Sec Form 4 Filing - Gavant Judy Carol @ BLUE RIDGE BANKSHARES, INC. - 2021-01-31

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Gavant Judy Carol
2. Issuer Name and Ticker or Trading Symbol
BLUE RIDGE BANKSHARES, INC. [ BRBS]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
See Remarks
(Last) (First) (Middle)
17 WEST MAIN STREET
3. Date of Earliest Transaction (MM/DD/YY)
01/31/2021
(Street)
LURAY, VA22835
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 01/31/2021 A 13,840 A 13,840 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (right to buy) $ 20 01/31/2021 A 2,500 01/31/2021 06/07/2028 Common Stock 2,500 ( 2 ) 2,500 D
Stock Option (right to buy) $ 17 01/31/2021 A 2,500 01/31/2021 06/12/2029 Common Stock 2,500 ( 3 ) 2,500 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Gavant Judy Carol
17 WEST MAIN STREET
LURAY, VA22835
See Remarks
Signatures
/s/ Amanda G. Story, attorney-in-fact 02/02/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Received in exchange for 27,681 shares of Bay Banks of Virginia, Inc. ("Bay Banks") common stock in connection with the merger of Bay Banks with and into Blue Ridge Bankshares, Inc. ("Blue Ridge") effective January 31, 2021 (the "Merger"). At the effective time of the Merger at 7:00 p.m. on January 31, 2021 (the "Effective Time"), each outstanding share of common stock of Bay Banks converted into the right to receive 0.5000 shares of Blue Ridge common stock. On January 29, 2021, the last trading day before the Effective Time, the closing price of Bay Banks' common stock was $9.50 per share and the closing price of Blue Ridge's common stock was $18.83 per share. All fractional share holdings were paid in cash.
( 2 )Received in the Merger in exchange for stock options to acquire 5,000 shares of Bay Banks common stock for $9.86 per share.
( 3 )Received in the Merger in exchange for stock options to acquire 5,000 shares of Bay Banks common stock for $8.10 per share.

Remarks:
Executive Vice President and Chief Financial Officer

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