SEC Form 4 · accession 0001209191-16-090684
FIRST CAPITAL BANCORP, INC. · FCVA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Gerald Blake
Director
Period of report
Jan 1, 2016
Accepted (ET)
Jan 11, 2016 · 11:41 am EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001373525
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| First Capital Bancorp, Inc., Common StockF1 | Jan 1, 2016 | D | 72,124 | — | D | 0 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| First Capital Bancorp, Inc. OptionsF2 | $3.94 | Jan 1, 2016 | D | 8,500 | D | Feb 28, 2013 | Feb 28, 2021 | Common Stock | 8,500 | 0 | D |
| First Capital Bancorp, Inc. WarrantsF3 | $2.00 | Jan 1, 2016 | D | 32,562 | D | May 11, 2012 | May 11, 2022 | Common Stock | 16,281 | 0 | D |
Explanation of responses
- F1Each stockholder of the company was provided with an election with respect to merger consideration, on a per share basis, consisting of $5.54 in cash or 0.7748 shares of Park Sterling Corporation common stock.
- F2Stock options have been converted to cash at the time of the merger in an amount per share underlying the option of $5.54 less the exercise price of the option, payable by Park Sterling Corporation.
- F3Each warrant holder of the company was provided an election with respect to the merger consideration, on a per warrant basis, consisting of $1.77 in cash or 0.24755 shares of Park Sterling Corporation common stock.