0001209191-21-007154.txt : 20210203 0001209191-21-007154.hdr.sgml : 20210203 20210203150100 ACCESSION NUMBER: 0001209191-21-007154 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20210201 FILED AS OF DATE: 20210203 DATE AS OF CHANGE: 20210203 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FLORY DONNA D CENTRAL INDEX KEY: 0001667794 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25805 FILM NUMBER: 21585866 MAIL ADDRESS: STREET 1: 10 COURTHOUSE SQUARE CITY: WARRENTON STATE: VA ZIP: 20186 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FAUQUIER BANKSHARES, INC. CENTRAL INDEX KEY: 0001083643 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 541288193 STATE OF INCORPORATION: VA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 10 COURTHOUSE CITY: WARRENTON STATE: VA ZIP: 20186 BUSINESS PHONE: (540) 347-6751 MAIL ADDRESS: STREET 1: 10 COURTHOUSE SQUARE CITY: WARRENTON STATE: VA ZIP: 20186 FORMER COMPANY: FORMER CONFORMED NAME: FAUQUIER BANKSHARES INC DATE OF NAME CHANGE: 19990408 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-02-01 0 0001083643 FAUQUIER BANKSHARES, INC. FBSS 0001667794 FLORY DONNA D 10 COURTHOUSE SQUARE WARRENTON VA 20186 1 0 0 0 Common Stock 2021-02-01 4 A 0 539 0.00 A 5908 D Restricted stock award; shares vest immediately, however they carry a restriction period that will lift upon the closing of the pending merger with Virginia National Bankshares Corporation. Tammy P. Frazier, Attorney in Fact for Donna D. Flory 2021-02-03 EX-24 2 attachment1.htm EX-24 DOCUMENT
LIMITED POWER OF ATTORNEY FOR SECTION 16 REPORTING OBLIGATIONS

Know all by these presents, that the undersigned hereby constitutes and appoints Christine E. Headly, Allison J. Dodson, Tammy P. Frazier and Scott H. Richter, or any of them, acting singly and with full power of substitution, the undersigned's true and lawful attorney-in-fact to:

1. Execute for and on behalf of the undersigned, in the undersigned's capacity as an officer or director or both of Fauquier Bankshares, Inc. (the "Company"), Forms 3, 4 and 5 (and any amendments thereto) in accordance with Section 16(a) of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), and the rules thereunder;

2. Do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4 or 5, complete and execute any amendments thereto, and timely file such form with the U.S. Securities and Exchange Commission (the "SEC"), including without limitation the filing of a Form ID or any other documents necessary or appropriate to enable the undersigned to file the Forms 3, 4 and 5 electronically with the SEC;

3. Seek or obtain, as the undersigned's representative and on the undersigned's behalf, information on transactions in the Company's securities from any third party, including brokers, employee benefit plan administrators and trustees, and the undersigned hereby authorizes any such person to release any such information to each of the undersigned's attorneys-in-fact appointed by this Limited Power of Attorney and approves and ratifies any such release of information; and

4. Take any other action in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by or for, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Limited Power of Attorney shall be in such form and shall contain such information and disclosure as such attorney-in-fact may approve in such attorney-in-fact's discretion.

The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever required, necessary or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this Limited Power of Attorney and the rights and powers herein granted.

The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request and on the behalf of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned's responsibilities to comply with, or any liability for the failure to comply with, any provision of Section 16 of the Exchange Act.

This Limited Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4 or 5 with respect to the undersigned's holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to each of the foregoing attorneys-in-fact.

IN WITNESS WHEREOF, the undersigned has executed this Limited Power of Attorney as of this 10th day of January, 2018.

/s/ Donna D. Flory