<?xml version="1.0"?>
<ownershipDocument>

    <schemaVersion>X0306</schemaVersion>

    <documentType>4</documentType>

    <periodOfReport>2018-11-13</periodOfReport>

    <issuer>
        <issuerCik>0001461640</issuerCik>
        <issuerName>HomeTown Bankshares Corp</issuerName>
        <issuerTradingSymbol>HMTA</issuerTradingSymbol>
    </issuer>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001485960</rptOwnerCik>
            <rptOwnerName>Still Susan King</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>C/O HOMETOWN BANKSHARES CORPORATION</rptOwnerStreet1>
            <rptOwnerStreet2>202 S. JEFFERSON STREET</rptOwnerStreet2>
            <rptOwnerCity>ROANOKE</rptOwnerCity>
            <rptOwnerState>VA</rptOwnerState>
            <rptOwnerZipCode>24011</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>1</isDirector>
            <isOfficer>1</isOfficer>
            <officerTitle>President &amp; CEO</officerTitle>
        </reportingOwnerRelationship>
    </reportingOwner>

    <derivativeTable>
        <derivativeTransaction>
            <securityTitle>
                <value>Stock Option (Right to Buy)</value>
            </securityTitle>
            <conversionOrExercisePrice>
                <value>6.90</value>
            </conversionOrExercisePrice>
            <transactionDate>
                <value>2018-11-13</value>
            </transactionDate>
            <transactionCoding>
                <transactionFormType>4</transactionFormType>
                <transactionCode>D</transactionCode>
                <equitySwapInvolved>0</equitySwapInvolved>
            </transactionCoding>
            <transactionAmounts>
                <transactionShares>
                    <value>10000</value>
                </transactionShares>
                <transactionPricePerShare>
                    <value>7.88</value>
                </transactionPricePerShare>
                <transactionAcquiredDisposedCode>
                    <value>D</value>
                </transactionAcquiredDisposedCode>
            </transactionAmounts>
            <exerciseDate>
                <footnoteId id="F1"/>
            </exerciseDate>
            <expirationDate>
                <value>2024-12-18</value>
            </expirationDate>
            <underlyingSecurity>
                <underlyingSecurityTitle>
                    <value>Common Stock</value>
                </underlyingSecurityTitle>
                <underlyingSecurityShares>
                    <value>10000</value>
                </underlyingSecurityShares>
            </underlyingSecurity>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>0</value>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                </directOrIndirectOwnership>
            </ownershipNature>
        </derivativeTransaction>
    </derivativeTable>

    <footnotes>
        <footnote id="F1">On October 1, 2018, the Company and American National Bankshares, Inc. (&quot;American National&quot;) announced a definitive agreement to combine in a strategic merger (the &quot;Merger Agreement&quot;) pursuant to which the Company will merge with and into American National (the &quot;Merger&quot;). Pursuant to the Merger Agreement, the option, whether vested or unvested, was cancelled in exchange for a cash payment of $78,800, which represents the difference between closing stock price of $14.78 on November 13, 2018 and the exercise price of $6.90 per share. The option awards are exercisable one-fifth per year beginning 12/18/2015.</footnote>
    </footnotes>

    <ownerSignature>
        <signatureName>/s/ Vance W. Adkins as attorney-in-fact for Susan K. Still</signatureName>
        <signatureDate>2018-11-15</signatureDate>
    </ownerSignature>
</ownershipDocument>
