0001104659-21-133186.txt : 20211102 0001104659-21-133186.hdr.sgml : 20211102 20211102172416 ACCESSION NUMBER: 0001104659-21-133186 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211031 FILED AS OF DATE: 20211102 DATE AS OF CHANGE: 20211102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Adkins Vance W. CENTRAL INDEX KEY: 0001570353 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22345 FILM NUMBER: 211372611 MAIL ADDRESS: STREET 1: SEVERN BANCORP, INC. STREET 2: 200 WESTGATE CIRCLE, SUITE 200 CITY: ANNAPOLIS STATE: MD ZIP: 21401 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SHORE BANCSHARES INC CENTRAL INDEX KEY: 0001035092 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 521974638 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 18 EAST DOVER STREET CITY: EASTON STATE: MD ZIP: 21601-3013 BUSINESS PHONE: 4108221400 MAIL ADDRESS: STREET 1: 18 EAST DOVER STREET CITY: EASTON STATE: MD ZIP: 21601-3013 4 1 tm2131572-14_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2021-10-31 0 0001035092 SHORE BANCSHARES INC SHBI 0001570353 Adkins Vance W. 218 EAST DOVER STREET EASTON MD 027601 0 1 0 0 EVP/Treasurer Common Stock 2021-10-31 4 A 0 1184 A 1184 D Received in exchange for 1,909 shares of Severn Bancorp, Inc.("SVBI") common stock in connection with the merger of SVBI into the Issuer (the "Merger"). On the effective date of the Merger, the closing price of SVBI's common stock was $13.63 per share, and the closing price of the Issuer's common stock was $18.48 per share. /s/ Edward C. Allen/POA 2021-11-02