SEC Form 4/A · accession 0001238709-15-000002
F&M BANK CORP · FMBM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Thomas L Cline
Officer — Chairman of the Board · Director
Period of report
Dec 3, 2014
Accepted (ET)
Mar 25, 2015 · 12:39 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000740806
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | holding | — | — | — | 14,066 | D | ||
| Common Stock | holding | — | — | — | 276 | I | By Roth IRA | |
| Common Stock | holding | — | — | — | 812 | I | By traditional IRA | |
| Common Stock | holding | — | — | — | 273 | I | By Wife's Roth IRA | |
| Common Stock | holding | — | — | — | 241 | I | By Wife |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Series A Preferred StockF1,F2 | $22.50 | Dec 3, 2014 | P | 4,000 | A | Dec 3, 2014 | — | Common Stock | 4,000 | 4,000 | D |
Explanation of responses
- F1(1) The Series A Preferred Stock is convertible into 1.111 shares of F&M Bank Corp. common stock, which reflects an initial conversion price of $22.50 per share of common stock, subject to certain anti-dilution adjustments.
- F2(2) The Series A Preferred Stock has no expiration date.