SEC Form 4 · accession 0001437749-26-026138
Affinity Bancshares, Inc. · AFBI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
William D. Fortson Jr.
Director
Period of report
Aug 1, 2026
Accepted (ET)
Aug 6, 2026 · 12:33 pm EDT
Rule 10b5-1 plan
box not checked
Issuer CIK
0001823406
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Aug 1, 2026 | D | 68,300 | — | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock OptionsF2 | $14.49 | Aug 1, 2026 | D | — | D | Nov 16, 2024 | Nov 16, 2033 | Common Stock | 5,000 | 0 | D |
| Stock OptionsF2 | $14.87 | Aug 1, 2026 | D | — | D | May 24, 2023 | May 24, 2032 | Common Stock | 10,500 | 0 | D |
| Stock OptionsF2 | $11.14 | Aug 1, 2026 | D | — | D | Apr 23, 2020 | Apr 23, 2029 | Common Stock | 16,747 | 0 | D |
Explanation of responses
- F1Pursuant to the Agreement and Plan of Merger, dated March 30, 2026, by and among the Issuer, Affinity Bank, National Association, Fidelity BancShares (N.C.), Inc., The Fidelity Bank, and TFB Merger Subsidiary, Inc. (the "Merger Agreement"), each issued and outstanding share of Issuer common stock was converted into the right to receive $23.00 cash consideration.
- F2Pursuant to the Merger Agreement, each stock option was converted into the right to receive $23.00 cash consideration less the exercise price of such option.