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SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-C
REPORT BY ISSUER OF SECURITIES QUOTED ON NASDAQ
INTERDEALER QUOTATION SYSTEM
FILED PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934 AND RULE 13a-17
OR 15d-17 THEREUNDER
Citi-Bancshares, Inc.
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(Exact name of issuer as specified in charter)
1201 North Boulevard West, Leesburg, Florida 34748
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(Address of principal executive offices)
Issuer's telephone number, including area code (352) 787-5111
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I. CHANGE IN NUMBER OF SHARES OUTSTANDING
Indicate any change (increase or decrease) of 5% or more in the number
of shares outstanding:
1. Title of security Common Stock, $.01 par value
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2. Number of shares outstanding before the change 4,047,643
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3. Number of shares outstanding after the change 4,472,643
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4. Effective date of change April 19, 1996
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5. Method of change: Specify method (such as merger, acquisition, exchange,
distribution, stock split, reverse split, acquisition of stock for treasury,
etc.) Merger
Give brief description of transaction: Effective April 19, 1996, Citizens First
Bancshares, Inc. ("CFB") merged (the "Merger") with and into Citi-Bancshares,
Inc. ("CBI"). Pursuant to Merger CBI issued 425,000 shares of its $.01 par
value Common Stock to shareholders of CFB.
II. CHANGE IN NAME OF ISSUER
1. Name prior to change
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2. Name after change
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3. Effective date of charter amendment changing name
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4. Date of shareholder approval of change, if required
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Date April 23, 1996 /s/ T. Michael Killingsworth
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(Officer's signature and title)
