SEC Form 4
FORM 4 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
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Simanson Gary A

(Last) (First) (Middle)
9912 GEORGETOWN PIKE
STE. D203

(Street)
GREAT FALLS VA 22066

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Community Bankers Acquisition Corp. [ * BTC ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Vice Chairman
3. Date of Earliest Transaction (Month/Day/Year)
05/29/2008
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 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 05/29/2008 J(1) 50,000 A $0.00(1) 337,500 I Held by LLC(2)
Common Stock 05/29/2008 J(1) 50,000 A $0.00(1) 387,500 I Held by LLC(2)
Common Stock 05/29/2008 J(1) 50,000 A $0.00(1) 437,500 I Held by LLC(2)
Common Stock 05/29/2008 J(1) 400,000 A $0.00(1) 837,500 I Held by LLC(2)
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 (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 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 (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (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: 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
Warrants $5 05/29/2008 J 750,000 05/31/2008 06/04/2011 Common Stock 750,000 $0.00(3) 1,099,724(4) I Held by LLC(2)
Explanation of Responses:
1. Transfer of shares from beneficial owner to the reporting person pursuant to which each transferee obtained an equivalent membership interest in the reporting person concurrent with such transfer and was provided an irrevocable general proxy expiring June 2, 2009.
2. The reporting person is the manager of Community Bankers Acquisition LLC which owns such securities.
3. Transfer of non-exercisable warrants for nominal value.
4. The warrants may become exercisable within 60 days of this filing if there is an effective registration statement covering issuance of the shares.
Remarks:
/s/ Gary A. Simanson 06/02/2008
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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