SEC Form 4 · accession 0001437749-16-034948
HomeTown Bankshares Corp · HMTA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Nancy H Agee
Director
Period of report
Jun 29, 2016
Accepted (ET)
Jul 6, 2016 · 4:21 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 | 8,320 | $6.01 | A | 19,480 | I | Owned with spouse |
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 | 50 | D | Jun 29, 2013 | — | common stock | 8,320 | 0 | I |
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.