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*
Hodges John C

(Last) (First) (Middle)
P.O. BOX 5

(Street)
WHITESTONE VA 22578

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
BAY BANKS OF VIRGINIA INC [ BAYK ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
01/31/2021
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 01/29/2021 M 500 A $4.55 8,620 D
Common Stock 01/29/2021 M 500 A $5.37 9,120 D
Common Stock 01/31/2021 D 9,120 D (1) 0 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 (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
Stock Option $4.55 01/29/2021 M 500 11/19/2011 11/19/2021 Common Stock 500 $0 0 D
Stock Option $5.37 01/29/2021 M 500 02/10/2015 02/10/2025 Common Stock 500 $0 0 D
Stock Option $5.25 01/31/2021 D 1,000 02/21/2013 02/21/2023 Common Stock 1,000 (2) 0 D
Stock Option $5.99 01/31/2021 D 500 03/28/2014 03/28/2024 Common Stock 500 (2) 0 D
Stock Option $5.76 01/31/2021 D 500 01/22/2016 01/22/2026 Common Stock 500 (2) 0 D
Stock Option $8.3 01/31/2021 D 500 02/21/2017 02/21/2027 Common Stock 500 (2) 0 D
Stock Option $1,035 01/31/2021 D 500 12/07/2017 12/07/2027 Common Stock 500 (2) 0 D
Stock Option $8.08 01/31/2021 D 1,000 05/20/2019 05/20/2029 Common Stock 1,000 (2) 0 D
Explanation of Responses:
1. Effective January 31, 2021, pursuant to an Agreement and Plan of Reorganization, dated as of August 12, 2020, as amended on November 6, 2020 (the "Merger Agreement"), between the Bay Banks of Virginia, Inc. ("Bay Banks") and Blue Ridge Bankshares, Inc. ("Blue Ridge"), Bay Banks merged with and into Blue Ridge, with Blue Ridge as the surviving company (the "Merger"). In the Merger, each share of Bay Banks common stock converted into 0.50 shares of Blue Ridge common stock.
2. This option was converted into an option to purchase shares of Blue Ridge common stock equal to the number of shares of Bay Banks common stock subject to such option multiplied by 0.50, at an exercise price equal to the exercise price of such option divided by 0.50.
/s/ John C. Hodges 02/02/2021
** 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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