UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 15
CERTIFICATION AND NOTICE OF TERMINATION OF REGISTRATION UNDER SECTION
12(G) OF THE SECURITIES EXCHANGE ACT OF 1934 OR SUSPENSION OF DUTY TO
FILE REPORTS UNDER SECTION 13 AND 15(D) OF THE SECURITIES EXCHANGE ACT OF
1934.
Commission File Number: 33-28050-A
FIRST CLAYTON BANCSHARES, INC.
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(Exact name of registrant as specifiede in its charter)
Village Shopping Center, Hwy. 441, Clayton, Georgia 30525 (706) 782-7100
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(Address, including zip code, and telephone number, including
area code, of registrant's principal executive offices)
Common Stock
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(Title of each class of securities covered by this Form)
None
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(Titles of all other classes of securities for which a duty to file
reports under Section 139a) or 15(d) remains)
Please place an X in the box(es) to designate the appropriate rule
provision(s)relied upon to terminate or suspend the duty to file reports:
Rule 12g-4(a)(1)(i) [ ] Rule 12h-3(b)(1)(ii) [ ]
Rule 12g-4(a)(1)(ii) [ ] Rule 12h-3(b)(2(i) [ ]
Rule 12g-4(a)(2)(i) [ ] Rule 12h-3(b)(2)(ii) [ ]
Rule 12g-4(a)(2)(ii) [ ] Rule 15d-6 [X]
Rule 12h-3(b)(1)(i) [ ]
Approximate number of holders of record as of the certification or
notice date: 0
Pursuant to the requirements of the Securities Exchange Act of 1934
United Community Banks, Inc. as Successor to First Clayton Bancshares,
Inc. has caused this certification/notice to be signed on its behalf by
the undersigned duly authorized person.
DATE: September 16, 1997 BY: /s/ Christopher J. Bledsoe
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Christopher J. Bledsoe
Chief Financial Officer
Instruction: This form is required by Rule 12g-4, 12h-3 and 15d-6 all of
the General Rules and Regulations under the Securities Exchange Act of
1934. The registrant shall file with the Commission three copies of Form
15, one of which shall be manually signed. It may be signed by an officer
of the registrant, by counsel or by any other duly authorized person. The
name and title of the person signing the form shall be typed or printed
under the signature.
