SEC Form 4 · accession 0001238710-18-000004
F&M BANK CORP · FMBM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ellen R Fitzwater
Officer — Chairman of the Board · Director
Period of report
Nov 9, 2018
Accepted (ET)
Nov 9, 2018 · 5:32 pm EST
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 | Nov 9, 2018 | P | 250 | $35.00 | A | 8,026 | D | |
| Common Stock | holding | — | — | — | 617 | I | By IRA | |
| Common Stock | holding | — | — | — | 610 | I | By Husband's IRA |
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 | holding | — | — | — | Dec 3, 2014 | — | Common Stock | 16,000 | 16,000 | 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 anit-dilution adjustments.
- F2(2) The Series A Preferred Stock has no expiration date.