SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Mitchell William C

(Last) (First) (Middle)
P O BOX 249

(Street)
THOMASVILLE AL 36784

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/23/2012
3. Issuer Name and Ticker or Trading Symbol
UNITED SECURITY BANCSHARES INC [ USBI ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Pre/CEO-Acceptance Loan Co Inc
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock, Par Value $.01 2,389(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. Shares held in the United Security Bancshares, Inc. Employee Stock Ownership Plan (With 401(k) Provisions).
Remarks:
The Board of Directors of United Security Bancshares, Inc. (the "Company") determined by resolution at its meeting on February 23, 2012, that, based on his performance of certain significant policy-making functions for the Company in his position as President and Chief Executive Officer of the Company's subsidiary, Acceptance Loan Company, Inc., Mr. Mitchell is now to be considered an "officer" of the Company for purposes of Section 16 of the Securities Exchange Act of 1934.
/s/ William C. Mitchell 03/05/2012
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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