SEC Form 4 · accession 0001437749-16-034886
HomeTown Bankshares Corp · HMTA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Susan King Still
Officer — President & CEO · Director
Period of report
Jun 29, 2016
Accepted (ET)
Jul 5, 2016 · 6:48 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001461640
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| common stock | Jun 29, 2016 | C | 4,160 | $6.01 | A | 27,924 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series C Convertible Preferred StockF2,F3 | $1,000.00 | Jun 29, 2016 | C | 25 | D | Jun 28, 2013 | — | common stock | 4,160 | 43,000 | D |
Explanation of responses
- F1Acquired shares of Common Stock in exchange for shares of Series C Convertible Preferred Stock at a conversion price of $6.01 per share due to Company's election to convert Preferred Shares into Common Shares.
- F2Disposed of shares of Series C Convertible Preferred Stock in exchange for shares of Common Stock at a conversion price of $6.01 per share of Common Stock due to the Company's election to convert Preferred Shares into Common Shares.
- F3Series C Convertible Preferred Stock is perpetual and the conversion feature does not expire.