Filing Details

Accession Number:
0000927089-10-000299
Form Type:
4
Zero Holdings:
No
Publication Time:
2010-12-01 11:47:29
Reporting Period:
2010-11-30
Filing Date:
2010-12-01
Accepted Time:
2010-12-01 11:47:29
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1493491 Heritage Financial Group Inc HBOS Savings Institution, Federally Chartered (6035) 000000000
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1325808 D Antone Lehr C/O Heritage Financial Group, Inc.
721 North Westover Boulevard
Albany GA 31707
Yes No No Yes
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2010-11-30 10,000 $10.00 10,000 No 4 P Direct
Common Stock Acquisiton 2010-11-30 17,677 $0.00 27,677 No 4 J Direct
Common Stock Acquisiton 2010-11-30 9,130 $0.00 36,807 No 4 J Indirect By spouse
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
No 4 J Direct
No 4 J Indirect By spouse
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Stock Appreciation Right Acquisiton 2010-11-30 23,071 $0.00 23,071 $14.97
Common Stock Stock Option (Right to Buy) Acquisiton 2010-11-30 23,071 $0.00 23,071 $14.97
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
23,071 2007-05-19 2016-05-19 No 4 J Direct
23,071 2007-05-19 2016-05-19 No 4 J Direct
Footnotes
  1. In accordance with the Plan of Conversion and Reorganization of Heritage, MHC, effective November 30, 2010, each outstanding share of common stock of Heritage Financial Group was exchanged for 0.8377 shares of Heritage Financial Group, Inc.'s common stock.
  2. In accordance with the Plan of Conversion and Reorganization of Heritage, MHC, effective November 30, 2010, each outstanding stock appreciation right and stock option for a share of common stock of Heritage Financial Group was exchanged for a stock appreciation right and stock option for 0.8377 shares of Heritage Financial Group, Inc.'s common stock, rounded down to the nearest share. The exercise price for Heritage Financial Group, Inc. stock appreciation right and stock option was determined by dividing the original exercise price of the exchanged Heritage Financial Group stock appreciation right and stock option by the 0.8377 exchange ratio, rounded up to the nearest whole cent. The Heritage Financial Group, Inc. stock appreciation rights and stock options continue to vest in five equal installments as noted in footnote 3.
  3. The stock appreciation rights and stock options were granted under the 2006 Equity Incentive Plan to vest in five equal annual installments beginning on May 19, 2007.
  4. The stock appreciation rights and stock options were granted in tandem. Accordingly, the exercise of one results in the termination of the other.