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