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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Warrants | $ 5 | 05/29/2009 | S | 239,240 | 05/31/2008 | 06/04/2011 | Common Stock | 239,240 | $ 0.79 | 1,052,184 | D | ||||
Warrants | $ 5 | 05/29/2009 | J(2) | 1,052,184 | 05/31/2008 | 06/04/2011 | Common Stock | 1,052,184 | $ 0.1 | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Community Bankers Acquisition LLC 840 LEIGH MILL ROAD GREAT FALLS, VA 22066 |
See Remarks Section |
/s/ Gary A. Simanson, Manager | 06/02/2009 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | The transfer of shares of common stock from the reporting person to its sole member and manager for no value. |
(2) | The disposition of warrants following the exercise of options to acquire the warrants by unaffiliated third parties. The reporting person had granted the options to acquire both warrants and shares of common stock to these parties pursuant to various option agreements dated May 28, 2008. The options had been exercisable during the period from June 8, 2009 to June 8, 2010, and the reporting person permitted the early exercise of the options relating to the warrants so that the sole member and manager of the reporting person, Gary A. Simanson, could comply with certain regulatory limitations on stock ownership of a bank holding company. |
Remarks: Gary A. Simanson, the Company's Vice Chairman and Chief Strategic Officer, is the sole member and manager of the reporting person. |