0001437749-16-034948.txt : 20160706 0001437749-16-034948.hdr.sgml : 20160706 20160706162114 ACCESSION NUMBER: 0001437749-16-034948 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160629 FILED AS OF DATE: 20160706 DATE AS OF CHANGE: 20160706 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HomeTown Bankshares Corp CENTRAL INDEX KEY: 0001461640 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 264549960 STATE OF INCORPORATION: VA FISCAL YEAR END: 1231 BUSINESS ADDRESS: BUSINESS PHONE: 540-983-9325 MAIL ADDRESS: STREET 1: 10 FRANKLIN ROAD, S.E. STREET 2: SUITE 800 CITY: ROANOKE STATE: VA ZIP: 24011 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: AGEE NANCY H CENTRAL INDEX KEY: 0001314626 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 333-158525 FILM NUMBER: 161753935 MAIL ADDRESS: STREET 1: PO BOX 13727 CITY: ROANOKE STATE: VA ZIP: 24036 4 1 rdgdoc.xml FORM 4 X0306 4 2016-06-29 0001461640 HomeTown Bankshares Corp HMTA 0001314626 AGEE NANCY H C/O HOMETOWN BANKSHARES CORPORATION 202 S. JEFFERSON STREET ROANOKE VA 24011 1 common stock 2016-06-29 4 C 0 8320 6.01 A 19480 I Owned with spouse Series C Convertible Preferred Stock 1000 2016-06-29 4 C 0 50 1000 D 2013-06-29 common stock 8320 0 I Owned with Spouse Acquired shares of Common Stock in exchange for shares of Series C Convertible Preferred Stock at a conversion price of $6.01 per share due to Company's election to convert Preferred Shares into Common Shares. Disposed of shares of Series C Convertible Preferred Stock in exchange for shares of Common Stock at a conversion price of $6.01 per share of Common Stock due to the Company's election to convert Preferred Shares into Common Shares. Series C Convertible Preferred Stock is perpetual and the conversion feature does not expire. /s/ Charles W Maness Jr as Attorney-in-Fact for Nancy H Agee 2016-07-06