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COMMISSION FILE NUMBER
333-109586
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 X Form 11-K _ Form 10-QSB _ Form N-SAR
For Period Ended: December 31, 2003
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[ ] 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 attached instruction sheet 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:
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PART I - REGISTRANT INFORMATION
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Full Name of Registrant
Thomasville Bancshares, Inc.
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Former Name if Applicable
N/A
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Address of Principal Executive Office (Street and Number)
301 North Broad Street
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City, State and Zip Code
Thomasville, Georgia 31792
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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-25(b), the following should
be completed. (Check box if appropriate) X
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(a) The reasons described in reasonable detail in Part III of this form
could not be eliminated without unreasonable effort or expense;
(b) The subject annual report, semi-annual report, transition report on
Form 10-K, Form 20-F, 11-K or 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 of transition report on Form 10-Q, 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 Forms 10-K, 20-F, 11-K,
10-Q, N-SAR, or the transition report or portion thereof, could not be filed
within the prescribed time period.
MANAGEMENT OF THE COMPANY HAS BEEN UNABLE TO COMPLETE THE PREPARATION OF
THE COMPANY'S ANNUAL REPORT OF THE THOMASVILLE BANCSHARES, INC. 401(K) PROFIT
SHARING PLAN ON FORM 11-K FOR THE FISCAL YEAR ENDED DECEMBER 31, 2003 BY THE
PRESCRIBED DUE DATE OF JUNE 28, 2004 BECAUSE THE COMPANY'S INDEPENDENT AUDITOR,
FRANCIS & CO., CPAS, WAS UNABLE TO COMPLETE ITS AUDIT AND ISSUE ITS REPORT IN A
TIMELY MANNER IN ORDER TO MEET THE FILING DEADLINE. A LETTER FROM FRANCIS & CO.
REGARDING ITS INABILITY TO ISSUE ITS REPORT IN A TIMELY MANNER IS ATTACHED
HERETO.
Part IV - OTHER INFORMATION
(1) Name and telephone number of person to contact in regard to this
notification
Stephen H. Cheney (229) 226-3300
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(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 report(s) been filed? If answer is no,
identify report(s). X Yes No
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(3) Is it anticipated that any significant change in results of
operations from the corresponding period for the last year will be reflected by
the earnings statements to be included in the subject report or portion thereof?
Yes X No
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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.
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THOMASVILLE BANCSHARES, INC.
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(Name of Registrant as Specified in Charter)
has caused this notification to be signed on its behalf by the undersigned
hereunto duly authorized.
Date June 29, 2004 By: /s/ Stephen H. Cheney
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Chairman and Chief Executive 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.
ATTENTION
INTENTIONAL MISSTATEMENTS OR OMISSIONS OF FACT CONSTITUTE FEDERAL CRIMINAL
VIOLATIONS (SEE 18 U.S.C. 1001).