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