired DirectorEmeritus DirectorEmeritus NA None None NA
Flowery Branch GA USA PBampT
Phillip Beard City of Buford Director Director PBampT Board MemCity of Buford 18173 None NA
Buford GA USA
Robert Bowman Retired Director Director PBampT NA 19970 None NA
Buford GA USA
Larry Cheek Wholesale ElecPlumb Director Director PBampT PresidenUDover amp Cheek 39485 None NA
Buford GA USA
Wayne Hill Retired Director Director PBampT NA 18129 None NA
Suwanee GA USA
Garrett Reed Retired Director Director PBampT NA 19096 None NA
Buford GA USA
Garland J Roberts Retired DirectorEmeritus DirectorEmeritus NA 17891 None NA
Buford GA USA PBampT
(jJJ REVIS~D IT-lJl 1J-b I
Form FR Y-6 PEOPLES BANKTRUST INC
Fiscal Year Ending December 31 2015 Report Item 4 Insiders
(1 ) (2) (3)(a)(b)(c) and (4)(a)(b)(c)
(4)(c) List names of other companies (includes partnerships)
(3)(c) if 25 or more of Title amp Position (4)(b) voting securities are
(1) (2) (3)(b) with Other (4)(a) Percentage of held (List names Name Principal (3)(a) Title amp Position Businesses Percentage of Voting Shares in of companies and City State Occupation if other Title amp Position with Subsidiaries (include names Voting Shares in Subsidiaries percentage of Country than with with Holding (include names of other Holding (include names voting securities
Holding Company Company of subsidiaries) businesses) Company of subsidiaries) held)
Douglas Nichols NA DirectorPresident DirectorPresidenU NA 3753 None NA
Buford GA USA CEOCFO PBampT
Ted Williams NA Vice President EVPCLO PBampT NA None None NA
Buford GA USA
Jan Wells NA Secretary Director NA 0261 None NA
Flowery Branch GA USA EVPCOO PBampT
Adam Allison NA Treasurer VP PBampT NA 0816 None NA
Gainesville GA USA
Clayton Bartlett Retired DirectorEmeritus DirectorEmeritus NA None None NA
Flowery Branch GA USA PBampT
Phillip Beard City of Buford Director Director PBampT Board MemCity of Buford 18173 None NA
Buford GA USA
Robert Bowman Retired Director Director PBampT NA 19970 None NA
Buford GA USA
Larry Cheek Wholesale ElecPlumb Director Director PBampT PresidenUDover amp Cheek 39485 None NA
Buford GA USA
Wayne Hill Retired Director Director PBampT NA 18129 None NA
Suwanee GA USA
Garrett Reed Retired Director Director PBampT NA 19096 None NA
Buford GA USA
Garland J Roberts Retired DirectorEmeritus DirectorEmeritus NA 17891 None NA
Buford GA USA PBampT
(jJJ REVIS~D IT-lJl 1J-b I
