AMENDED
Annual Report of Bank Holding Company FR Y-6 December 31, 2016 1a. Form 10-K: 1b. Annual Report to Shareholders: 2a. Organizational Chart: Bi-Stone Bancshares, Inc. Mexia, Texas Incorporated in Texas LEI: N/A Incommons Bank N.A. Mexia, Texas LEI: N/A 100% of all voting Common Stock No other Class of stock issued.
Results: A list of branches for your depository institution: INCOMMONS BANK, NATIONAL ASSOCIATION (ID_RSSD: 414858) This depository institution is held by BI STONE BANCSHARES, INC. (2227481) of MEXIA, TX The data are as of 12/31/2016. Data reflects information that was received and processed through 01/10/2017. Reconciliation and Verification Steps 1. In the Data Action column of each branch row, enter one or more of the actions specified below 2. If required, enter the date in the Effective Date column Actions OK: If the branch information is correct, enter 'OK' in the Data Action column. Change: If the branch information is incorrect or incomplete, revise the data, enter 'Change' in the Data Action column and the date when this information first became valid in the Effective Date column. Close: If a branch listed was sold or closed, enter 'Close' in the Data Action column and the sale or closure date in the Effective Date column. Delete: If a branch listed was never owned by this depository institution, enter 'Delete' in the Data Action column. Add: If a reportable branch is missing, insert a row, add the branch data, and enter 'Add' in the Data Action column and the opening or acquisition date in the Effective Date column. If printing this list, you may need to adjust your page setup in MS Excel. Try using landscape orientation, page scaling, and/or legal sized paper. Submission Procedure When you are finished, send a saved copy to your FRB contact. See the detailed instructions on this site for more information. If you are e mailing this to your FRB contact, put your institution name, city and state in the subject line of the e mail. Note: To satisfy the FR Y 10 reporting requirements, you must also submit FR Y 10 Domestic Branch Schedules for each branch with a Data Action of Change, Close, Delete, or Add. The FR Y 10 report may be submitted in a hardcopy format or via the FR Y 10 Online application https://y10online.federalreserve.gov *FDIC UNINUM, Office Number, and ID_RSSD columns are for reference only. Verification of these values is not required Data Action Effective Date Branch Service Type Branch ID_RSSD* Popular Name Street Address City State Zip Code County Country FDIC UNINUM* Office Number* Head Office Head Office ID_RSSD* Comments OK Full Service (Head Office) 414858 INCOMMONS BANK, NATIONAL ASSOCIATION 301 E COMMERCE MEXIA TX 76667 2821 LIMESTONE UNITED STATES 2163 0 INCOMMONS BANK, NATIONAL ASSOCIATION 414858 OK Full Service 2387170 COOLIDGE BRANCH 123 BELL ST COOLIDGE TX 76635 LIMESTONE UNITED STATES 196102 4 INCOMMONS BANK, NATIONAL ASSOCIATION 414858 OK Full Service 3546385 FAIRFIELD BRANCH 415 W COMMERCE ST FAIRFIELD TX 75840 FREESTONE UNITED STATES 196362 3 INCOMMONS BANK, NATIONAL ASSOCIATION 414858 OK Full Service 2661562 MART BRANCH 714 E TEXAS MART TX 76664 MCLENNAN UNITED STATES Not Required Not Required INCOMMONS BANK, NATIONAL ASSOCIATION 414858 OK Full Service 3536564 ROSEBUD BRANCH 339 MAIN ST ROSEBUD TX 76570 FALLS UNITED STATES Not Required Not Required INCOMMONS BANK, NATIONAL ASSOCIATION 414858 OK Full Service 4201542 WACO BRANCH 5400 CROSSLAKE PARKWAY WACO TX 76712 MCLENNAN UNITED STATES 492968 5 INCOMMONS BANK, NATIONAL ASSOCIATION 414858
3. Shareholders that own 5% or more of the voting class of stock: 1. Current shareholders a. Greg Stubbs Raymond Hughes Dillard Betty L. Stubbs Edward O. Price, Jr. Bryan, TX William G McCullough Brad Butler Wortham, TX Ben Evalyn Green b. All are U. S. Citizens c. Greg Stubbs owns 182.125 shares or 9.27% of the voting stock, Brad Butler own 190.125 shares or 9.68% of the voting common stock. Ed Price owns 266.25 shares or 13.56% of the voting common stock. Ben Evalyn Green and Bill McCullough own 289.75 shares each or 14.75% of the voting stock and R Hughes Dillard and Betty Stubbs own 286.25 shares each or 14.57% of the voting common stock. 2. Shareholders owning stock during the past year not listed under Section 1
AMENDED ANNUAL REPORT FR Y 6 4. Directors & Officers BISTONE BANCSHARES, INC Name & Address of each Percentage Title/Position Title/Position Percentage of shares Exec Officer, Director Position with Shares Owned of Shares w/ subsidiaries w/ other businesses in other businesses and 10% Shareholder Citizenship Occupation Holding Company Percentage in Subsidiaries only if greater than 25% Greg Stubbs USA Banker President & 9.27% Director Incommons Bank President & CEO Betty L Stubbs USA Investor Director 14.57% Edward O Price Jr USA Retired Chairman of the 13.56% Bryan, TX Petroleum Board/Director William G McCullough USA Propane Distributor Vice Chairman 14.75% Owner/Propane Energy Propane Energy 100% Raymond Hughes Dillard USA Investor Director 14.57% Owner/Petroleum Products Petroleum Products 50% Owner/JohnsonDillard Inc. JohnsonDillard Inc. 93% Partner/D&F Partners D&F Partners 50% Ben Evalyn Green USA Investor Director 14.75% Brad Butler USA Banker Treasurer 9.68% Wortham, TX Incommons Bank EVP/CFO/COO Managing Partner/Butler 1906 LLC Butler 1906 LLC 33% Limited Partner/Butler 1906 Partnership LTD Butler 1906 Partnership LTD 33%