FR Y-6 0MB Number 7100-0297 Approval expires September 30, 2018 Page 1 of2
Board of Governors of the Federal Reserve System ~1' Annual Report of Holding Companies-FR Y-6 ~.9~ <"Z'b
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 I Year a senior official and is also a director, the chairman of the board must PBJHNT51 T5V6G5UQF sign the report. If the holding company is an ESOPIESOT 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 1, Edwin W. Hortman, Jr. Name of the Holding Company Director and Official Ameris Bancorp President/Director Legal Tille of Holding Company TIiie of the Holding Company Director and Official P.O. Box 3668 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 Moultrie GA 31776 ------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. 24 Second Ave SE, Moultrie, GA 31776 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 ReseNe. The Reporter also certifies Maryellen Dampier Senior Accountant that it has the authority, on behalf of each individual, to consent or Name TIiie object to public release of information regarding that individual. The Federal ReseNe may assume, in the absence of a request for 229-890-1111 confidential treatment submitted in accordance with the Board's Area Code / Phone Number / Extension "Rules Regarding Availability of Information," 12 C.F.R. Part 261 , 229-873-3614 that the Reporter smsJ. individual consent to public release of all Area Code / FAX Number details in he report con erni g that indivi ual. [email protected] E-mail Address www .amerisbank.com 3/28/17 Address (URL) for the Holding Company's web page Date of Signature
For holding companies n.QJ. registered with the SEC- Is con f'dI ential treatment requested for any portion ~=No Indicate status of Annual Report to Shareholders: of this report submission?...... }=YesO D is included with the FR Y-6 report In accordance with the General Instructions for this report D will be sent under separate cover (check only one), 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 [G<2,?-0b:r NOTE: Information for which confidential treatment is being C.I. 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 an y 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 Form FR Y-6 Ameris Bancorp Moultrie, Georgia Fiscal Year Ending December 31, 2016
2. Organizational Chart
Ameris Bancorp owns 100% of the common equity of each of its subsidiaries and Ameris Bank owns 100% of the common equity of each of its subsidiaries.
Ameris Bancorp Moultrie, GA Incorporated in Georgia LEI: PBJHNT51T5V6G5UQFV42
Prosperity Bank Statutory Trust IV Prosperity Banking Capital Trust I Prosperity Land Holdings, LLC Coastal Bankshares Statutory Trust I Coastal Bankshares Statutory Trust II Merchants & Southern Statutory Trust I Merchants & Southern Statutory Trust II Jacksonville Statutory Trust I Fountian Financial Ameris Bank Prosperity Bank Statutory Trust II Prosperity Bank Statutory Trust III Jacksonville Statutory Trust II Jacksonville Bancorp, Inc Statutory Trust III Atlantic BancGroup Statutory Trust I , Inc. Ameris Bank Ameris Statutory Trust I First National Banc Statutory Trust I St. Augustine, FL St. Augustine, FL Organized in Florida Savannah, GA Savannah, GA Gainesville, FL Gainesville, FL Jacksonville, FL Jacksonville, FL Moultrie, GA St. Augustine, FL St. Augustine, FL Jacksonville, FL Jacksonville, FL Jacksonville, FL Moultrie, GA Moultrie, GA Hartford, CT Formed in Delware Formed in Delaware Sole Member Formed in Delaware Formed in Connecticut Formed in Florida Formed in Florida Formed in Delaware Formed in Florida Incorporated in Georgia Formed in Connecticut Formed in Delaware Formed in Delaware Formed in Delaware Formed in Delaware Formed in Delaware Formed in Delaware LEI: N/A LEI: N/A LEI: N/A LEI: N/A LEI: N/A LEI: N/A LEI: N/A LEI: N/A LEI: N/A LEI: N/A LEI: N/A LEI: N/A LEI: IUGPUX5LWRZ3B6KIZ697 LEI: N/A LEI: N/A LEI: N/A LEI: N/A
Ameris Sub Holding Company, Inc. Southland Real Estate Holdings, Inc. Wilmington, DE Dothan, AL Incoporated in Delaware Incorporated in Alabama LEI: N/A LEI: N/A
Cairo Real Estate Holdings, Inc. Cairo, GA Incorporated in Delaware LEI: N/A
Citizens Real Estate Holdings, Inc. Tifton, GA Incorporated in Delaware LEI: N/A
Cordele Real Estate Holdings, Inc. Cordele, GA Incorporated in Delaware LEI: N/A
First National Real Estate Holdings, Inc. Albany, GA Incorporated in Delaware LEI: N/A
M&F Real Estate Holdings, Inc. Donalsonville, GA Incorporated in Delaware LEI: N/A
Moultrie Real Estate Holdings,Inc. Moultrie, Ga Incorporated in Delaware LEI: N/A
Quitman Real Estate Holdings, Inc. Quitman, GA Incorporated in Delaware LEI: N/A
Thomas Real Estate Holdings, Inc. Thomasville, GA Incorporated in Delaware LEI: N/A
Tri-County Real Estate Holdings, Inc. Trenton, FL Incorporated in Delaware LEI: N/A
FR Y-6 Organizational Chart.xls Results: A list of branches for your depository institution: AMERIS BANK (ID_RSSD: 764030). This depository institution is held by AMERIS BANCORP (1082067) of MOULTRIE, GA. The data are as of 12/31/2016. Data reflects information that was received and processed through 01/10/2017.
Reconciliation and Verification Steps 1. In 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
Actions OK: 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 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 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* Comments OK Full Service (Head Office) 764030 AMERIS BANK 300 SOUTH MAIN ST MOULTRIE GA 31768 COLQUITT UNITED STATES 14145 0 AMERIS BANK 764030 OK Full Service 1942433 SOUTHLAND BRANCH 204 KIRKLAND STREET ABBEVILLE AL 36310 HENRY UNITED STATES 36352 18 AMERIS BANK 764030 OK Full Service 3807965 DOTHAN - HWY 84 EAST BRANCH 2200 E MAIN STREET DOTHAN AL 36303 HOUSTON UNITED STATES 480107 60 AMERIS BANK 764030 OK Full Service 602235 DOTHAN BRANCH 3299 ROSS CLARK CIRCLE DOTHAN AL 36303 HOUSTON UNITED STATES 3812 15 AMERIS BANK 764030 OK Full Service 1903966 EUFAULA BRANCH 1140 S. EUFAULA AVENUE EUFAULA AL 36027 BARBOUR UNITED STATES 207859 19 AMERIS BANK 764030 OK Full Service 146337 BLOUNTSTOWN BRANCH 16763 SE PEAR ST BLOUNTSTOWN FL 32424 CALHOUN UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 1156874 CRAWFORDVILLE BRANCH 2628 CRAWFORDVILLE HIGHWAY CRAWFORDVILLE FL 32327 WAKULLA UNITED STATES 38670 36 AMERIS BANK 764030 OK Full Service 17932 CROSS CITY BRANCH 79 NORTHEAST 121 STREET CROSS CITY FL 32628 DIXIE UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 698434 DEFUNIAK SPRINGS BRANCH 138 US HWY 90 E DEFUNIAK SPRINGS FL 32433 WALTON UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 3728743 ARCHER ROAD BRANCH 7000 SW ARCHER ROAD GAINESVILLE FL 32608 ALACHUA UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 2267629 HUNTERS CROSSING BRANCH 5010 NW 43RD STREET GAINESVILLE FL 32606 ALACHUA UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 3728716 MAIN STREET BRANCH 3631 NORTH MAIN STREET GAINESVILLE FL 32609 ALACHUA UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 3728734 OAK HAMMOCK BRANCH 5100 S.W. 25TH BOULEVARD GAINESVILLE FL 32608 ALACHUA UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 319739 TOWER CENTER BRANCH 305 NW 75TH ST GAINESVILLE FL 32607 ALACHUA UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 4303361 VILLAGE BRANCH, THE 8000 NW 27TH BOULEVARD GAINESVILLE FL 32606 ALACHUA UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 846431 HIGH SPRINGS BRANCH 325 NORTH MAIN STREET HIGH SPRINGS FL 32643 ALACHUA UNITED STATES Not Required Not Required AMERIS BANK 764030 Change 1/1/2016 Full Service 2815299 INTRACOASTAL WEST BRANCH 1790 KERNAN BLVD JACKSONVILLE FL 32246 DUVAL UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 4208167 JACKSONVILLE BRANCH 11100 SAN JOSE BLVD JACKSONVILLE FL 32223 DUVAL UNITED STATES 40358 76 AMERIS BANK 764030 OK Full Service 3808001 JACKSONVILLE LANE AVE BRANCH 888 LANE AVENUE SOUTH JACKSONVILLE FL 32205 DUVAL UNITED STATES 480391 63 AMERIS BANK 764030 OK Full Service 3940853 JACKSONVILLE TOWN BRANCH 4835 TOWN CENTER PKWY JACKSONVILLE FL 32246 DUVAL UNITED STATES 491610 67 AMERIS BANK 764030 OK Full Service 2737775 JAX DOWNTOWN BRANCH 121 W. FORSYTH STREET SUITE 150 JACKSONVILLE FL 32202 DUVAL UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 2635219 JULINGTON CREEK BRANCH 12689 SAN JOSE BOULEVARD JACKSONVILLE FL 32223 DUVAL UNITED STATES 257759 104 AMERIS BANK 764030 OK Full Service 3722965 ORTEGA BRANCH 4343 ROOSEVELT BOULEVARD JACKSONVILLE FL 32210 DUVAL UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 3727607 BEACH BOULEVARD BRANCH 14288 BEACH BOULEVARD JACKSONVILLE BEACH FL 32250 DUVAL UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 2594400 JACKSONVILLE BEACH BRANCH 1315 SOUTH THIRD STREET JACKSONVILLE BEACH FL 32250 DUVAL UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 213332 KEYSTONE HEIGHTS OFFICE 100 COMMERCIAL CIRCLE KEYSTONE HEIGHTS FL 32656 CLAY UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 900931 LAKE CITY GLEASON'S MALL BRANCH 2357 W US HWY 90 LAKE CITY FL 32055 COLUMBIA UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 224039 LAKE CITY SOUTH 1ST STREET BRANCH 355 SW BENTLEY PL LAKE CITY FL 32025 COLUMBIA UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 645232 LIVE OAK BRANCH 201 SOUTH OHIO AVENUE LIVE OAK FL 32064 SUWANNEE UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 3740521 LYNN HAVEN BRANCH 2606 SOUTH HIGHWAY 77 LYNN HAVEN FL 32444 BAY UNITED STATES 447877 110 AMERIS BANK 764030 OK Full Service 169336 MELROSE BRANCH 200 WEST STATE ROAD 26 MELROSE FL 32666 ALACHUA UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 2740159 NEPTUNE BEACH BRANCH 560 ATLANTIC BOULEVARD NEPTUNE BEACH FL 32266 DUVAL UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 3728725 BONNIE HEATH BRANCH 5400 SOUTHWEST COLLEGE ROAD OCALA FL 34474 MARION UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 3728752 MARICAMP ROAD BRANCH 2601 SE MARICAMP ROAD OCALA FL 34471 MARION UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 3099694 BLANDING BOULEVARD BRANCH 485 BLANDING BOULEVARD ORANGE PARK FL 32073 CLAY UNITED STATES 362973 32 AMERIS BANK 764030 OK Full Service 2859118 ORANGE PARK BRANCH 1775 EAGLE HARBOR PARKWAY ORANGE PARK FL 32003 CLAY UNITED STATES 61800 30 AMERIS BANK 764030 OK Full Service 3740437 ORMOND BRANCH 1259 WEST GRANADA BLVD ORMOND BEACH FL 32174 VOLUSIA UNITED STATES 364414 108 AMERIS BANK 764030 OK Full Service 440138 PALATKA BRANCH 601 REID ST PALATKA FL 32177 PUTNAM UNITED STATES 11533 107 AMERIS BANK 764030 OK Full Service 3740455 PALATKA WEST BRANCH 100 NORTH HIGHWAY 19 PALATKA FL 32177 PUTNAM UNITED STATES 432259 109 AMERIS BANK 764030 OK Full Service 3740473 PALM COAST BRANCH 181 CYPRESS POINT PARKWAY PALM COAST FL 32164 FLAGLER UNITED STATES 257760 105 AMERIS BANK 764030 OK Full Service 3740615 PANAMA CITY BRANCH 450 EAST 23RD STREET PANAMA CITY FL 32405 BAY UNITED STATES 478827 113 AMERIS BANK 764030 OK Full Service 3740594 PANAMA CITY BEACH BRANCH 11790 PANAMA CITY BEACH PARKWAY PANAMA CITY BEACH FL 32407 BAY UNITED STATES 470112 112 AMERIS BANK 764030 OK Full Service 3740389 NORTH ST. AUGUSTINE BRANCH 790 NORTH PONCE DE LEON BOULEVARD SAINT AUGUSTINE FL 32084 ST. JOHNS UNITED STATES 451755 111 AMERIS BANK 764030 OK Full Service 1167919 SAINT AUGUSTINE BEACH BRANCH 2060 A1A SOUTH SAINT AUGUSTINE FL 32080 ST. JOHNS UNITED STATES 257757 103 AMERIS BANK 764030 OK Full Service 879532 SAINT AUGUSTINE BRANCH 100 SOUTHPARK BOULEVARD, SUITE 104 SAINT AUGUSTINE FL 32086 ST. JOHNS UNITED STATES 17295 102 AMERIS BANK 764030 OK Full Service 3740398 SHORES BRANCH 4070 US 1 SOUTH SAINT AUGUSTINE FL 32086 ST. JOHNS UNITED STATES 257761 106 AMERIS BANK 764030 OK Full Service 4460358 TALLAHASSEE BRANCH 150 S. MONROE ST., SUITE 100 TALLAHASSEE FL 32301 LEON UNITED STATES 535370 98 AMERIS BANK 764030 OK Full Service 191832 TRENTON BRANCH 530 EAST WADE STREET TRENTON FL 32693 GILCHRIST UNITED STATES 36380 43 AMERIS BANK 764030 OK Full Service 1863275 ALBANY BRANCH 2627 DAWSON ROAD ALBANY GA 31707 DOUGHERTY UNITED STATES 47076 21 AMERIS BANK 764030 OK Full Service 1002337 EAST ALBANY BRANCH 2111 EAST OGLETHORPE EXPRESSWAY ALBANY GA 31705 DOUGHERTY UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 4300221 ATLANTA BRANCH 1180 PEACHTREE STREET, SUITE 2610 ATLANTA GA 30309 FULTON UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 1458989 BRUNSWICK BRANCH 3440 CYPRESS MILL ROAD BRUNSWICK GA 31520 GLYNN UNITED STATES 46169 23 AMERIS BANK 764030 OK Full Service 3635841 BUENA VISTA BRANCH OFFICE 114 W 6TH AVENUE BUENA VISTA GA 31803 MARION UNITED STATES 465752 93 AMERIS BANK 764030 OK Full Service 2968814 BUTLER BRANCH OFFICE 97 SOUTH BROAD STREET BUTLER GA 31006 TAYLOR UNITED STATES 365700 91 AMERIS BANK 764030 OK Full Service 119331 CAIRO BRANCH 201 SOUTH BROAD STREET CAIRO GA 39828 GRADY UNITED STATES 457226 40 AMERIS BANK 764030 OK Full Service 3101579 COLQUITT BRANCH OFFICE 162 EAST CRAWFORD STREET COLQUITT GA 39837 MILLER UNITED STATES 5389 6 AMERIS BANK 764030 OK Full Service 242275 CORDELE BRANCH 510 2ND STREET SOUTH CORDELE GA 31015 CRISP UNITED STATES 45263 13 AMERIS BANK 764030 OK Full Service 1429952 DOERUN BRANCH 137 WEST BROAD AVENUE DOERUN GA 31744 COLQUITT UNITED STATES 10482 1 AMERIS BANK 764030 OK Full Service 479932 DONALSONVILLE BRANCH 109 WEST THIRD STREET DONALSONVILLE GA 39845 SEMINOLE UNITED STATES 10115 4 AMERIS BANK 764030 OK Full Service 3462131 BOWENS MILL BRANCH 901 BOWENS MILL ROAD SW DOUGLAS GA 31533 COFFEE UNITED STATES 453848 33 AMERIS BANK 764030 OK Full Service 50331 DOUGLAS BRANCH 100 S PEARL ST DOUGLAS GA 31533 COFFEE UNITED STATES 13632 9 AMERIS BANK 764030 OK Full Service 362034 DUBLIN BRANCH 2101 VETERANS BLVD DUBLIN GA 31021 LAURENS UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 4384810 ELLAVILLE BRANCH 285 SOUTH BROAD STREET ELLAVILLE GA 31806 SCHLEY UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 369930 FITZGERALD MAIN OFFICE 115 EAST CENTRAL AVE FITZGERALD GA 31750 BEN HILL UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 540935 HINESVILLE BRANCH 101 WEST HENDRY STREET HINESVILLE GA 31313 LIBERTY UNITED STATES Not Required Not Required AMERIS BANK 764030 change 1/1/2016 Full Service 2966007 JEKYLL ISLAND BRANCH OFFICE 31 Main Streeet Unit 101 JEKYLL ISLAND GA 31527 GLYNN UNITED STATES 358882 25 AMERIS BANK 764030 OK Full Service 2336589 LYONS BRANCH 182 WEST LIBERTY STREET LYONS GA 30436 TOOMBS UNITED STATES 231756 78 AMERIS BANK 764030 SHOULD HEAD OFFICE BE ?? LISTED TWICE Full Service 763538 MOULTRIE SOUTH MAIN BRANCH 300 SOUTH MAIN STREET MOULTRIE GA 31768 COLQUITT UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 1982738 QUITMAN HIGHWAY BRANCH 1707 FIRST AVENUE SOUTHEAST MOULTRIE GA 31768 COLQUITT UNITED STATES 251188 2 AMERIS BANK 764030 OK Full Service 2683032 SUNSET OFFICE 2513 SOUTH MAIN STREET MOULTRIE GA 31768 COLQUITT UNITED STATES 251189 3 AMERIS BANK 764030 OK Full Service 816032 OCILLA BRANCH 300 SOUTH IRWIN AVENUE OCILLA GA 31774 IRWIN UNITED STATES 11800 8 AMERIS BANK 764030 OK Full Service 2504212 DOWNTOWN POOLER BRANCH 501 WEST HIGHWAY 80 POOLER GA 31322 CHATHAM UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 3921021 GODLEY STATION BRANCH 140 TOWNE CENTER BLVD POOLER GA 31322 CHATHAM UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 642839 QUITMAN BRANCH 1000 WEST SCREVEN ST QUITMAN GA 31643 BROOKS UNITED STATES 5802 10 AMERIS BANK 764030 OK Full Service 4538882 RICHMOND HILL BRANCH 10425 FORD AVENUE RICHMOND HILL GA 31324 BRYAN UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 3132126 RINCON BRANCH OFFICE 5799 HIGHWAY 21 SOUTH RINCON GA 31326 EFFINGHAM UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 1404847 SAINT MARYS BRANCH 2509 OSBORNE RD SAINT MARYS GA 31558 CAMDEN UNITED STATES 40324 26 AMERIS BANK 764030 OK Full Service 2336570 SAINT SIMONS ISLAND OFFICE 3811 FREDERICA ROAD SAINT SIMONS ISLAND GA 31522 GLYNN UNITED STATES 289148 24 AMERIS BANK 764030 OK Full Service 224637 DRAYTON STREET BRANCH 24 DRAYTON STREET, SUITE 100 SAVANNAH GA 31401 CHATHAM UNITED STATES Not Required Not Required AMERIS BANK 764030 CLOSE 1/20/2015 Full Service 2706182 SAVANNAH DESOTO OFFICE 300 BULL STREET SAVANNAH GA 31401 CHATHAM UNITED STATES 231758 80 AMERIS BANK 764030 OK Full Service 242538 STEPHENSON AVENUE BRANCH 412 STEPHENSON AVENUE SAVANNAH GA 31405 CHATHAM UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 527730 THOMASVILLE BRANCH 2484 EAST PINETREE BLVD THOMASVILLE GA 31792 THOMAS UNITED STATES 7207 41 AMERIS BANK 764030 OK Full Service 439833 TIFTON BRANCH 735 WEST 2ND STREET TIFTON GA 31794 TIFT UNITED STATES 11060 7 AMERIS BANK 764030 OK Full Service 159739 TIFTON FIRST STREET BRANCH 127 FIRST STREET TIFTON GA 31794 TIFT UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 3939893 TIFTON OLD OCILLA ROAD BRANCH 1911 OLD OCILLA ROAD TIFTON GA 31794 TIFT UNITED STATES 491611 68 AMERIS BANK 764030 OK Full Service 2938581 VALDOSTA BRANCH 3140 INNER PERIMETER ROAD VALDOSTA GA 31602 LOWNDES UNITED STATES 357657 12 AMERIS BANK 764030 OK Full Service 2594129 VIDALIA EAST SIDE BRANCH 1705 EAST FIRST STREET VIDALIA GA 30474 TOOMBS UNITED STATES 248520 96 AMERIS BANK 764030 OK Full Service 207537 WAYCROSS BRANCH 401 CARSWELL AVE WAYCROSS GA 31501 WARE UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 2901343 BEAUFORT BRANCH 2348 BOUNDARY ST BEAUFORT SC 29902 BEAUFORT UNITED STATES 80035 44 AMERIS BANK 764030 OK Limited Service 3923623 CHARLESTON WEST ASHLEY BRANCH 108 MAGNOLIA ROAD CHARLESTON SC 29407 CHARLESTON UNITED STATES 493975 69 AMERIS BANK 764030 OK Full Service 3807992 CHARLESTON WEST ASHLEY BRANCH 834 SAVANNAH HWY CHARLESTON SC 29407 CHARLESTON UNITED STATES 480392 64 AMERIS BANK 764030 OK Full Service 3566655 COLUMBIA SC BRANCH 1333 MAIN STREET, SUITE 100 & 200 COLUMBIA SC 29201 RICHLAND UNITED STATES 458825 45 AMERIS BANK 764030 OK Full Service 3808010 GREENVILLE BRANCH 1614 WOODRUFF ROAD GREENVILLE SC 29607 GREENVILLE UNITED STATES 478323 57 AMERIS BANK 764030 OK Full Service 4663935 GREENVILLE MAIN BRANCH 301 N. MAIN STREET, SUITE 300 GREENVILLE SC 29601 GREENVILLE UNITED STATES Not Required Not Required AMERIS BANK 764030 OK Full Service 3644580 HILTON HEAD BRANCH OFFICE THREE OFFICE WAY HILTON HEAD ISLAND SC 29928 BEAUFORT UNITED STATES 533912 97 AMERIS BANK 764030 OK Full Service 3832444 IRMO BRANCH 1200 LAKE MURRAY BOULEVARD IRMO SC 29063 LEXINGTON UNITED STATES 489875 65 AMERIS BANK 764030 OK Full Service 3894451 LEXINGTON BRANCH 701 WEST MAIN STREET LEXINGTON SC 29072 LEXINGTON UNITED STATES 489876 66 AMERIS BANK 764030 OK Full Service 3773891 MOUNT PLEASANT BRANCH 966-C HOUSTON NORTHCUTT BLVD MOUNT PLEASANT SC 29464 CHARLESTON UNITED STATES 474333 55 AMERIS BANK 764030 OK Full Service 3773912 SUMMERVILLE-MAIN BRANCH 1708 OLD TROLLEY ROAD, SUITE C SUMMERVILLE SC 29485 DORCHESTER UNITED STATES 474334 56 AMERIS BANK 764030 ADD 7/13/2016 Full Service JAX RIVERPLACE TOWER 1301 RIVERPLACE BLVD SUITE 100 JACKSONVILLE FL 32207 DUVAL UNITED STATES AMERIS BANK 764030 Fonn FR Y-6 Amerts Bancorp Fiscal Year Ending December 31 , 2016
Report Item 3: Securities holder5
Curfffl ncurlties holdef'-. with owner•hlp, control or holdings of R or mon 1SecuritlH holdet"s ,-_ listed In 3(1)(.a)through S(1)(c)thal had ownership, eontro4 wtth power to vote•• of fiacal ytW ending 12-31 ·2011 or holdlngs of 5% or mon with power to vote during the ft.cal year ending 12/S1/2011
(1)(•) (1)(b) (1)(c) (2)(•) (2)(b) (2)(0) Name Counbyal~ Nl.fflber and Pacantage d Name CounbyalC-.. Junber and Perc:waige of Cly, S-, Counlrt ...... _ Eac:ha..dVID'lg Cly. S- EachC..ofVoting _ Sea.mos -3,921 ,736- 11 .20% Wellington 1,257,772 - 3.60% BlackRock, Inc USA Common Stock Management USA Common Stock New York, NY 10055, USA Boston. MA 02210, USA
Page1 of1 Form FR Y-6 December 31 , 2016
Report Item 4: Directors and Officers
Report Item 4: (1) (2) (3) (4)a. b. C. Names & Address Principal Occupation a. Position with HC % of Voting NIA Other Companies W25% or more other than HC b. Position with Subsidiaries Shares Voting Securities are held. c. Position with Other Businesses inBHC
William I. Bowen, Jr. Owner of Bowen Donaldson a. Director. See attached - Exhibit A - Bowen Tifton, GA 31794 Home for Funerals b. Director of Ameris Bank; Chairman of the Community Board - Tifton market. USA c. Owner of Funeral Home. d. Managing Partner of Farming Enterprise (Bowen Farming Enterprises, LLC). e. Managing Partner of Bowen Land and nmber, LLC. f. Managing Partner of a farming and real estate development firm (Fulwood Family Partnership).
R. Dale Ezzell Owner of Wisecards a. Director. Wisecards Printing, Direct Mail Abbeville, AL 36310 Printing and Mailing b. Director of Ameris Bank: Chairman of the Community Board - Dothan market. Advertising, Courtyard Crossing, USA c. Owner of Computer Graphics Company. LLC (100% ownership)
Leo J. Hill Owner of Advisor Networ1< a. Director. Advisor Networ1< Solutions, LLC Largo, FL 33777 Solutions, LLC b. Director of Amens Bank. (100% ownership) USA c. Owner of Advisor Networ1< Solutions, LLC. d. Independent Lead Director for Transamerica Group of Funds.
Daniel B. Jeter Co-Owner of Standard a. Director, Chairman of Amens Bancorp. Standard Discount Corporation Moultrie, GA 31768 Discount Corporation b. Director and Chairman of Amens Bank; Director of the Community Board - Moultrie mar1 Robert P. Lynch Co-Owner of Lynch a. Director. See attached - Exhibit A - Lynch Jacksonville, FL 32210 Management Company b. Director of Amens Bank; Director of the Community Board - Jacksonville mar1 Elizabeth A McCague Owner of McCague & a. Director. McCague & Company, LLC Jacksonville, FL 32207 Company, LLC b. Director of Amens Bank. (100% Ownership) USA c. Owner of McCague & Company, LLC; mediation services firm Note: * Less than 1% Page 1 of3 Form FR Y-6 December 31, 2016 Report Item 4: Directors and Officers Report Item 4: (1) (2) (3) (4)a. b. C. Names & Address Principal Occupation a. Position with HC % of Voting NIA Other Companies ~ 25% or more other than HC b. Position with Subsidiaries Shares Voting Securities are held. c. Position with Other Businesses inBHC William H. Stem President & CEO a. Director. See attached - Exhibit A - Stem Columbia, SC 29223 Stem & Stem and Associate b. Director of Ameris Bank; Chairman of the Community Board - South Carolina mar1 Jimmy D. Veal Co-Owner of Beachview a. Director. Beachview Tent Brunswick, GA 31525 Tent Rentals, Inc. b. Director of Ameris Bank; Chairman of the Community Board - Southeast Georgia Coast market. Rentals, Inc (20%) USA c. Co-Owner of Beachview Tent Rentals , Inc. Lawton E. Bassett, Ill None a. Executive Vice President and Chief Banking Officer. None Tfiton, GA 31794 b. Executive Vice President and Chief Banking Officer of Ameris Bank. USA c. None. Andrew B. Cheney None a. Executive Vice President and Banking Group President. None Jacksonville, FL 32207 b. President of Ameris Bank. USA c. None. Jon S. Edwards None a. Executive Vice President, Chief Credit Officer and Director of Credit Administration . None Jacksonville, FL 32207 b. Executive Vice President, Chief Credit Officer and Director of Credit Administration of Ameris Bank. USA c. None. Edwin W. Hortman, Jr. None a. Director, President and Chief Executive Officer. None Jacksonville, FL 32207 b. Director and Chief Executive Officer of Ameris Bank. Director of Ameris Sub Holding Co., Inc. of Ameris Bank and Southland Real Estate USA Holdings, Inc. c. None. Joseph B. Kissel None a. Executive Vice President and Chief Information Officer. None Jacksonville, FL 32207 b. Executive Vice President and Chief Information Officer of Ameris Bank. USA c. None. James A. LaHaise None a. Executive Vice President and Chief Banking Officer. None Jacksonville, FL 32207 b. Executive Vice President and Chief Banking Officer of Ameris Bank . USA c. None. Note: * Less than 1% Page 2 of 3 Form FR Y-6 December 31 , 2016 Report Item 4: Directors and Officers Report Item 4: (1) (2) (3) (4)8. b. C. Names & Address Principal Occupation a. Position with HC % of Voting NIA Other Companies W25% or more other than HC b. Position with Subsidiaries Shares Voting Securities are held. c. Position with Other Businesses inBHC Cindi H. Lewis None a. Executive Vice President, Chief Administrative Officer and Corporate Secretary. Jacksonville, FL 32207 b. Executive Vice President, Chief Administrative Officer and Corporate Secretary of Ameris Bank. Director and Assistant Secretary of Ameris None USA Sub Holding Co., Inc. and Director of Southland Real Estate Holdings, Inc. c. None. Stephen A. Melton None a. Executive Vice President and Chief Risk Officer. None Moultrie, GA 31768 b. Executive Vice President and Chief Risk Officer of Ameris Bank. USA c. None. Dennis J. Zember Jr. None a. Executive Vice President, Chief Financial Officer and Chief Operating Officer. None Jacksonville, FL 32207 b. Executive Vice President and Chief Operating Officer of Ameris Bank. Director of Ameris Sub Holding Co., Inc. and Southland Real Estate USA Holdings, Inc. c. None. Note: • Less than 1% Page 3 of3 Exhibit A Bowen-Donaldson Home for Funerals 25.00 % Bowen Farming Enterprises 50.00 % Bowen Land and Timber, LLC 33.33 % Fulwood Family Partnership 11.06 % Bowen Family Partnership 33.33 % Exhibit A State of Corporate Name lncorp. Ownership Fairway Lincoln-Mercury, Inc. GA 5.2% Lynch Automotive Group, Inc. AL 33.3% Lynch Chevrolet Cadillac of Auburn, Inc. AL 33.3% Lynch Nissan of Auburn, Inc. AL 33.3% Lynch Management Company FL 50.0% Lynch Motor Company of Auburn, Inc. (Toyota) AL 33.3% Lynch Properties, Inc. FL 33.3% North Florida Lincoln Mercury of Orange Park, Inc. FL 14.4% (this entity owns Lynch Mgmt. Co.'s office building) North Florida Motor Company (Lincoln) FL 12.5% Shady Dale Farm GA 0% Exhibit A Stern & Stern Associates (a Partnership) 100% Stern & Stern St. Andrews (a Partnership) 100% Stern & Stern Highway No. 1, Inc. 100% Stern & Stern Garners Ferry Road Inc. 100% Ben Stern Construction Company, Inc. 100% Stern Warner Robins Property, Inc. 100% Stern Two Notch Properties, Inc. 100% Stern BB&T Building, Inc. 100% Stern Harbison Properties, Inc. 100% Stern North Towne Properties, Inc. 100% Stern Magwood Properties, Inc. 100% Stern Beltline Properties, Inc. 100% Stern Augusta Highway, LLC 100% Augusta Highway Investment, LLC 100% Stern & Stern Properties, Inc. 100% South State Properties, Inc. 100% Stern University Avenue, LLC 100% Stern Dakota Avenue, LLC 100% Stern Jeffco Blvd, LLC 100% Stern & Goldberg Partnership 50% Stern Realty Investments 100% Market Gate Fees, LLC 51% Stern First, LLC 100% SQ Investments, LLC 50% Stern Rosewood, LLC 100% Market Food Services, LLC 100% FM Building C, LLC 100% Stern Market Properties, LLC 100% WV Investments, LLC 100% Stadium Parking Associates, LLC 100% Market Outparcel Development, LLC 100% Stern Realty Partnership 25% Highway 378 Investment, LLC 25% C/T Investments LLC 100% Stern Realty Partnership II 25% Stern Aviation, LLC 100% Stern Aviation 11, LLC 100% Stern Jefferson Hwy, LLC 33 1/3%