UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20429
Form 10-KSB/A
(MARK ONE)
| x | ANNUAL REPORT UNDER SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the fiscal year ended December 31, 2004
| ¨ | TRANSITION REPORT UNDER SECTION 13 OR 15(b) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the transition period from to
Commission file number 0000-50313
SURREY BANCORP
(Name of Small Business Issuer in its Charter)
| NORTH CAROLINA | 59-3772016 | |
| (State or Other Jurisdiction of incorporation or organization) |
(IRS Employer Identification No.) |
145 North Renfro Street (P.O. Box 1227); Mount Airy, NC 27030
(Address of Principal Executive Office)
(336) 783-3900
(Issuer’s telephone number, including area code)
Securities registered pursuant to Section 12(b) of the Act:
NONE
Securities registered pursuant to Section 12(g) of the Act:
COMMON STOCK, NO PAR VALUE
(Title of Class)
Check whether the issuer (1) has filed all reports required to be filed by Section 13 of 15(d) of the Securities Exchange Act of 1934 during the past 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. YES x NO ¨
Check if there is no disclosure of delinquent filers in response to Item 405 of Regulation S-B contained in this form, and no disclosure will be contained, to the best of registrant’s knowledge, in definitive proxy information statements incorporated by reference in Part III of this Form 10-KSB or any amendment to this Form 10-KSB. x
The issuer’s revenues for its most recent fiscal year were $10,744,074.
The aggregate market value of the voting stock as of March 18, 2005 held by non-affiliates of the registrant computed by reference to the price at which the stock was sold, or the average bid and asked price of such stock, as of a specific date within the last 60 days was $19,773,840.
1,211,642 shares of the Issuer’s common stock were issued and outstanding as of March 18, 2005.
DOCUMENTS INCORPORATED BY REFERENCE
The annual report to security holders for fiscal year ended December 31, 2004, is incorporated by reference into Form 10-KSB Part II, Items 6 and 7, and Part III, Item 13. The issuer’s Proxy Statement dated March 30, 2005, is incorporated by reference into Form 10-KSB Part III, Items 9, 10, 11, 12 and 14.
The signature page of the Form 10-KSB for Surrey Bancorp, originally filed on March 24, 2005, is being resubmitted with proper signatures. The original filing omitted the required signatures.
SIGNATURES
In accordance with Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant caused this report to be signed on behalf by the undersigned, thereunto duly authorized
| SURREY BANCORP | ||
| 3/24/05 |
/s/ Edward C. Ashby, III | |
| Date | Edward C. Ashby, III | |
| President and Chief Executive Officer | ||
In accordance with the Exchange Act, this report has to be signed below by the following persons on behalf of the registrant and in the capacity and on the dates indicated.
| Signature |
Title |
Date | ||
| /s/ Edward C. Ashby, III |
Director, President and Chief Executive Officer | 03/24/05 | ||
| Edward C. Ashby, III | ||||
| /s/ Mark H. Towe |
Sr. Vice President and Chief Financial Officer | 03/24/05 | ||
| Mark H. Towe | ||||
| /s/ William A. Johnson |
Director | 03/24/05 | ||
| William A. Johnson | ||||
| /s/ Elizabeth Johnson Lovill |
Director | 03/24/05 | ||
| Elizabeth Johnson Lovill | ||||
| /s/ Robert H. Moody |
Director | 03/24/05 | ||
| Robert H. Moody | ||||
| /s/ Tom G. Webb |
Director | 03/24/05 | ||
| Tom G. Webb | ||||
| /s/ Hylton Wright |
Director | 03/24/05 | ||
| Hylton Wright | ||||
| /s/ Gene Rees |
Director | 03/24/05 | ||
| Gene Rees | ||||
| /s/ Buddy Williams |
Director | 03/24/05 | ||
| Buddy Williams | ||||