LEI: None Many, LA Incorporated in Louisiana. Sabine State Bank and Trust Company. Sabine Insurance Agency, Inc.
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2 Report Item 2a: Organizational Chart LEI: None Many, LA Incorporated in Louisiana 100% Sabine State Bank and Trust Company LEI: None Many, LA Incorporated in Louisiana 100% Sabine Insurance Agency, Inc. LEI: None Many, LA Incorporated in Louisiana
3 Results: A list of branches for your holding : SABINE BANCSHARES, INC. ( ) of MANY, LA. 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 * 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) SABINE STATE BANK AND TRUST COMPANY 297 ELIZABETH ST MANY LA SABINE UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service BAYOU COURT BRANCH 4716 JACKSON STREET ALEXANDRIA LA RAPIDES UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service LAKE DISTRICT BRANCH, THE 203 ANSLEY BLVD ALEXANDRIA LA RAPIDES UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service BALL BRANCH 6206 MONROE HIGHWAY 165 BALL LA RAPIDES UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service BUNKIE BRANCH 306 WALNUT ST BUNKIE LA AVOYELLES UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service CHENEYVILLE BRANCH 603 FRONT ST CHENEYVILLE LA RAPIDES UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service COLFAX BRANCH 300 2ND STREET COLFAX LA GRANT UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service CONVERSE BRANCH 115 NORTH FRONT STREET CONVERSE LA SABINE UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service COUSHATTA BRANCH 1309 EAST CARROLL STREET COUSHATTA LA RED RIVER UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service DEQUINCY BRANCH 506 EAST 4TH STREET DEQUINCY LA CALCASIEU UNITED STATES Not Required Not Required SABINE STATE BANK AND TRUST COMPANY OK Full Service DOWNTOWN DERIDDER BRANCH 395 EAST FIRST STREET DERIDDER LA BEAUREGARD UNITED STATES Not Required Not Required SABINE STATE BANK AND TRUST COMPANY OK Full Service PINE STREET BRANCH 1527 NORTH PINE STREET DERIDDER LA BEAUREGARD UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service FLORIEN BRANCH 620 NORTH NOLAN TRACE FLORIEN LA SABINE UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service FOREST HILL BRANCH 4275 HIGHWAY 112 FOREST HILL LA RAPIDES UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service FORT POLK BRANCH 7640 COLORADO AVENUE FORT POLK LA VERNON UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service GLENMORA BRANCH TH AVE GLENMORA LA RAPIDES UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service HACKBERRY BRANCH 806 MAIN STREET HACKBERRY LA CAMERON UNITED STATES Not Required Not Required SABINE STATE BANK AND TRUST COMPANY OK Full Service HINESTON BRANCH 1927 HWY 121 HINESTON LA RAPIDES UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service WEST OAK STREET BRANCH 3691 WEST OAK STREET JENA LA LA SALLE UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service JONESBORO BRANCH 215 PERSHING HIGHWAY JONESBORO LA JACKSON UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service LAKE CHARLES BRANCH 4121 NELSON ROAD LAKE CHARLES LA CALCASIEU UNITED STATES Not Required Not Required SABINE STATE BANK AND TRUST COMPANY OK Full Service LECOMPTE BRANCH 1717 HIGHWAY 71 SOUTH LECOMPTE LA RAPIDES UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service LEESVILLE BRANCH 121 UNIVERSITY PARKWAY LEESVILLE LA VERNON UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Limited Service LEESVILLE BRANCH 2200B SOUTH 5TH STREET LEESVILLE LA VERNON UNITED STATES Not Required Not Required SABINE STATE BANK AND TRUST COMPANY OK Full Service LOGANSPORT BRANCH 314 MAIN STREET LOGANSPORT LA DE SOTO UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service MAMOU BRANCH 516 N MAIN MAMOU LA EVANGELINE UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service MANSFIELD BRANCH 601 POLK STREET MANSFIELD LA DE SOTO UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service NORTHSIDE BRANCH 765 N SHREVEPORT HWY MANY LA SABINE UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service TOLEDO BEND BRANCH TEXAS HIGHWAY MANY LA SABINE UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service UPTOWN BRANCH 710 SAN ANTONIO MANY LA SABINE UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service MERRYVILLE BRANCH HIGHWAY 190 WEST MERRYVILLE LA BEAUREGARD UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service MONTGOMERY BRANCH 1869 HIGHWAY 71 MONTGOMERY LA GRANT UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service KEYSER AVENUE BRANCH 737 KEYSER AVENUE NATCHITOCHES LA NATCHITOCHES UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service NATCHITOCHES DOWNTOWN BRANCH 780 FRONT STREET, SUITE 103 NATCHITOCHES LA NATCHITOCHES UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service NATCHITOCHES WEST BRANCH 5769 HIGHWAY 1 BYPASS NATCHITOCHES LA NATCHITOCHES UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service OAKDALE BRANCH 401 E 5TH AVE OAKDALE LA ALLEN UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service OBERLIN BRANCH 110 NORTH FIFTH STREET OBERLIN LA ALLEN UNITED STATES Not Required Not Required SABINE STATE BANK AND TRUST COMPANY OK Full Service PINEVILLE BRANCH 2704 HIGHWAY 28 E. PINEVILLE LA RAPIDES UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service PLEASANT HILL BRANCH 1970 WEST MAIN STREET PLEASANT HILL LA SABINE UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service RINGGOLD BRANCH 2336 MILL STREET RINGGOLD LA BIENVILLE UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Limited Service ROBELINE BRANCH 9048 TEXAS STREET ROBELINE LA NATCHITOCHES UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service SALINE BRANCH TH STREET SALINE LA BIENVILLE UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service SULPHUR BRANCH 1900 MAPLEWOOD DRIVE SULPHUR LA CALCASIEU UNITED STATES Not Required Not Required SABINE STATE BANK AND TRUST COMPANY OK Full Service URANIA BRANCH 6669 TANNEHILL DR URANIA LA LA SALLE UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service COURT STREET BRANCH 401 WEST COURT STREET WINNFIELD LA WINN UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service WINNFIELD BRANCH 5917 HWY 167 N WINNFIELD LA WINN UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service ZWOLLE BRANCH 2087 OBRIE STREET ZWOLLE LA SABINE UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service BURKEVILLE BRANCH 483 STATE HIGHWAY 63 EAST BURKEVILLE TX NEWTON UNITED STATES Not Required Not Required SABINE STATE BANK AND TRUST COMPANY OK Full Service CENTER BRANCH 205 HURST ST CENTER TX SHELBY UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service HEMPHILL BRANCH 425 HIGHWAY 87 NORTH HEMPHILL TX SABINE UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service SIX MILE BRANCH 9900 HIGHWAY 87 SOUTH HEMPHILL TX SABINE UNITED STATES SABINE STATE BANK AND TRUST COMPANY OK Full Service JASPER BRANCH 565 EAST GIBSON STREET JASPER TX JASPER UNITED STATES SABINE STATE BANK AND TRUST COMPANY
4 Report Item 3: Securities Holders Current Securities Holders with ownership, control or holdings of 5% or more with power to vote as of fiscal year ending 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 (1)(a) (1)(b) (1)(c) (2)(a) (2)(b) (2)(c) Name & Address (City, State, Country) Country of Citizenship or Incorporation Number and Percentage of Each Class of Voting Securities Name & Address Country of Citizenship or Incorporation Number and Percentage of Each Class of Voting Securities James R. Cole, Jr. USA 4, % common stock N/A Cynthia A. Cole Hemphill, TX, USA USA 4, % common stock James R. Cole, Sr. Family Trust James R. Cole, Jr. - Trustee USA 1, % common stock DALOCO Trust USA % common stock Elizabeth A. Cole* - Trustee *Spouse of James R. Cole, Jr. Page 1 of 1
5 other than with holding holding Other Businesses Subsidiaries (include (include names of names of subsidiaries) other businesses) (List names of Subsidiaries (include percentage of voting names of subsidiaries) securities held) Conrad L. Cathey Zwolle, LA, USA Concrete Batch Plant Operator Director Member - JEC, 0.08% N/A JEC, (50%) Cynthia A. Cole Hemphill, TX, USA Retired Banker N/A N/A N/A 44.36% N/A N/A James R. Cole, Jr. N/A Director & Chairman Director & Chairman (Sabine State Member - Clueless Investments, 40.35% N/A Clueless Investments (25%) James R. Cole, Sr. Family Trust Director & Chairman (Sabine Insurance Agency) Member - Diddle Investments, Diddle Investments (50%) N/A N/A N/A N/A 10.02% N/A N/A James R. Cole, Jr., Trustee Willie J. Corley, Jr. Many, LA, USA Physician, Family Practice Director Partner and Medical Director - Toledo Nursing Center President - L&B Enterprises Chief of Staff - Sabine Medical Center Partner - JAC Partnership Partner - Toledo Medical 0.08% N/A L&B Enterprises (66%) JAC Partnership (25%) Toledo Medical (25%) Corley Cattle Company, Inc. (100%) JACC Properties, (25%) Page 1 of 6
6 other than with holding holding Other Businesses Subsidiaries (include (include names of names of subsidiaries) other businesses) President - Corley Cattle Company, Inc. Member - JACC Properties, Partner - Sabine Retirement & Rehabilitation Owner - Jack Corley, MD, Investments Member - Many Medical Associates, Member - NPG II, Member - Meridian Medical Supply Member - NPG, Subsidiaries (include names of subsidiaries) (List names of percentage of voting securities held) Jack Corley, MD, Investments (100%) Page 2 of 6
7 other than with holding holding Subsidiaries (include names of subsidiaries) Other Businesses (include names of other businesses) Member and Director - Northwestern LA Cancer Center (List names of Subsidiaries (include percentage of voting names of subsidiaries) securities held) DALOCO Trust N/A N/A N/A N/A 4.01% N/A N/A Elizabeth A. Cole*, Trustee Charles B. Henderson, Sr. Frisco, TX, USA Funeral Home Manager Director President & CEO - FamilyCare, Inc. President & CEO - Henderson Investments, 0.08% N/A FamilyCare, Inc. (100%) Henderson Investments, (100%) Lee H. McCann Many, N/A Director Director, President, LA, USA CEO and COO (Sabine State N/A 0.46% N/A N/A Joe D. Niswanger Many, LA, USA Military Contractor Director Member - MTP Drivetrain Services, 0.08% N/A MTP Drivetrain Services, (70%) Member - Millhaven Properties, Member - The Generator Store, Member - TBC Products, President - Many Gear & Axle, Inc. Millhaven Properties, (100%) The Generator Store, (75%) TBC Products, (85%) Many Gear & Axle, Inc. (89%) Page 3 of 6
8 other than with holding holding Other Businesses Subsidiaries (include (include names of names of subsidiaries) other businesses) Member - JoeGear Properties, Member - Powertrain of Shreveport, (List names of Subsidiaries (include percentage of voting names of subsidiaries) securities held) JoeGear Properties, (100%) Powertrain of Shreveport, (85%) Member - Yellow Wood, Yellow Wood, (100%) Member - Toro, Toro, (100%) President - Consolidated Consolidated Truck Truck Parts, Inc. Parts, Inc. (51%) Edith J. Palmer Many, Retired High School LA, USA Business Teacher Director Member - JEC, 0.08% N/A JEC, (50%) Charles A. Richey Many, LA, USA Retired, Wholesale Oil and Gas Distributor President & Director N/A 0.08% N/A N/A Stanley R. Russell Zwolle, LA, USA N/A Vice President, Assistant Secretary to Treasurer, and Assistant the Board & Senior Vice Secretary to the Board President (Sabine State N/A 0.04% N/A N/A Jay H. Sheffield Certified Public Accountant Director Member/Manager - Sheffield & Sheffield, Member/Manager - Black Wolf Capital Partners, 0.08% N/A Sheffield & Sheffield, (50%) Black Wolf Capital Partners, (90%) Stephen R. Shelton Winnfield, LA, USA Pharmacist Director Member - Shelton Property West Court Division, 0.08% N/A Shelton Property West Court Division, (50%) Page 4 of 6
9 other than with holding holding Other Businesses Subsidiaries (include (include names of names of subsidiaries) other businesses) President - Shelton's Pharmacy, Inc. President - Pharmacy Services of Winnfield, Inc. Member - Shelton Property Country Club, Member - Shelton Property Rural Acreage, Member - Shelton Property Business District, President - Winn Fuel Services, Inc. (List names of Subsidiaries (include percentage of voting names of subsidiaries) securities held) Shelton's Pharmacy, Inc. (90%) Pharmacy Services of Winnfield, Inc. (90%) Shelton Property Country Club, (50%) Shelton Property Rural Acreage, (50%) Shelton Property Business District, (50%) Winn Fuel Services, Inc. (100%) John R. Smith Leesville, LA, USA State Senator Director Partner - Smith Investment Partnership 0.08% N/A Smith Investment Partnership (33%) President - Smith Villa, Smith Villa, Inc. (33%) Inc. Partner - Colony Apartments Colony Apartments (25%) Partner - A & R Partnership A & R Partnership (100%) Member - A & R, A & R, (100%) Member - SS&B of Leesville, Page 5 of 6
10 other than with holding holding Subsidiaries (include names of subsidiaries) Other Businesses (include names of other businesses) Member - Smith Rental Properties, Member - Car Wash of New Llano Louisiana (List names of Subsidiaries (include percentage of voting names of subsidiaries) securities held) John L. Whitehead N/A Secretary to the Board Secretary to the Board & Member - Demeziere Senior Vice President Investments, (Sabine State 0.01% N/A Demeziere Investments, (50%) *Spouse of James R. Cole, Jr. Page 6 of 6
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