SEC Form 4 · accession 0001603462-16-000003

F&M BANK CORP · FMBM

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — Executive Vice President

Period of report

Jul 1, 2015

Accepted (ET)

Jan 12, 2016 · 4:28 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	Jul 1, 2015	P	13	$22.40	A	151	D
Common Stock	Aug 3, 2015	P	9	$21.50	A	161	D
Common Stock^F1	Sep 1, 2015	P	9	$21.15	A	171	D
Common Stock	Oct 1, 2015	P	10	$21.00	A	181	D
Common Stock	Nov 2, 2015	P	9	$22.25	A	190	D
Common Stock^F2	Dec 1, 2015	P	13	$23.75	A	204	D
Common Stock	Jan 4, 2016	P	9	$22.70	A	213	D
Common Stock	holding	—	—		—	2,500	I	By Non-Qualified Deferred Comp. Plan
Common Stock	holding	—	—		—	3,331	I	By ESOP

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Series A Preferred Stock^F3,F4	$22.50	holding	—	—	—	Dec 3, 2014	—	Common Stock	1,000	1,000	I

F1Includes 1.284 shares Ms. Shillingburg received in the F&M Bank Corp. Dividend Reinvestment Plan
F2Includes 1.6376 shares Ms. Shillingburg received in the F&M Bank Corp. Dividend Reinvestment Plan.
F3The 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.
F4The Series A Preferred Stock has no expiration date.