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Annual Report of Holding Companies-FR Y-6 FRY-6 0MB Number 7100-0297 Approval expires September 30, 2018 Page 1 of2 Board of Governors of the Federal Reserve System 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 This report form is to be filed by all top-tier bank holding compa­ Holding Company Act (12 U.S.C. § 1844(c)(1)(A)); sections 8(a) nies, top-tier savings and loan holding companies, and U.S. inter­ and 13(a) of the International Banking Act (12 U.S.C. §§ 3106(a) mediate holding companies organized under U.S. law, and by and 3108(a)); sections 11(a)(1 ), 25, and 25A of the Federal any foreign banking organization that does not meet the require­ Reserve Act (12 U.S.C. §§ 248(a)(1), 602, and 611a); and sec­ ments of and is not treated as a qualifying foreign banking orga­ tions 113, 165, 312, 618, and 809 of the Dodd-Frank Act (12 U.S.C. nization under Section 211.23 of Regulation K (12 C.F.R. § §§ 5361, 5365, 5412, 1850a(c)(1), and 5468(b)(1)). Return to the 211.23 ). (See page one of the general instructions for more detail appropriate Federal Reserve Bank the original and the number of of who must file.) The Federal Reserve may not conduct or spon­ copies specified. 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. NOTE: The Annual Report of Holding Companies must be signed by Date of Report (top-tier holding company's fiscal year-end): 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 December 31, 2016 that the top-tier holding company does not have an individual who is Month / Day / Year a senior official and is also a director, the chairman of the board must N/A sign the report. If the holding company is an ESOP/ESOT formed as Reporter's Legal Entity Identifier (LEI} (20-Character LEI Code} a corporation or is an LLC, see the General Instructions for the authorized individual who must sign the report. Reporter's Name, Street, and Mailing Address I, R. Randy Guemple Name of the Holding Company Director and Official Prime Meridian Holding Company Chief Financial Officer Legal Title of Holding Company Title of the Holding Company Director and Official P.O. Box 13629 attest that the Annual Report of Holding Companies (including (Mailing Address of the Holding Company) Street/ P.O. Box the supporting attachments) for this report date has been pre­ Tallahassee FL 32317 ------- pared in conformance with the instructions issued by the Federal City State Zip Code Reserve System and are true and correct to the best of my knowledge and belief. 1897 Capital Circle NE, Tallahassee, FL 32308 Physical Location (if different from mailing address) With respect to information regarding individuals contained in this report, the Reporter certifies that it has the authority to provide this Person to whom questions about this report should be directed: information to the Federal Reserve. The Reporter also certifies R. Randy Guemple ------------CFO that it has the authority, on behalf of each individual, to consent or Name Title object to public release of information regarding that individual. 850-907-2368 The Federal Reserve may assume, in the absence of a request for confidential treatment submitted in accordance with the Board's Area Code I Phone Number/ Extension "Rules Regarding Availability of Information," 12 C.F.R. Part 261, 850-907-2392 that the Reporter smsJ. individual consent to public release of all Area Code I FAX Number details in the report concerning that individual. [email protected] E-mail Address Address (URL) for the Holding Company's web page Date of Signature For holding companies not registered with the SEC­ Is confidential treatment requested for any portion O=No Indicate status of Annual Report to Shareholders: of this report submission?.............................. :i=veso D is included with the FR Y-6 report In accordance with the General Instructions for this report (check only one}, D will be sent under separate cover D is not prepared 1. a letter justifying this request is being provided along with the report ...................................................... D For Federal Reserve Bank Use Only 2. a letter justifying this request has been provided separately ............................................................ D RSSDID NOTE: Information for which confidential treatment is being C.I. ------------------4167974 requested must be provided separately and labeled as "confidential." Public reporting burden for this information collection is estimated to vary from 1.3 to 101 hours per response, with an average of 5.50 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. 12/2016 Report Items 1 and 2a Form FR Y-6 Prime Meridian Holding Company Tallahassee, Florida Fiscal Year Ending December 31, 2016 Report Item 1. The bank holding company prepares an annual report for its securities holders. 2. a. Organizational Chart Prime Meridian Holding Company Tallahassee, FL LEI=N/A (Incorported in the State of Florida) 100% Prime Meridian Bank Tallahassee, FL LEI=N/A (Incorporated in the State of Florida) Prime Meridian Bank FR Y-6 12/31/2016 Report Item 2b Form FR Y-6 Prime Meridian Holding Company Tallahassee, Florida Fiscal Year Ending December 31, 2016 Branch Listing Three Locations 1. Main Office (“Capital Circle”) 1897 Capital Circle NE Tallahassee, FL 32308 (Full Service) 2. Timberlane Branch (“Timberlane”) 1471 Timberlane Road, Suite 124 Tallahassee, FL 32312 (Full Service) 3. Crawfordville Branch (“Crawfordville”) 2201 Crawfordville Highway Crawfordville, FL 32327 (Full Service) Prime Meridian Bank FR Y-6 12/31/2016 Report Item 3 Form FR Y-6 Prime Meridian Holding Company Tallahassee, Florida Fiscal Year Ending December 31, 2016 There are no security holders that directly or indirectly own, control or hold with power to vote 5 percent or more of any close of voting securities of the bank holding company as of the fiscal year end of the bank holding company. Prime Meridian Bank FR Y-6 12/31/2016 Report Item 4 Form FR Y-6 Prime Meridian Holding Company Fiscal Year Ending December 31, 2016 Report Item 4: Insiders (1), (2), (3)(a)(b)(c), and (4)(a)(b)(c) (4)(c) List names of other companies (includes partnerships) (2) if 25% or more of Principal (3)(c) (4)(b) voting securities Occupation if (3)(b) Title & Position (4)(a) Percentage of are held (List (1) other (3)(a) Title & Position with Other Percentage of Voting Share in names of Names than with Bank Title & Position with Subsidiaries Businesses Voting Share in Subsidiaries companies and City, State, Holding With Bank Holding (include names (include names of Bank Holding (include names of percentage of Country Company Company of subsidiaries) other businesses) Company subsidiaries) voting securities held) William D. Crona Certified Public Director None Retired 2.28% None ProActive, Inc-50% Tallahassee, FL Accountant USA Sammie D. Dixon, Jr. CEO/President, None None 4.45% None N/A Tallahassee, FL Director USA Steven L. Evans Retired Director None Retired 1.43% None N/A Tallahassee, FL Business USA Executive (IBM) R. Randy Guemple Certified Public CFO, Director None Retired 1.49% None N/A Tallahassee, FL Accountant USA Chris L. Jensen, Jr. Sr. Lender, None None 2.45% None N/A Tallahassee, FL Director USA Prime Meridian Bank FR Y-6 12/31/2016 Report Item 4 Kathleen C. Jones Director None Retired .84% None N/A Tallahassee, FL USA Robert H. Kirby Rehab Director None Partner, Rehab 3.77% None Rehab Tallahassee, FL Technologies, Technologies, LLC Technologies-50% USA LLC Tallahassee, FL Southern Fidelity USA Mtg Group-50% Huxford Properties,LP-Gen Partner RHK Management, LLC, Managing Member-99% KRKK, LLC, Managing Member-99% Frank L. Langston TALCOR Director None Principal, NAI 1.62% None NAI Talcor Tallahassee, FL TALCOR Commercial R.E.- USA Tallahassee, FL 45%; Frank USA Langston,P.A.- 100%; Call Street, LLC-50%; Talcor Holdings, Inc.-50%, Talcor Tennessee Square, LLC-40%, Talcor Betton Place, LLC-50%, Talcor Properties, LLC- 40%, Eastside Commerce Center, LLC-25%, Talcor Edgewood Villas, LLC-33 1/3%, Talcor Urban Housing, LLC- 33 1/3% Prime Meridian Bank FR Y-6 12/31/2016 Report Item 4 Todd A. Patterson, Physician Director None Owner, Magnolia 2.13% None TAP Management- D.O. Pediatric Group, 100% Tallahassee, FL LLC Magnolia Pediatric USA Tallahassee, FL Group-100% USA L. Collins Proctor, Sr. Partner & Chief Director None kW Control- 1.09% None kW Control- Tallahassee, FL Operating Holdings, LLC Holdings-Partner; USA Officer Tallahassee, FL Red Brick USA Partners,LLC- Partner Garrison A. Rolle, Tallahassee Director None Surgeon, 1.56% None N/A M.D. Orthopedic Tallahassee Tallahassee, FL Clinic Orthopedic Clinic USA Tallahassee, FL USA Steven D. Smith Krispy Kreme Director None Owner, Krispy 3.18% None Dale’s Doughnuts; Tallahassee, FL Franchises Kreme Franchises Krispy Kreme USA Tallahassee, FL Doughnut Corp- USA Franchisee Marjorie R. Turnbull Educational Director None Self-employed 1.13% None N/A Tallahassee, FL Consultant USA Richard A.
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