Sec Form 4 Filing - Gavant Judy Carol @ BLUE RIDGE BANKSHARES, INC. - 2021-07-01

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) X __ Other (specify below)
Executive Vice President/Chief Fiinancial Officer
(Last) (First) (Middle)
P.O. BOX 17310
3. Date of Earliest Transaction (MM/DD/YY)
07/01/2021
(Street)
RICHMOND, VA23226
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 07/01/2021 A 4,000 ( 1 ) A $ 0 24,760 ( 2 ) D
Common Stock 1,107 ( 2 ) I By ESOP
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) $ 13.1 5 ( 3 ) 01/31/2021 12/07/2027 Common Stock 3,750 3,750 ( 4 ) D
Stock Option (right to buy) $ 10.8 ( 5 ) 01/31/2021 06/12/2029 Common Stock 3,750 3,750 ( 6 ) D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Gavant Judy Carol
P.O. BOX 17310
RICHMOND, VA23226
Executive Vice President Chief Fiinancial Officer
Signatures
/s/ Judy Carol Gavant 07/12/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Award of time-based restricted stock subject to a vesting schedule.
( 2 )On March 17, 2021, Blue Ridge Bankshares, Inc., (the "Company") declared a three-for-two stock split effected in the form of a 50% stock dividend on its common stock outstanding to shareholders of record as of April 20, 2021. As a result, the reporting person received 6,920 shares of the Company's common stock as of April 20, 2021. At the same time, 369 shares were allocated to the reporting person's account under the Company's employee stock ownership plan.
( 3 )This option was previously reported as an option for 2,500 shares of common stock at an exercise price of $19.72, but was adjusted to reflect the stock split declared by the Company on March 17, 2021.
( 4 )As a result of the stock split declared by the Company on March 17, 2021, the reporting person received 1,250 shares of the Company's common stock as of April 20, 2021. At the same time, pursuant to anti-dilution provisions of the Company's equity compensation plans, an option for 3,750 shares of common stock held by the reporting person on April 20, 2021 became exercisable for 3,750 shares of common stock.
( 5 )This option was previously reported as an option for 2,500 shares of common stock at an exercise price of $16.20, but was adjusted to reflect the stock split declared by the Company on March 17, 2021.
( 6 )As a result of the stock split declared by the Company on March 17, 2021, the reporting person received 1,250 shares of the Company's common stock as of April 20, 2021. At the same time, pursuant to anti-dilution provisions of the Company's equity compensation plans, an option for 3,750 shares of common stock held by the reporting person on April 20, 2021 became exercisable for 3,750 shares of common stock.

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