SEC Form 4 · accession 0001140361-16-087334
FAUQUIER BANKSHARES, INC. · FBSS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Christine Edwards Headly
Officer — EVP & Chief Financial Officer
Period of report
Nov 17, 2016
Accepted (ET)
Nov 21, 2016 · 9:50 am EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001083643
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Nov 17, 2016 | A | 433 | $0.00 | A | 2,574 | D | |
| Common StockF3 | holding | — | — | — | 28 | I | By daughter |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Performance Stock UnitsF4 | — | Nov 17, 2016 | A | 433 | A | Dec 31, 2018 | — | Common Stock | 433 | 433 | D |
Explanation of responses
- F1Restricted stock award; shares vest on third anniversary of grant date.
- F2Includes 17.4406 shares accumulated through automatic dividend reinvestment in reporting person's DRIP account since Form 3 filing.
- F3Includes 0.233 shares accumulated through automatic dividend reinvestment in DRIP account of shares indirectly owned by reporting person since Form 3 filing.
- F4Performance stock units vest on December 31, 2018 in accordance with the Performance Award Agreement. Each performance stock unit is the equivalent of one share of FBSS common stock.