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Board of Governors of the Federal Reserve System
FRY-8 0MB Number 7100-0297 Approval expires November 30, 2019 Page 1 of2
Annual Report of Holding Companies-FR Y-6
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 U.S.C. § 1844(c)(1)(A}); sections B(a)
This report form is to be filed by all top-tier bank holding compa-nies, top-tier savings and loan holding companies, and U.S. inter-mediate holdlng companies organized under U.S. law, and by any foreign banking organization that does not meet the require-ments of and is not treated as a qualifying foreign banking orga-nization under Section 211.23 of Regulation K (12 C.F.R. § 211.23). (See page one of the general instructions for more detail of who must file.) The Federal Reserve may not conduct or spon-sor, and an organization (or a person) is not required to respond to, an information collection unless it displays a currently valid 0MB control number.
and 13(a) of the International Banking Act (12 U.S.C. §§ 3106(a) and 3108(a}); sections 11(a)(1), 25, and 25A of the Federal Reserve Act (12 U.S.C. §§ 248(a)(1}, 602, and 611a); and sec-tions 113, 165,312,618, and 809 of the Dodd-Frank Act (12 U.S.C. §§ 5361, 5365, 5412, 1850a(c)(1), and 5468(b)(1)). Return to the appropriate Federal Reserve Bank the original and the number of copies specified.
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 chairman of the board must sign the report. If the holding company is an ESOP/ESOT formed as a corporation or is an LLC, see the General Instructions for the authorized Individual who must sign the report. I, D. Phil Polhill
Name of the Holding Company Dlreetor and Offielal
Chief Financial Officer Tltle of the Holding Company Director and Official
attest that the Annual Report of Holding Campanlas (Including the supporting attachments) for this report date has been pre-pared 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 ta provide this intonnation ta the Federal Reserve. The Reporter also certifies that it has the authority, on behaff of each Individual, ta 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 Board's "Rules Regarding Avallablllty of lnfannatlan," 12 C.F.R. Part 261, that the Reporter ilDJJ. individual consen o f Ublic release of all "1_.tJMsln th o ~ emin at · 'cJ' dual.
Date of Signature
For holding companies l1Dl registered with the SEC-Indicate status of Annual Report to Shareholders: IEI is Included with the FR Y-6 report D will be sent under separate cover D Is not prepared
For Federal Reserve Bank Use Only
RSSDID C.I.
Date of Report (top-tier holding company's fiscal year-end): December 31, 2018 Month/ Day/ Year
NIA Reporter's Legal Entity Identifier (LEI) (20-Character LEI Code)
Reporter's Name, Street, and Mailing Address
Legal Title of Holding Company
PO Box467 (Malling Addresa of the Holding Company) Street/ P.O. Box
Louisville GA ___ _304_ 3_4 __ _ City State Zip Code
3617 Walton Wa Extension, Augusta, GA 30909 Physlc:al Location (If different from mailing address)
Person to whom questions about this report should be directed: Jennifer Herring Controller Name
--TI-Ue _________ _
4 78-625-2000 ext. 269 Area Code/- Phone Number/ Extension
478-625-2008 Area Code/ FAX Number
jen nif er. herring@qnbtrust. bank E-mail Address
N/A Address (URL) for the Holding Company's web page
~l~:e!~~n:~~~~!1:~t-~~~~~~ ~~~ ~~~I-~~- ~-f· .. r::::rn In accordance with the General Instructions for this report (check only one),
1. a Jetter Justifying this request Is being provided along with the report............................................ .. . D
2. a letter Justifying this request has been provided separately . . . D NOTE: Information for which confidential treatment is being requested
must be provided separately and labeled as "confidential.•
Public reporting burden for this JnformaUon collec:llon Is estimated lo va,y from 1.3 lo 101 hOura per response, with an everege of 5.50 hours per response. Including lime to gather and malnlaln data In the required form and to review lnslnlctlona and completa the Information collection. Send comments regarding this burden estimate or any other aspect of this collecllon of Information, Including suggestions for reducing this burden to: Secretary, Board of Govamora of the Federal Reserve Syslem, 20th and C Streets, NW, WBshlngton, DC 20551, and lo the Office of Management and Budget, Paperwortt Reduction Project (7100-0297). Wa&hlnglon, DC 20503. 0312018
Annual Report of Bank Holding Companies FR Y-6 The Queensborough Company December 31, 2018
Report Item 1: Annual Report to Shareholders
1. The annual report is included.
Report Item 2: Organization Chart
1
*
*
100%
Queensborough Capital Trust II
LEIN/A
Louisville, Georgia/USA
USA Trust
State of Incorporation-NIA
The Queensborough Company
LEIN/A
Augusta, Georgia/USA
Incorporated in Georgia
* *
* *
* *
100%
Queensborough National Bank
& Trust Company LEl-254900C2QXQ435D8TY78
Louisville, Georgia/USA
USA National Bank
State of Incorporation-NIA
Report Item 3: Shareholders (all common shares)
la lb
Estate of Wayne Battle USA
Rebecca Battle
Wadley, GA, USA
Estate of Lillian A. Easterlin USA
Estate of William Easterlin, Jr.
Louisville, GA, USA
William F. Easterlin, Ill USA Louisville, GA
USA
Robert Brian Lewis USA
Wrens, GA I
USA
,,. N/A I"
*
* 100%
Queensborough Capital Trust Ill
LEIN/A
Louisville, GA/USA
USA Trust
State of Incorporation-NIA
le
80,605
6.03%
189,895 14.21%
81,828
6.10%
81,345
6.09%
I''
Results: A list of branches for your depository institution: QUEENSBOROUGH NATIONAL BANK & TRUST COMPANY (ID_RSSD: 960935).This depository institution is held by QUEENSBOROUGH COMPANY, THE (1130904) of AUGUSTA, GA.The data are as of 12/31/2018. Data reflects information that was received and processed through 01/06/2019.
Reconciliation and Verification Steps1. In the Data Action column of each branch row, enter one or more of the actions specified below2. If required, enter the date in the Effective Date column
ActionsOK: If the branch information is correct, enter 'OK' in the Data Action column.Change: If the branch information is incorrect or incomplete, revise the data, enter 'Change' in the Data Action column and the date when this information first became valid in the Effective Date column.Close: If a branch listed was sold or closed, enter 'Close' in the Data Action column and the sale or closure date in the Effective Date column.Delete: 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, and/or legal sized paper.
Submission ProcedureWhen you are finished, send a saved copy to your FRB contact. See the detailed instructions on this site for more information.If you are e‐mailing 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 format or via the FR Y‐10 Online application ‐ https://y10online.federalreserve.gov.
* FDIC UNINUM, Office Number, and ID_RSSD columns are for reference only. Verification of these values is not required.
Data Action Effective Date Branch Service Type Branch ID_RSSD* Popular Name Street Address City State Zip Code County Country FDIC UNINUM* Office Number* Head Office Head Office ID_RSSD* CommentsOK Full Service (Head Office) 960935 QUEENSBOROUGH NATIONAL BANK & TRUST COMPANY 113 EAST BROAD STREET LOUISVILLE GA 30434 JEFFERSON UNITED STATES Not Required Not Required QUEENSBOROUGH NATIONAL BANK & TRUST COMPANY 960935OK Full Service 3448096 ENTERPRISE MILL BRANCH 1450 GREENE STREET, SUITE 150 AUGUSTA GA 30901 RICHMOND UNITED STATES Not Required Not Required QUEENSBOROUGH NATIONAL BANK & TRUST COMPANY 960935OK Full Service 2998222 MARTINEZ BRANCH 4226 COLUMBIA ROAD AUGUSTA GA 30907 COLUMBIA UNITED STATES Not Required Not Required QUEENSBOROUGH NATIONAL BANK & TRUST COMPANY 960935OK Full Service 3939437 WALTON WAY EXTENSION BRANCH 3617 WALTON WAY EXTENSION AUGUSTA GA 30909 RICHMOND UNITED STATES Not Required Not Required QUEENSBOROUGH NATIONAL BANK & TRUST COMPANY 960935OK Full Service 3266366 EVANS BRANCH 4321 WASHINGTON ROAD EVANS GA 30809 COLUMBIA UNITED STATES Not Required Not Required QUEENSBOROUGH NATIONAL BANK & TRUST COMPANY 960935OK Full Service 3144473 GROVETOWN BRANCH 5049 WRIGHTSBORO ROAD GROVETOWN GA 30813 COLUMBIA UNITED STATES Not Required Not Required QUEENSBOROUGH NATIONAL BANK & TRUST COMPANY 960935OK Full Service 3228225 TOBACCO ROAD BRANCH 2524 TOBACCO ROAD HEPHZIBAH GA 30815 RICHMOND UNITED STATES Not Required Not Required QUEENSBOROUGH NATIONAL BANK & TRUST COMPANY 960935OK Full Service 1189779 US 1 BY‐PASS BRANCH HWY 24 AND US 1 LOUISVILLE GA 30434 JEFFERSON UNITED STATES Not Required Not Required QUEENSBOROUGH NATIONAL BANK & TRUST COMPANY 960935OK Full Service 3441903 FURY'S FERRY BRANCH 421 FURY'S FERRY ROAD MARTINEZ GA 30907 COLUMBIA UNITED STATES Not Required Not Required QUEENSBOROUGH NATIONAL BANK & TRUST COMPANY 960935OK Full Service 3034891 METTER BRANCH 24‐28 NORTH BROAD STREET METTER GA 30439 CANDLER UNITED STATES Not Required Not Required QUEENSBOROUGH NATIONAL BANK & TRUST COMPANY 960935OK Full Service 799331 MIDVILLE BRANCH 145 SOUTH JONES STREET MIDVILLE GA 30441 BURKE UNITED STATES Not Required Not Required QUEENSBOROUGH NATIONAL BANK & TRUST COMPANY 960935OK Full Service 615936 MILLEN BRANCH 311 EAST WINTHROP AVENUE MILLEN GA 30442 JENKINS UNITED STATES Not Required Not Required QUEENSBOROUGH NATIONAL BANK & TRUST COMPANY 960935OK Full Service 3443505 RINCON BRANCH 597 SOUTH COLUMBIA AVENUE RINCON GA 31326 EFFINGHAM UNITED STATES Not Required Not Required QUEENSBOROUGH NATIONAL BANK & TRUST COMPANY 960935OK Full Service 435639 SANDERSVILLE BRANCH 202 NORTH HARRIS STREET SANDERSVILLE GA 31082 WASHINGTON UNITED STATES Not Required Not Required QUEENSBOROUGH NATIONAL BANK & TRUST COMPANY 960935OK Full Service 3732816 SAVANNAH BRANCH 216 US HWY 80 WEST SAVANNAH GA 31408 CHATHAM UNITED STATES Not Required Not Required QUEENSBOROUGH NATIONAL BANK & TRUST COMPANY 960935OK Full Service 3557907 SAVANNAH BRANCH 7393 HODGSON MEMORIAL DRIVE SAVANNAH GA 31406 CHATHAM UNITED STATES Not Required Not Required QUEENSBOROUGH NATIONAL BANK & TRUST COMPANY 960935OK Full Service 3732825 STATESBORO BRANCH 201 SOUTH MAIN STREET STATESBORO GA 30458 BULLOCH UNITED STATES Not Required Not Required QUEENSBOROUGH NATIONAL BANK & TRUST COMPANY 960935OK Full Service 2764744 SWAINSBORO DIVISION BRANCH 648 SOUTH MAIN STREET SWAINSBORO GA 30401 EMANUEL UNITED STATES Not Required Not Required QUEENSBOROUGH NATIONAL BANK & TRUST COMPANY 960935OK Full Service 2803250 SYLVANIA BRANCH 301 MIMS ROAD SYLVANIA GA 30467 SCREVEN UNITED STATES Not Required Not Required QUEENSBOROUGH NATIONAL BANK & TRUST COMPANY 960935OK Full Service 2739902 THOMSON DIVISION BRANCH 549 WEST HILL STREET THOMSON GA 30824 WASHINGTON UNITED STATES Not Required Not Required QUEENSBOROUGH NATIONAL BANK & TRUST COMPANY 960935OK Full Service 509035 WADLEY BRANCH 25 NORTH MAIN STREET WADLEY GA 30477 JEFFERSON UNITED STATES Not Required Not Required QUEENSBOROUGH NATIONAL BANK & TRUST COMPANY 960935OK Full Service 1408685 WAYNESBORO BRANCH 721 LIBERTY ST WAYNESBORO GA 30830 BURKE UNITED STATES Not Required Not Required QUEENSBOROUGH NATIONAL BANK & TRUST COMPANY 960935OK Full Service 1837566 WRENS FACILITY 739 NORTH MAIN STREET WRENS GA 30833 JEFFERSON UNITED STATES Not Required Not Required QUEENSBOROUGH NATIONAL BANK & TRUST COMPANY 960935
Report Item 4: Insiders
1 2 3a 3b 3c 4a 4b 4C Est. of Lillian A. Eastenin Retired Principal N/A N/A 14.21 N/A None
Louisville, GA Shareholder USA
Louisa Abbot Superior Ct. Director N/A N/A 0.17 N/A None Savannah, GA Judge
USA
W. Abbot Easterlin Physicians Director Director, Queensborough Director, Louisville 2.92 N/A None
Augusta,GA Assistant National Bank & Trust Co. Storage & Loan USA
W.F. Easterlln, Ill N/A Chairman, CEO, President.CEO, CEO and Director Louisville 6.1 N/A None Looisvllle, GA Director Director, Queensborough Storage & Loan Co.
USA National Bank & Trust Co.
ThomasW. Jones CPA Director Director Queensborough Managing Director 0.91 N/A 40%- Jones, Jones, Davis and Augusta, Ga Public Accounting National Bank & Trust Co. Jones, Jones, Davis and Associates, CPA, PC
USA Associates, CPA, PC
Sam S. Pennington Farmer Director Director Queensborough President, Pennington 0.72 N/A 100" Pennington Farms, Inc. Matthews, GA National Bank & Trust Co. Farms, Inc. & Director
USA Louisville Storage & Loan
D. Phillips Polhlll N/A CFO,VP CFO,VP, Director Director, CFO 0.78 N/A None
Loulsville, GA Director Queensborough Louisville Storage & USA National Bank & Trust Co. Loan Co., Inc.
Gretchen B. Caughman, PhD Provost Director Director Queens borough N/A 0.01 N/A N/A Aiken,SC National Bank & Trust Co.
USA
1 2 3a 3b 3c 4a 4b 4c
Robert J. Pollock President Director Director Queensborough Pres. Pollock Office 0.39 N/A 52% Pollock Office Machine Co. Augusta, GA National Bank & Trust Co. Machine Co. & Pres. Pollock 100% Pollock Financial SeNices
USA Financial SeNices
J. Thomas Battle President Director Director Queensborough President Battle Lumber Co. & 1.92 N/A 5256 Owner Battle Lumber Co. Wadley,GA National Bank & Trust Co. Battle Lumber International 34% Owner Battle Lumber International
USA
LJ. Bowles, Ill Timber Director Director Queensborough President B & H Land & Tmber, 1.82 N/A 100% Owner B & H Land & Timber Inc. Louisville, GA Business Owner National Bank & Trust Co. Bowles Backhoe, Bowles Timber 100% Owner Bowles Backhoe Inc.
USA 100% Owner Bowles Timber UC
James B. Polhill, IV, M.D. Retired Director Director Queensborough N/A 0.38 N/A N/A St. Simons Island, GA National Bank & Trust Co.
USA
Edith W. Pundt Retired Director Director Queensborough N/A 2.67 N/A N/A Wadley.GA National Bank & Trust Co.
USA
Charles E. Smith, Jr. Farmer Director Director Queensborough .President-Deer Ridge Farms & 0.38 N/A 50% Owner-Deer Ridge Farms Wadley,GA National Bank & Trust Co. River Ridge Farms 50% Owner-River Ridge Farms
USA
W. Jeffrey Weichsel Retired Director Director Queensborough N/A 0.1s N/A N/A Savannah, GA National Bank & Trust Co.
USA
Julie Evans NA Corporate Corporate Secretary, N/A 0.08 N/A 50% RJ Farms, UC Louisville, GA secretary Queensborough National
USA Bank & Trust Co.
1 2 3a 3b 3c 4a 4b 4c Charles T. Jordan Realtor, RE Director Director Queensborough Partner: 0.03 N/A 50% Henbell Dublin HFT, UC
Augusta, GA Agency Owner National Bank & Trust Co. Henbell Dublin HFT, UC 50% Henbell Monte Sano, UC USA Henbell Monte Sano, UC 50% Henbell McDonough HFT, UC
Henbell McDonough HFT, LLC SO% Henbell Sanford HFT, LLC Henbell Sanford HFT, LLC 50% Hen bell Properties, UC Henbell Properties, LLC 50% Henbell Statesboro HFT, UC
Henbell Statesboro HFT, LLC 50% Henbell Vidalia HFT, LLC Henbell Vidalia HFT, UC 50% Henbell Vidalia #2, UC Henbell Vidalia #2, U.C 50% Henbell Walton Way ln11., UC
Henbell Walton Way Inv., LLC 50% Jordan Trotter Realty, LLC Jordan Trotter Realty, UC 33%JTT North Augusta, LLC
ITT North Augusta, LLC 33% South Augusta Investors, LLC South Augusta Investors, LLC 25% Grovetown Medical Office Inv., LLC
Grovetown Medical Office Inv., LLC SO% Jordan Trotter Asset Mgmt., LLC Jordan Trotter Asset Mgmt., UC 50% Henbell Broad Street
Henbell Broad Street
FR Y-6 Cover PageReport Item 2a: Organization ChartReport Item 3: ShareholdersReport Item 2b: Domestic Branch ListingReport Item 4: InsidersReport Item 4: Insiders (cont'd)Report Item 4: Insiders (cont'd)