0001567619-21-019176.txt : 20211102 0001567619-21-019176.hdr.sgml : 20211102 20211102150248 ACCESSION NUMBER: 0001567619-21-019176 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210701 FILED AS OF DATE: 20211102 DATE AS OF CHANGE: 20211102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Farmar Richard A III CENTRAL INDEX KEY: 0001293136 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39165 FILM NUMBER: 211370649 MAIL ADDRESS: STREET 1: P O BOX 1181 CITY: WARSAW STATE: VA ZIP: 22572 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BLUE RIDGE BANKSHARES, INC. CENTRAL INDEX KEY: 0000842717 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 541470908 STATE OF INCORPORATION: VA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 17 WEST MAIN STREET CITY: LURAY STATE: VA ZIP: 22835 BUSINESS PHONE: 540-843-5207 MAIL ADDRESS: STREET 1: 17 WEST MAIN STREET CITY: LURAY STATE: VA ZIP: 22835 FORMER COMPANY: FORMER CONFORMED NAME: BLUE RIDGE BANKSHARES INC DATE OF NAME CHANGE: 19881115 4 1 doc1.xml FORM 4 X0306 4 2021-07-01 0 0000842717 BLUE RIDGE BANKSHARES, INC. BRBS 0001293136 Farmar Richard A III 17 WEST MAIN STREET LURAY VA 22835 1 0 0 0 Common Stock 2021-07-01 4 A 0 1333 17.93 A 41417 D Stock Option (right to buy) 7.00 2021-01-31 2023-02-21 Common Stock 3750 3750 D Stock Option (right to buy) 7.99 2021-01-31 2024-03-28 Common Stock 750 750 D Stock Option (right to buy) 7.16 2021-01-31 2025-02-10 Common Stock 750 750 D Stock Option (right to buy) 7.68 2021-01-31 2026-01-22 Common Stock 750 750 D Stock Option (right to buy) 11.07 2021-01-31 2027-02-21 Common Stock 750 750 D Stock Option (right to buy) 13.80 2021-01-31 2027-12-07 Common Stock 1183 1183 D Stock Option (right to buy) 10.77 2021-01-31 2029-05-20 Common Stock 750 750 D Stock received in lieu of cash compensation Restricted stock subject to a vesting schedule. On March 17, 2021, Blue Ridge Bankshares, Inc., (the "Company") declared a three-for-two stock split effected in the form of a 50% stock dividend on its common stock outstanding to shareholders of record as of April 20, 2021. As a result, the reporting person received 13,361 shares of the Company's common stock as of April 20, 2021. This option was previously reported as an option for 2,500 shares of common stock at an exercise price of $10.50, but was adjusted to reflect the stock split declared by the Company on March 17, 2021. As a result of the stock split declared by the Company on March 17, 2021, the reporting person received 1,250 shares of the Company's common stock as of April 20, 2021. At the same time, pursuant to anti-dilution provisions of the Company's equity compensation plans, an option for 3,750 shares of common stock held by the reporting person on April 20, 2021 became exercisable for 375 shares of common stock. This option was previously reported as an option for 500 shares of common stock at an exercise price of $11.98, but was adjusted to reflect the stock split declared by the Company on March 17, 2021. As a result of the stock split declared by the Company on March 17, 2021, the reporting person received 250 shares of the Company's common stock as of April 20, 2021. At the same time, pursuant to anti-dilution provisions of the Company's equity compensation plans, an option for 750 shares of common stock held by the reporting person on April 20, 2021 became exercisable for 750 shares of common stock. This option was previously reported as an option for 500 shares of common stock at an exercise price of $10.74, but was adjusted to reflect the stock split declared by the Company on March 17, 2021. As a result of the stock split declared by the Company on March 17, 2021, the reporting person received 250 shares of the Company's common stock as of April 20, 2021. At the same time, pursuant to anti-dilution provisions of the Company's equity compensation plans, an option for 750 shares of common stock held by the reporting person on April 20, 2021 became exercisable for 750 shares of common stock. This option was previously reported as an option for 500 shares of common stock at an exercise price of $11.52, but was adjusted to reflect the stock split declared by the Company on March 17, 2021. As a result of the stock split declared by the Company on March 17, 2021, the reporting person received 250 shares of the Company's common stock as of April 20, 2021. At the same time, pursuant to anti-dilution provisions of the Company's equity compensation plans, an option for 750 shares of common stock held by the reporting person on April 20, 2021 became exercisable for 750 shares of common stock. This option was previously reported as an option for 500 shares of common stock at an exercise price of $16.60, but was adjusted to reflect the stock split declared by the Company on March 17, 2021. As a result of the stock split declared by the Company on March 17, 2021, the reporting person received 250 shares of the Company's common stock as of April 20, 2021. At the same time, pursuant to anti-dilution provisions of the Company's equity compensation plans, an option for 750 shares of common stock held by the reporting person on April 20, 2021 became exercisable for 750 shares of common stock. This option was previously reported as an option for 789 shares of common stock at an exercise price of $20.70, but was adjusted to reflect the stock split declared by the Company on March 17, 2021. As a result of the stock split declared by the Company on March 17, 2021, the reporting person received 394 shares of the Company's common stock as of April 20, 2021. At the same time, pursuant to anti-dilution provisions of the Company's equity compensation plans, an option for 1,183 shares of common stock held by the reporting person on April 20, 2021 became exercisable for 1,183 shares of common stock. This option was previously reported as an option for 500 shares of common stock at an exercise price of $16.16, but was adjusted to reflect the stock split declared by the Company on March 17, 2021. As a result of the stock split declared by the Company on March 17, 2021, the reporting person received 250 shares of the Company's common stock as of April 20, 2021. At the same time, pursuant to anti-dilution provisions of the Company's equity compensation plans, an option for 750 shares of common stock held by the reporting person on April 20, 2021 became exercisable for 750 shares of common stock. /s/ Richard A. Farmer III 2021-11-02