SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
(Rule 13d - 102)
INFORMATION TO BE INCLUDED IN STATEMENTS FILED
PURSUANT TO RULES 13d-1(b) AND (c) AND AMENDMENTS
THERETO FILED PURSUANT TO 13d-2(B)
(Amendment No. N/A)1/
GREATER ROME BANCSHARES, INC.
(Name of Issuer)
Common Stock
(Title of Class of Securities)
392336103
(CUSIP Number)
Check the appropriate box to designate the rule pursuant to which this Schedule
is filed:
|_| Rule 13d-1(b)
|X| Rule 13d-1(c)
|_| Rule 13d-1(d)
1/The remainder of this cover page shall be filled out for a reporting person's
initial filing on this form with respect to the subject class of securities, and
for any subsequent amendment containing information which would alter the
disclosures provided in a prior cover page.
The information required in the remainder of this cover page shall not be deemed
to be "filed" for the purpose of Section 18 of the Securities Exchange Act of
1934 or otherwise subject to the liabilities of that section of the Act but
shall be subject to all other provisions of the Act (however, see the Notes).
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SCHEDULE 13G
CUSIP NO. 392336103
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1 NAME OF REPORTING PERSON
I.R.S. IDENTIFICATION NO. OF ABOVE PERSON (ENTITIES ONLY)
Thomas D. Caldwell, III
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2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) |_|
N/A (b) |_|
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3 SEC USE ONLY
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4 CITIZENSHIP OR PLACE OF ORGANIZATION
United States
- ---------------------------------==============================================
NUMBER OF 5 SOLE VOTING POWER
SHARES
BENEFICIALLY 40,100
OWNED BY
EACH
REPORTING
PERSON
WITH
----==============================================
6 SHARED VOTING POWER
0
----==============================================
7 SOLE DISPOSITIVE POWER
40,100
----==============================================
8 SHARED DISPOSITIVE POWER
0
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9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
40,100
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10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES |_|
===============================================================================
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
5.60%
===============================================================================
12 TYPE OF REPORTING PERSON
IN
===============================================================================
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Schedule 13G
Item 1(a). Name of Issuer:
Greater Rome Bancshares, Inc.
Item 1(b). Address of Issuer's Principal Executive Offices:
1490 Martha Berry Boulevard
P. O. Box 5271
Rome, Georgia 30162-5271
Item 2(a). Name of Person Filing:
Thomas D. Caldwell, III
Item 2(b). Address of Principal Business Office or, if None, Residence:
1490 Martha Berry Boulevard
P. O. Box 5271
Rome, Georgia 30162-5271
Item 2(c). Citizenship:
United States
Item 2(d). Title of Class of Securities:
Common Stock, $.01 par value
Item 2(e). CUSIP Number:
392336103
Item 3. If this statement is filed pursuant to Rules 13d-1(b), or 13d-2(b),
check whether the person filing is:
N/A
Item 4. Ownership as of December 31, 1998
(a) Amount beneficially owned: 40,100 (includes 15,000 shares subject to
options which Mr. Caldwell has the right to exercise within 60 days
after December 31, 1998)
(b) Percent of class: 5.6%
(c) Number of shares as to which such person has
(i) sole power to vote or direct the vote: 40,100
(ii) shared power to vote or direct the vote: 0
(ii) sole power to dispose or to direct the disposition of: 40,100
(iv) shared power to dispose or direct the disposition of: 0
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Item 5. Ownership of Five Percent or Less of a Class:
N/A
Item 6. Ownership of More than Five Percent on Behalf of Another Person:
N/A
Item 7. Identification and Classification of the Subsidiary Which Acquired the
Security Being Reported on by the Parent Holding Company:
N/A
Item 8. Identification and Classification of the Members of the Group:
N/A
Item 9. Notice of Dissolution of Group:
N/A
Item 10. Certification:
By signing below I certify that, to the best of my knowledge and
belief, the securities referred to above were not acquired and are not held for
the purpose of or with the effect of changing or influencing the control of the
issuer of the securities and were not acquired and are not held in connection
with or as a participant in any transaction having that purpose or effect.
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Shedule 13G
SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I
certify that the information set forth in this statement is true, complete and
correct.
Date: February 10, 1999
Signature: /s/ Thomas D. Caldwell, III
Name: Thomas D. Caldwell, III
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