OMB APPROVAL
OMB Number:.......3235-005
Expires: June 30, 1991
Average estimated burden
hours per response.........2.50
SEC FILE NUMBER: 0-27590
CUSIP NUMBER: 814055109
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 12b-25
NOTIFICATION OF LATE FILING
(Check One): |_| Form 10-K |_| Form 20-F |_| Form 11-K |_| Form 10-Q |_|
Form N-SAR |_| Form 10-KSB |X| Form 10-QSB
For Period Ended: September 30, 1996
|_| Transition Report on Form 10-K
|_| Transition Report on Form 20-F
|_| Transition Report on Form 11-K
|_| Transition Report on Form 10.Q
|_| Transition Report on Form N-SAR For the
Transition Period Ended:
- -------------------------------------------------------------------------------
Read Instructions (on back page) Before Preparing Form. Please Print or
Type. Nothing in this form shall be construed to imply that the Commission has
verified any information contained herein.
- -------------------------------------------------------------------------------
If the notification relates to a portion of the filing checked above, identify
the Item(s) to which the notification relates:
PART I--REGISTRANT INFORMATION
Full Name of Registrant: SECURITY BANK HOLDING COMPANY
Former Name if Applicable
Address of Principal Executive Office (Street and Number): 170 S. Second St.
City, State and Zip Code: Coos Bay, Oregon 97420
PART II-RULES 12b-25(b) AND (c)
If the subject report could not be filed without unreasonable effort or expense
and the registrant seeks relief pursuant to Rule 12b-25b, the following should
be completed. (Check box if appropriate) |X|
(a) The reasons described in reasonable detail in Part III of this form
could not be eliminated without unreasonable effort or expenses;
(b) The subject annual report, semi-annual report, transition report on
Form 10-K or 10KSB, Form 20-F, 11-K, Form N-SAR, or portion thereof, will be
filed on or before the fifteenth calendar day following the prescribed due date;
or the subject quarterly report or transition report on Form 10-Q or 10-QSB, or
portion thereof will be filed on or before the fifth calendar day following the
prescribed due date; and
(c) The accountant's statement or other exhibit required by Rule 12b-25(c)
has been attached if applicable.
PART III--NARRATIVE
State below in reasonable detail the reasons why the Form 10-K, 10-KSB,
20-F, 11-K, 10-Q, 10QSB, N-SAR, or the transition report or portion thereof,
could not be filed within the prescribed time period. (Attach Extra Sheets if
Needed)
<PAGE>
The Registrant is filing a report on Form 10-QSB for the first time
since becoming subject to the reporting requirements of Section 13 or 15(d) of
the Securities Exchange Act of 1934. The Registrant encountered unexpected
delays in collecting the necessary data and in preparing the financial
information and Management's Discussion and Analysis portions of the report.
Additionally, certain key people involved in the preparation of the report were
absent or out of the office due to illness during the two weeks before this
filing was due.
PART IV-OTHER INFORMATION
(1) Name and telephone number of person to contact in regard to this
notification
Marc Williams (541) 267-2712
--------------------- ----------------- ---------------
(Name) (Area Code) (Telephone Number)
(2) Have all other periodic reports required under Section 13 or 15(d) of
the Securities Exchange Act of 1934 or Section 30 of the Investment Company Act
of 1940 during the preceding 12 months (or for such shorter period that the
registrant was required to file such reports) been filed? If answer is no,
identify report(s). |X| Yes |_| No
(3) Is it anticipated that any significant change in results of operations
from the corresponding period for the last fiscal year will be reflected by the
earnings statements to be included in the subject report or portion thereof?
|_| Yes |X| No
If so, attach an explanation of the anticipated change, both narratively
and quantitatively, and, if appropriate, state the reasons why a reasonable
estimate of the results cannot be made.
SECURITY BANK HOLDING COMPANY
(Name of Registrant as Specified in Charter)
has caused this notification to be signed on its behalf by the undersigned
hereunto duly authorized.
Date: November 14, 1996 By /s/ Marc C. Williams
Marc C. Williams,
Vice President and Controller
(Name and Title of Authorized Officer)
INSTRUCTION: The form may be signed by an executive officer of the registrant or
by any other duly authorized representative. The name and title of the person
signing the form shall be typed or printed beneath the signature. If the
statement is signed on behalf of the registrant by an authorized representative
(other than an executive officer), evidence of the representative's authority to
sign on behalf of the registrant shall be filed with the form.
<PAGE>
