425 1 d233738d425.htm 425 425

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

 

 

FORM 8-K

 

 

CURRENT REPORT

PURSUANT TO SECTION 13 OR 15(d)

OF THE SECURITIES EXCHANGE ACT OF 1934

Date of Report (Date of earliest event reported): September 27, 2021

 

 

Farmers National Banc Corp.

(Exact name of registrant as specified in its charter)

 

 

 

Ohio   001-35296   34-1371693

(State or other jurisdiction

of incorporation)

 

(Commission

File Number)

 

(IRS Employer

Identification No.)

 

20 South Broad Street, P.O. Box 555, Canfield, Ohio   44406-0555
(Address of principal executive offices)   (Zip Code)

(330) 533-3341

(Registrant’s telephone number, including area code)

(Former name or former address, if changed since last report)

 

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

 

 

Written communication pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

 

Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

 

Pre-commencement communication pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

 

Pre-commencement communication pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:

 

Title of each class

 

Trading

Symbol

 

Name of each exchange

on which registered

Common Stock, No Par Value   FMNB   The NASDAQ Stock Market

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

Emerging growth company ☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

 

 

 


Item 8.01

Other Events.

On September 27, 2021, Farmers National Banc Corp. (the “Company”), first sent to the shareholders of Cortland Bancorp. (“Cortland”) a Cover Letter, two Election Forms and Letters of Transmittal and two Instructions to Election Form and Letter of Transmittal (collectively, the “Exchange Agent Documents”) in connection with the proposed merger of Cortland with and into FMNB Merger Subsidiary IV, LLC, a wholly-owned subsidiary of the Company (“Merger Sub”), pursuant to the Agreement and Plan of Merger, dated as of June 22, 2021, by and among the Company, Merger Sub and Cortland (the “Merger”). Copies of the forms of the Exchange Agent Documents are attached to this Current Report on Form 8-K as Exhibits 99.1, 99.2, 99.3, 99.4 and 99.5 and are incorporated herein by reference.

Important Additional Information About the Merger.

In connection with the proposed Merger, the Company has filed with the Securities and Exchange Commission (the “SEC”) a Registration Statement on Form S-4 that includes a proxy statement of Cortland and a prospectus of the Company, as well as other relevant documents concerning the proposed transaction. The joint proxy statement/prospectus included in the Registration Statement on Form S-4 should not be read alone, but should be read in conjunction with the other information regarding the Company, Cortland and the proposed Merger that is contained in, or incorporated by reference into, the Registration Statement on Form S-4.

SHAREHOLDERS OF CORTLAND AND OTHER INVESTORS ARE URGED TO CAREFULLY READ THE JOINT PROXY STATEMENT/PROSPECTUS INCLUDED IN THE EFFECTIVE REGISTRATION STATEMENT ON FORM S-4 AND ANY OTHER RELEVANT DOCUMENTS THAT THE COMPANY HAS FILED OR MAY FILE WITH THE SEC IN CONNECTION WITH THE PROPOSED MERGER, OR WHICH ARE INCORPORATED BY REFERENCE IN THE JOINT PROXY STATEMENT/PROSPECTUS, BECAUSE THEY WILL CONTAIN IMPORTANT INFORMATION ABOUT THE COMPANY, CORTLAND, AND THE PROPOSED MERGER.

Investors and security holders may obtain free copies of the Registration Statement on Form S-4 and other documents filed with the SEC by the Company through the website maintained by the SEC at http://www.sec.gov. Copies of the documents filed with the SEC by the Company will be available free of charge on the Company’s website at https://www.farmersbankgroup.com or may be obtained from the Company by written request to Farmers National Banc Corp., 20 South Broad Street, Canfield, Ohio 44406, Attention: Investor Relations.

This communication shall not constitute an offer to sell or the solicitation of an offer to buy any securities nor shall there be any sale of securities in any jurisdiction in which the offer, solicitation or sale is unlawful before registration or qualification of the securities under the securities laws of the jurisdiction. No offer of securities shall be made except by means of a prospectus satisfying the requirements of Section 10 of the Securities Act.


Participants in the Solicitation

The respective directors and executive officers of the Company and Cortland and other persons may be deemed to be participants in the solicitation of proxies from Cortland shareholders with respect to the proposed Merger. Information regarding the directors and executive officers of the Company is available in its proxy statement filed with the SEC on March 12, 2021 in connection with its 2021 Annual Meeting of Shareholders. Information regarding directors and executive officers of Cortland is available on its website at www.cortlandbank.com. Other information regarding the participants in the solicitation and a description of their direct and indirect interests, by security holdings or otherwise, is contained in the joint proxy statement/prospectus included in the Registration Statement on Form S-4 and will be contained in other relevant materials to be filed with the SEC when they become available.

 

Item 9.01

Financial Statements and Exhibits.

(d)    Exhibits.

 

Exhibit
Number

  

Description

99.1    Cover Letter
99.2    Election Form and Letter of Transmittal – Common Shares
99.3    Election Form and Letter of Transmittal – 401(k) Plan Participants
99.4    Instructions to Election Form and Letter of Transmittal – Common Shares
99.5    Instructions to Election Form and Letter of Transmittal – 401(k) Plan Participants
104    Cover Page Interactive Data File (embedded within the Inline XBRL document)


SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

Farmers National Banc Corp.
By:  

/s/ Kevin J. Helmick

Kevin J. Helmick
President and Chief Executive Officer

Date: September 27, 2021


    

 

Exhibit 99.1

 

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September 27, 2021

Dear Cortland Bancorp Shareholder:

This package is being mailed to you as a shareholder of record of Cortland Bancorp (“Cortland”) in connection with the merger of Cortland with and into FMNB Merger Subsidiary IV, LLC (“Merger Sub”), a wholly-owned subsidiary of Farmers National Banc Corp. (“Farmers”) pursuant to the terms of the Agreement and Plan of Merger, dated as of June 22, 2021 (as it may be amended from time to time, the “Merger Agreement”), entered into by and among Cortland, Merger Sub and Farmers (the “Merger”). Pursuant to the Merger Agreement, each outstanding Cortland common share will be converted at the effective time of the Merger into the right to receive, at the election of the holder but subject to proration, adjustment and certain limitations as set forth in the Merger Agreement, one of the following:

 

    1.75 Farmers common shares (a “Stock Election”); or
    $28.00 in cash without interest (a “Cash Election”)

subject, however, to certain allocation procedures set forth in the Merger Agreement intended to ensure that 75% of the outstanding Cortland common shares are converted into the right to receive Farmers common shares and the remaining outstanding Cortland common shares are converted into the right to receive cash. Additionally, if at the effective time of the Merger (i) the Effective Time Book Value (as defined in, and calculated pursuant to, the Merger Agreement) of Cortland is less than $75 million (the “Target Book Value Floor” and the dollar amount of such shortfall, the “Shortfall”), the cash consideration payable with respect to each Cortland common share will be reduced by a per share amount determined by dividing the dollar amount of the Shortfall by the number of Cortland common shares outstanding immediately prior to the effective time that are eligible to receive the cash consideration; or (ii) the Effective Time Book Value of Cortland exceeds $81 million (the “Target Book Value Ceiling” and the dollar amount of such excess, the “Excess Amount”), the cash consideration payable with respect to each Cortland common share will be increased by a per share amount determined by dividing the dollar amount of the Excess Amount by the number of Cortland common shares outstanding immediately prior to the effective time that are eligible to receive the cash consideration. If the effective time of the Merger is after October 1, 2021, the Target Book Value Floor and the Target Book Value Ceiling will be adjusted upward by an amount equal to the product of $26,000 and the number of days from October 1, 2021 until the effective time, less any dividends paid by Cortland after October 1, 2021.

On June 22, 2021, the closing price for Farmers common shares was $16.87, which, after giving effect to the exchange ratio of 1.75 and the cash amount of $28.00, would have an implied value of approximately $29.14 per Cortland common share. As of September 16, 2021, the most reasonably practicable date prior to the mailing of the joint proxy statement/prospectus dated September 23, 2021 relating to the Merger Agreement, the closing price for Farmers common shares was $15.02, which had an implied value of approximately $26.29 per Cortland common share. Based on this price with respect to the stock consideration, and the cash consideration of $28.00 per share, upon completion of the Merger, a Cortland common shareholder who receives stock for 75% of his or her common shares and receives cash for 25% of his or her common shares would receive total Merger consideration with an implied value of approximately $26.71 per Cortland share.

 


LOGO

Cortland is holding a special meeting of shareholders at Squaw Creek Country Club, 761 Youngstown Kingsville Road S., Vienna, Ohio 44473 on Tuesday, October 26, 2021, at 11:00 AM Eastern Time. Pending receipt of approval of the Merger Agreement by the Cortland shareholders and satisfaction of certain other closing conditions specified in the Merger Agreement, we currently expect that the Merger will be consummated during the fourth quarter of 2021.

Enclosed is an Election Form and Letter of Transmittal and related Instructions that pertain to the Merger. In order to make an election, please complete, sign and return the Election Form and Letter of Transmittal, together with any other documentation reasonably required by Computershare Trust Company, N.A. and Computershare Inc. (the “Exchange Agent”), to the Exchange Agent at one of the addresses set forth in the Instructions, so that it is RECEIVED no later than the Election Deadline. Please also return with your Election Form and Letter of Transmittal all share certificate(s) or confirmation of book-entry transfer, as applicable, representing your Cortland common shares. Do not otherwise send your election materials to Farmers or Cortland.

The deadline for submitting election forms (the “Election Deadline”) is October 25, 2021. Election forms must be RECEIVED by the Exchange Agent no later than 5:00 PM Eastern Time on the date of the Election Deadline. In the event that the Election Deadline changes, Farmers and Cortland will announce the revised date in a press release, on their websites and in a filing with the Securities and Exchange Commission (the “SEC”). You may also obtain up-to-date information regarding the Election Deadline by calling Georgeson LLC, the information agent, at 866-431-2096. You bear the risk of ensuring proper and timely delivery. Therefore, we encourage you to submit your election materials promptly. If you do not make a valid and timely election, you will be deemed to have made No Election with respect to your Cortland common shares.

For a full discussion of the transactions and the effect of your election, see the Merger Agreement and the joint proxy statement/prospectus, dated September 23, 2021, that is being sent to you under separate cover (as it may be amended from time to time, the “Proxy Statement”). BEFORE MAKING YOUR ELECTION, YOU ARE ENCOURAGED TO READ CAREFULLY THE ENTIRE MERGER AGREEMENT AND PROXY STATEMENT (INCLUDING ANNEXES THERETO AND DOCUMENTS INCORPORATED THEREIN BY REFERENCE) AND THE ACCOMPANYING ELECTION FORM AND LETTER OF TRANSMITTAL.

You are able to obtain free copies of the Proxy Statement and other documents filed with the SEC by Farmers and Cortland through the website maintained by the SEC at www.sec.gov or by requesting them by following the instructions in the section entitled “WHERE CAN YOU FIND MORE INFORMATION” in the forepart of the Proxy Statement. If you wish to request documents, you should do so at least five business days before the Election Deadline. THE PROXY STATEMENT IS DATED SEPTEMBER 23, 2021, AND DOES NOT REFLECT DEVELOPMENTS SUBSEQUENT TO THAT DATE. However, the Proxy Statement incorporates by reference subsequent filings with the SEC by Farmers and Cortland. You should rely only on the information contained or expressly incorporated by reference in the Proxy Statement. We have not authorized anyone to provide you with information that is different from or inconsistent with the information contained or incorporated by reference in those documents.


    

 

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If you hold Cortland common shares through a broker, dealer, commercial bank, trust company or other fiduciary, or through Cortland’s 401(k) plan, you should also instruct such broker, dealer, commercial bank, trust company, other fiduciary, or plan administrator what election to make on your behalf by carefully following the instructions you will receive from your broker, dealer, commercial bank, trust company, other fiduciary or plan administrator (please note: you may be subject to an earlier deadline for making your election with respect to such Cortland common shares). Please contact your broker, dealer, commercial bank, trust company, other fiduciary or plan administrator with any questions and to receive the appropriate instruction forms. COMPLETING THE ENCLOSED ELECTION FORM AND LETTER OF TRANSMITTAL WILL NOT RESULT IN YOU MAKING AN ELECTION FOR ANY CORTLAND COMMON SHARES YOU HOLD THROUGH A BROKER, DEALER, COMMERCIAL BANK, TRUST COMPANY, OTHER FIDUCIARY OR PLAN ADMINISTRATOR.

If you have any questions regarding the election materials, please contact Georgeson LLC, the information agent, at 866-431-2096.

 

Very truly yours,

LOGO

Kevin J. Helmick

President and Chief Executive Officer

This Election Form and Letter of Transmittal is dated September 27, 2021, and is first being mailed to Cortland common shareholders on or about September 27, 2021.

 


Exhibit 99.2

 

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Computershare Trust Company, N.A.

P.O. Box 43011

Providence Rhode Island 02940-3011 Georgeson, Information Agent 866-431-2096

  

 

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TIME IS CRITICAL. PLEASE COMPLETE AND RETURN PROMPTLY IN ACCORDANCE WITH THE ENCLOSED INSTRUCTIONS.

ELECTION FORM AND LETTER OF TRANSMITTAL TO ACCOMPANY

CERTIFICATES OF COMMON SHARES, WITHOUT PAR VALUE, OF CORTLAND BANCORP (“CORTLAND”)

This Election Form and Letter of Transmittal is sent to you in connection with the proposed merger (the “Merger”) of Cortland with and into FMNB Merger Subsidiary IV, LLC (“Merger Sub”), a wholly-owned subsidiary of Farmers National Banc Corp. (“Farmers”), pursuant to the Agreement and Plan of Merger dated as of June 22, 2021 (the “Merger Agreement”), by and among Farmers, Merger Sub and Cortland. This Election Form and Letter of Transmittal may be used to make an election only with respect to Cortland common shares you hold. You may receive additional Election Forms and/or Letters of Transmittal with respect to Cortland common shares held by you in another manner or in another name (if any). The deadline for submitting election forms is 5:00 PM Eastern Time on October 25, 2021 (the “Election Deadline”). Election forms must be RECEIVED by Computershare Trust Company, N.A. (the “Exchange Agent”) no later than 5:00 p.m., Eastern Time, on the date of the Election Deadline. If the Election Deadline is extended for any reason, Farmers and Cortland will announce the new Election Deadline.

 

    Total Certificated Shares    Shares Held By Us    Total Shares     
 

12345678901234

  

12345678901234

  

12345678901234

  

Complete the box(es) on the reverse side to make an election to receive for each of your Cortland common shares (i) 1.75 Farmers common shares (a “Stock Election”), or (ii) $28.00 in cash without interest (a “Cash Election”), each of which is subject to proration, adjustment and certain limitations as set forth in the Merger Agreement which are intended to ensure that 75% of the outstanding Cortland common shares are converted into the right to receive Farmers common shares (the “Stock Consideration”) and the remaining outstanding Cortland common shares are converted into the right to receive cash in the amount of the Cash Election (the “Cash Consideration”) (as described in the Merger Agreement and summarized in the proxy statement/prospectus dated September 23, 2021 that is being sent to you under separate cover (as it may be amended from time to time, the “Proxy Statement”)). Additionally, as described in the Merger Agreement and summarized in the Proxy Statement, if at the effective time of the Merger (i) the Effective Time Book Value (as defined in, and calculated pursuant to, the Merger Agreement) of Cortland is less than $75 million (the “Target Book Value Floor” and the dollar amount of such shortfall, the “Shortfall”), the Cash Consideration will be reduced by a per share amount determined by dividing the dollar amount of the Shortfall by the number of Cortland common shares outstanding immediately prior to the effective time that are eligible to receive the Cash Consideration; or (ii) the Effective Time Book Value of Cortland exceeds $81 million (the “Target Book Value Ceiling” and the dollar amount of such excess, the “Excess Amount”), the Cash Consideration will be increased by a per share amount determined by dividing the dollar amount of the Excess Amount by the number of Cortland common shares outstanding immediately prior to the effective time that are eligible to receive the Cash Consideration. If the effective time of the Merger is after October 1, 2021, the Target Book Value Floor and the Target Book Value Ceiling will be adjusted upward by an amount equal to the product of $26,000 and the number of days from October 1, 2021 until the effective time, less any dividends paid by Cortland after October 1, 2021. If no box is checked or you elect to make “No Election,” your Cortland common shares will be converted into the right to receive such proportion of the Stock Consideration or Cash Consideration as determined pursuant to the Merger Agreement. BEFORE MAKING YOUR ELECTION, YOU ARE ENCOURAGED TO READ CAREFULLY THE ENTIRE MERGER AGREEMENT AND PROXY STATEMENT (INCLUDING ANNEXES THERETO AND DOCUMENTS INCORPORATED THEREIN BY REFERENCE) AND THE ACCOMPANYING INSTRUCTIONS.

 

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ELECTION CHOICES

 

I hereby elect to receive the following as consideration for my Cortland common shares held in this account:   
STOCK ELECTION (1.75 Farmers common shares for each Cortland common share, subject to adjustment)   
       Mark this box to elect to make a Stock Election with respect to ALL of your Cortland shares.   
      

Mark this box to elect to make a Stock Election with respect to the following number of your Cortland shares

Please fill in the number of shares for which you would like to make a Stock Election.

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CASH ELECTION ($28.00 in cash without interest for each Cortland common share)
      

 

Mark this box to elect to make a Cash Election with respect to ALL of your Cortland shares.

       Mark this box to elect to make a Cash Election with respect to the following number of your Cortland
  shares. Please fill in the number of shares for which you would like to make a Cash Election.
NO ELECTION
       Mark this box to make no election with respect to ALL of your Cortland shares   
You will be deemed to have made a NO ELECTION if:   
    A.   You fail to follow the instructions on the “Election Form and Letter of Transmittal” or otherwise fail properly to make an election;   
    B.   A properly completed “Election Form and Letter of Transmittal,” together with your certificate(s) or confirmation of book-entry transfer, is not actually received by the Exchange Agent at or before the Election Deadline;
    C.   You properly and timely revoke a prior election without making a new election; or   
    D.   You check the “No Election” box above.   

By making “No Election”, the form of consideration that you will receive as a result of the Merger will be determined by Farmers or, at Farmers’ direction, the Exchange Agent, in accordance with the terms of the Merger Agreement.

These elections will be subject to proration based on a proration adjustment if Stock Consideration is oversubscribed or undersubscribed. The allocation procedures set forth in the Merger Agreement are intended to ensure that 75% of the outstanding Cortland common shares are converted into the right to receive Farmers common shares and the remaining outstanding Cortland common shares are converted into the right to receive cash.

The Cash Consideration is subject to (i) a reduction in the event that the Effective Time Book Value (as defined in, and calculated pursuant to, the Merger Agreement) of Cortland falls below the Target Book Value Floor or (ii) an increase if the Effective Time Book Value exceeds the Target Book Value Ceiling, at the effective time of the Merger. If the effective time of the Merger is after October 1, 2021, the Target Book Value Floor and the Target Book Value Ceiling will be adjusted upward by an amount equal to the product of $26,000 and the number of days from October 1, 2021 until the effective time, less any dividends paid after October 1, 2021.

No guarantee can be made that you will receive the amount of Cash Consideration or Stock Consideration that you elect. No guarantee can be made as to the value of the consideration received relative to the value of the Cortland common shares being exchanged. You are encouraged to obtain current market quotations for Farmers and Cortland when making your election.

To be effective, this Election Form and Letter of Transmittal must be properly completed, signed and delivered to the Exchange Agent at one of the addresses listed in the Instructions, together with your certificate(s) or confirmation of book-entry transfer, by the Election Deadline. Do not send your election materials to Cortland, Farmers or Georgeson (the Information Agent).

SIGNATURE(S) REQUIRED. Signature of Registered Holder(s) or Agent

Must be signed by the registered holder(s) EXACTLY as name(s) appear(s) on your certificate(s). If signature is by a trustee, executor, administrator, guardian, attorney-in-fact, officer for a corporation in a fiduciary or representative capacity, or other person, please set forth full title. See Instructions 5, 6, 7 and 8.

By signing below, I represent and warrant as follows:

(1) I have full power and authority to surrender the Cortland common shares represented by the certificate(s) surrendered herewith or transferred in book-entry form, or covered by a guarantee of delivery, free and clear of all liens, claims and encumbrances. I will, upon request, execute and deliver any additional documents reasonably deemed by the Exchange Agent to be appropriate or necessary to complete the surrender and exchange of my Cortland common shares.

(2) I understand that neither surrender nor an election is made in acceptable form until receipt by the Exchange Agent of this Election Form and Letter of Transmittal, duly completed and manually signed, together with any certificate(s) representing Cortland common shares and all accompanying evidences of authority. I agree that all questions as to validity, form and eligibility of any surrender of the Cortland shares will be determined by the Exchange Agent.

(3) I understand that I may not and shall not sell or otherwise transfer the Cortland common shares subject to this Election Form unless the Merger Agreement is terminated or I properly revoke this election prior to the Election Deadline.

(4) I acknowledge that, until I properly surrender the certificate(s) representing the Cortland common shares to which this Election Form and Letter of Transmittal relates or properly transfer such Cortland shares in book-entry form, I will not receive any consideration issuable or payable. Delivery of such certificate(s) will be effected, and risk of loss and title to such certificate(s) will pass, only upon proper delivery thereof to the Exchange Agent in the appropriate manner to one of the addresses listed in the Instructions.

Sign and provide your tax ID number on the IRS Form W-9 provided herein (or the appropriate IRS Form W-8 if you are a non-U.S. holder, a copy of which can be obtained at www.irs.gov). See Instruction 9.

 

Signature of owner

 

    

Signature of co-owner, if any

 

     
              

Area Code/Phone Number

              
                

SIGNATURE(S) GUARANTEED (IF REQUIRED) See instruction 6.

Unless the shares were tendered by the registered holder(s) of the common shares, or for the account of a member of a Eligible Institution, your signature(s) must be guaranteed by an Eligible Institution.

 

Authorized Signature

 

   
      Name of Firm
     
       
Address of Firm – Please Print    
 

 

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SPECIAL PAYMENT AND DELIVERY FORM

The merger consideration will be issued in the name and address provided on the Election Form and Letter of Transmittal unless instructions are given in the boxes below.

 

   
Special Payment and Issuance Instructions     Special Delivery Instructions
   
To be completed ONLY if the merger consideration is to be issued to a name that is different from the name on the surrendered certificate(s).                      To be completed ONLY if the merger consideration is to be issued to an address that is different from the address reflected above.
       
Issue  

   Check to:

    Deliver  

   Check to:

       
   

   Shares to:

     

   Shares to:

   
Name(s):                                                                        Name(s):                                                                  
(Please Print)     (Please Print)
   
Address:                                                                        Address:                                                                  
   
Telephone Number:                                                     Telephone Number:                                                
   
email:                                                                            email:                                                                       
   
       

If completing this page for Special Payment and Issuance Instructions or Special Delivery Instructions, please obtain an Original Medallion Signature Guarantee Stamp below.

 

 
 


Exhibit 99.3

 

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TIME IS CRITICAL. PLEASE COMPLETE AND RETURN PROMPTLY IN ACCORDANCE WITH THE ENCLOSED INSTRUCTIONS. ELECTION FORM AND LETTER OF TRANSMITTAL This Election Form and Letter of Transmittal is sent to you in connection with the proposed merger (the “Merger”) of Cortland Bancorp (“Cortland”) with and into FMNB Merger Subsidiary IV, LLC (“Merger Sub”), a wholly-owned subsidiary of Farmers National Banc Corp. (“Farmers”), pursuant to the Agreement and Plan of Merger dated as of June 22, 2021 (the “Merger Agreement”), by and among Farmers, Merger Sub and Cortland. This Election Form and Letter of Transmittal may be used to make an election only with respect to the percentage of issued and outstanding Cortland common shares in your account under the Cortland 401(k) plan (the “Plan”). You may receive additional Election Forms and/or Letters of Transmittal with respect to Cortland common shares held by you in another manner or in another name (if any). The deadline for submitting these election forms is 5:00 PM Eastern Time on October 21, 2021 (the “Cutoff Time”). Election forms must be RECEIVED by Computershare Trust Company, N.A. (the “Exchange Agent”) no later than 5:00 p.m., Eastern Time, on the date of the Cutoff Time in order for the Exchange Agent to deliver the Election Forms to the Plan sponsor by the Election deadline of October 25, 2021 (the “Election Deadline”). If the Election Deadline is extended for any reason, Farmers and Cortland will announce the new Election Deadline. Shares Held in the Plan 12345678901234 Complete the box(es) on the reverse side to make an election to receive for your percentage of Cortland common shares (i) 1.75 Farmers common shares (a “Stock Election”), or (ii) $28.00 in cash without interest (a “Cash Election”), each of which is subject to proration, adjustment and certain limitations as set forth in the Merger Agreement which are intended to ensure that 75% of the outstanding Cortland common shares are converted into the right to receive Farmers common shares (the “Stock Consideration”) and the remaining outstanding Cortland common shares are converted into the right to receive cash in the amount of the Cash Election (the “Cash Consideration”) (as described in the Merger Agreement and summarized in the proxy statement/prospectus dated September 23, 2021 that is being sent to you under separate cover (as it may be amended from time to time, the “Proxy Statement”)). Additionally, as described in the Merger Agreement and summarized in the Proxy Statement, if at the effective time of the Merger (i) the Effective Time Book Value (as defined in, and calculated pursuant to, the Merger Agreement) of Cortland is less than $75 million (the “Target Book Value Floor” and the dollar amount of such shortfall, the “Shortfall”), the Cash Consideration will be reduced by a per share amount determined by dividing the dollar amount of the Shortfall by the number of Cortland common shares outstanding immediately prior to the effective time that are eligible to receive the Cash Consideration; or (ii) the Effective Time Book Value of Cortland exceeds $81 million (the “Target Book Value Ceiling” and the dollar amount of such excess, the “Excess Amount”), the Cash Consideration will be increased by a per share amount determined by dividing the dollar amount of the Excess Amount by the number of Cortland common shares outstanding immediately prior to the effective time that are eligible to receive the Cash Consideration. If the effective time of the Merger is after October 1, 2021, the Target Book Value Floor and the Target Book Value Ceiling will be adjusted upward by an amount equal to the product of $26,000 and the number of days from October 1, 2021 until the effective time, less any dividends paid by Cortland after October 1, 2021. If no box is checked or you elect to make “No Election,” your percentage of Cortland common shares will be converted into the right to receive such proportion of the Stock Consideration or Cash Consideration as determined pursuant to the Merger Agreement. BEFORE MAKING YOUR ELECTION, YOU ARE ENCOURAGED TO READ CAREFULLY THE ENTIRE MERGER AGREEMENT AND PROXY STATEMENT (INCLUDING ANNEXES THERETO AND DOCUMENTS INCORPORATED THEREIN BY REFERENCE) AND THE ACCOMPANYING INSTRUCTIONS.


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ELECTION CHOICES I hereby elect to receive the following as consideration for my Cortland common shares held in this account: STOCK ELECTION (1.75 Farmers common shares for each Cortland common share, subject to adjustment) Mark this box to elect to make a Stock Election with respect to ALL of your percentage of Cortland shares. Mark this box to elect to make a Stock Election with respect to the following number of your percentage of Cortland shares Please fill in the amount (or percent) of your percentage of Cortland shares for which you would like to make a Stock Election. CASH ELECTION ($28.00 in cash without interest for each Cortland common share) Mark this box to elect to make a Cash Election with respect to ALL of your percentage of Cortland shares. Mark this box to elect to make a Cash Election with respect to the following amount (or percent) of your percentage of Cortland shares. Please fill in the amount (or percent) of your percentage of Cortland shares for which you would like to make a Cash Election. NO ELECTION Mark this box to make no election with respect to ALL of your percentage of Cortland shares held in this account You will be deemed to have made a NO ELECTION if: A. You fail to follow the instructions on the “Election Form and Letter of Transmittal” or otherwise fail properly to make an election; B. A properly completed “Election Form and Letter of Transmittal is not actually received by the Exchange Agent at or before the Cutoff Time; C. You properly and timely revoke a prior election without making a new election; or D. You check the “No Election” box above. By making “No Election”, the form of consideration that you will receive as a result of the Merger will be determined by Farmers or, at Farmers’ direction, the Exchange Agent, in accordance with the terms of the Merger Agreement. These elections will be subject to proration based on a proration adjustment if Stock Consideration is oversubscribed or undersubscribed. The allocation procedures set forth in the Merger Agreement are intended to ensure that 75% of the outstanding Cortland common shares are converted into the right to receive Farmers common shares and the remaining outstanding Cortland common shares are converted into the right to receive cash. The Cash Consideration is subject to (i) a reduction in the event that the Effective Time Book Value (as defined in, and calculated pursuant to, the Merger Agreement) of Cortland falls below the Target Book Value Floor or (ii) an increase if the Effective Time Book Value exceeds the Target Book Value Ceiling, at the effective time of the Merger. If the effective time of the Merger is after October 1, 2021, the Target Book Value Floor and the Target Book Value Ceiling will be adjusted upward by an amount equal to the product of $26,000 and the number of days from October 1, 2021 until the effective time, less any dividends paid after October 1, 2021. No guarantee can be made that you will receive the amount of Cash Consideration or Stock Consideration that you elect. No guarantee can be made as to the value of the consideration received relative to the value of the Cortland common shares being exchanged. You are encouraged to obtain current market quotations for Farmers and Cortland when making your election. To be effective, this Election Form and Letter of Transmittal must be properly completed, signed and delivered to the Exchange Agent at one of the addresses listed in the Instructions, by the Cutoff Time. Do not send your election materials to Cortland, Farmers or Georgeson (the Information Agent). SIGNATURE(S) REQUIRED. Signature of Registered Holder(s) or Agent Must be signed by the registered holder(s) EXACTLY as name(s) appear(s) on your Plan account. If signature is by a trustee, executor, administrator, guardian, attorney-in-fact, officer for a corporation in a fiduciary or representative capacity, or other person, please set forth full title. See Instructions 4 and 5. By signing below, I represent and warrant as follows: (1) I have full power and authority to surrender the percentage of Cortland common shares represented hereby free and clear of all liens, claims and encumbrances. I will, upon request, execute and deliver any additional documents reasonably deemed by the Exchange Agent to be appropriate or necessary to complete the surrender and exchange of my percentage of Cortland common shares. (2) I understand that neither surrender nor an election is made in acceptable form until receipt by the Exchange Agent of this Election Form and Letter of Transmittal, duly completed and manually signed, together with all accompanying evidences of authority. I agree that all questions as to validity, form and eligibility of any surrender of my percentage of Cortland shares will be determined by the Exchange Agent. (3) I understand that I may not and shall not sell or otherwise transfer my percentage of Cortland common shares subject to this Election Form unless the Merger Agreement is terminated or I properly revoke this election prior to the Election Deadline. Signature of Plan Participant Signature of co-owner, if any Area Code/Phone Number


    

 

Exhibit 99.4

 

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INSTRUCTIONS

(Please read carefully all of the instructions below)

1.         Delivery; Election Deadline: For any election contained herein to be considered, the Election Form and Letter of Transmittal, properly completed in accordance with these instructions and signed, and any other documentation reasonably required by Farmers National Banc Corp.’s exchange agent, Computershare Trust Company, N.A. and Computershare Inc. (the “Exchange Agent”), must be sent to the Exchange Agent at one of the following addresses so that it is actually received by the Exchange Agent at or prior to the deadline for submitting election forms (the “Election Deadline”). Please also include your common share certificate(s) with your Election Form and Letter of Transmittal.

 

If delivering by mail:   If delivering by courier:
Computershare Trust Company, N.A.   Computershare Trust Company, N.A.
c/o Voluntary Corporate Actions   c/o Voluntary Corporate Actions
P.O. Box 43011   Suite V
Providence, RI 02940-3011   150 Royall Street
  Canton, MA 02021

Do not otherwise send such materials to Cortland Bancorp (“Cortland”) or Farmers National Banc Corp. (“Farmers”) because the materials will not be forwarded to the Exchange Agent and your election will be invalid. The method of delivery is at the option and risk of the surrendering common shareholder. Registered mail, appropriately insured, with return receipt requested, is recommended. A return envelope is enclosed for your convenience.

The Election Deadline is October 25, 2021. If the Election Deadline is extended for any reason, both Farmers and Cortland will announce the new Election Deadline at least five business days prior to the Election Deadline in a press release, on their websites and in a filing with the SEC. You may also obtain up-to-date information regarding the Election Deadline by calling Georgeson, the Information Agent at 866-431-2096. You bear the risk of ensuring proper and timely delivery. Therefore, we encourage you to submit your election materials promptly. If you do not make a valid and timely election, you will be deemed to have made No Election with respect to your Cortland common shares.

The Exchange Agent will determine whether any Election Form and Letter of Transmittal is received on a timely basis and whether an Election Form and Letter of Transmittal has been properly completed.

2.         Revocation or Change of Election Form: Any Election Form and Letter of Transmittal may be revoked or changed by written notice from the Cortland common shareholder submitting such form to the Exchange Agent, but to be effective such notice must be received by the Exchange Agent prior to the Election Deadline. Revocations must specify the name in which your common shares are registered on the share transfer books of Cortland. The Exchange Agent will have discretion to determine whether any revocation or change is received on a timely basis and whether any such revocation or change has been properly made. No election may be revoked or changed after the Election Deadline unless and until the Agreement and Plan of Merger, dated as of June 22, 2021 (as it may be amended from time to time, the “Merger Agreement”), entered into by and among Cortland, FMNB Merger Subsidiary IV, LLC and Farmers, is terminated. See Instruction 4.

 

 

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3.         Surrender of Original Certificate(s); Lost, Stolen or Destroyed Certificate(s): This Election Form and Letter of Transmittal should be accompanied by the original share certificate(s) evidencing your Cortland common shares and any required accompanying evidences of authority. If your share certificate(s) has been lost, stolen or destroyed, contact the Exchange Agent at 800-509-5586 prior to submitting the Election Form and Letter of Transmittal regarding any additional requirements.

4.         Termination of Merger Agreement: Any Cortland share certificate(s) surrendered will be held in trust by the Exchange Agent until completion of the Merger or the return of the certificates upon termination of the Merger Agreement. In the event of termination of the Merger Agreement, the Exchange Agent will promptly return share certificate(s) representing Cortland common shares via registered mail or through a book-entry transfer for common shares held in street name. The Exchange Agent and Cortland will use their commercially reasonable efforts to facilitate return of such share(s) in the event of termination of the Merger Agreement, but return of share(s) other than by registered mail will only be made at the expense, written direction and risk of the requesting Cortland common shareholder, accompanied by a pre-paid, pre-addressed return courier envelope sent to the Exchange Agent.

5.         Signatures: If the Election Form and Letter of Transmittal is signed by the registered holder(s) of the common shares surrendered, the signature(s) must correspond exactly with the name(s) as written on the face of any certificate(s) surrendered or on the assignment authorizing transfer, without alteration, enlargement or any change whatsoever. Do not sign the share certificate(s) because signatures are not required if submitted by the registered owner of such common shares who has not completed the section entitled “Special Payment and Issuance Instructions” or are for the account of an Eligible Institution (as defined below). If any of the common shares are owned by two or more joint owners, all such owners must sign the Election Form and Letter of Transmittal exactly as written on the assignment authorizing transfer or face of the certificate(s). If any common shares are registered in different names, it will be necessary to complete, sign and submit as many separate Election Forms and Letters of Transmittal as there are different registrations. Election Forms and Letters of Transmittal executed by trustees, executors, administrators, guardians, attorneys-in-fact, officers of corporations or others acting in a fiduciary capacity who are not identified as such to the registration must be accompanied by proper evidence of the signatory’s authority to act.

6.         Guarantee of Signatures: No signature guarantee is required on the Election Form and Letter of Transmittal if (a)(i) the Election Form and Letter of Transmittal is signed by the registered holder(s) (including any participant in the Book-Entry Transfer Facility’s systems whose name appears on a security position listing as the owner of such common shares) of common shares surrendered with the Election Form and Letter of Transmittal, and (ii) such registered holder has not completed either the box entitled “Special Delivery Instructions” or the box entitled “Special Payment and Issuance Instructions;” or (b) such common shares are surrendered for the account of a firm that is a bank, broker, dealer, credit union, savings association or other entity which is a member in good standing of the Securities Transfer Agents’ Medallion Program (each, an “Eligible Institution”). In all other cases, all signatures on the Election Form and Letter of Transmittal must be guaranteed by an Eligible Institution.

7.         Special Payment and Issuance Instructions: If the Merger consideration is to be made payable to or registered in a name other than the name(s) of the currently registered record owner(s) of shares, indicate the name(s) and address in the box captioned “Special Payment and Issuance Instructions.” The common shareholder(s) named in the box captioned “Special Payment and Issuance Instructions” will be considered the record owner(s) and should complete the section entitled “Signatures


    

 

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Required” and the enclosed Internal Revenue Service (“IRS”) Form W-9 (or the appropriate IRS Form W-8 if you are a non-U.S. person, a copy of which can be obtained at www.irs.gov). If the section entitled “Special Payment and Issuance Instructions” is completed, then signatures on the Election Form and Letter of Transmittal must be guaranteed by a firm that is an Eligible Institution. If the surrendered share(s) are registered in the name of a person other than the signer of the Election Form and Letter of Transmittal, or if issuance is to be made to a person other than the signer of the Election Form and Letter of Transmittal, or if the issuance is to be made to a person other than the registered owner(s), then the Election Form and Letter of Transmittal must be accompanied by duly executed stock powers, in each case signed exactly as the name(s) of the registered owner(s) appear, with the signatures on the stock power(s) guaranteed by an Eligible Institution as provided herein.

8.         Special Delivery Instructions: If the Merger consideration is to be delivered to an address other than that set forth next to the signature of the registered holder, indicate the address in the box captioned “Special Delivery Instructions.” If the section entitled “Special Delivery Instructions” is completed, then signatures on the Election Form and Letter of Transmittal must be guaranteed by a firm that is an Eligible Institution.

9.         IRS Form W-9: A common shareholder that is a U.S. person (including a resident alien) should complete the enclosed IRS Form W-9 and provide such common shareholder’s correct Taxpayer Identification Number (“TIN”). Failure to provide the information on the form may subject the surrendering common shareholder to U.S. backup withholding (currently at a rate of 28%) on any reportable payment made pursuant to the merger. A common shareholder that is a non-U.S. person should use the appropriate IRS Form W-8, a copy of which can be obtained at www.irs.gov. Please review the instructions included on the enclosed IRS Form W-9 for additional information.

10.        Shares held through an IRA, broker, investment dealer, bank, trust company, or other intermediary. If you hold any stock through an IRA or through a broker, investment dealer, bank, trust company, or other intermediary, you should promptly contact the custodian of your IRA and follow their instructions as to the procedures for exchanging your shares of Cortland common stock. If your shares of Cortland common stock are held through a broker, investment dealer, bank, trust company, or other intermediary, you should contact that intermediary as soon as possible for instructions and assistance in delivering your shares of Cortland common stock.

11.        Shares held in “street name” by a bank, broker or other nominee. If you hold your Cortland common stock in “street name” through a bank, broker or other nominee (a “nominee”) you should instruct such nominee what election to make on your behalf by carefully following the instructions that you will receive from your nominee. An election will not be made on your behalf absent your instructions. You may be subject to an earlier deadline for making your election. Please contact your nominee with any questions.

 

 

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Exhibit 99.5

 

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INSTRUCTIONS

(Please read carefully all of the instructions below)

1. Delivery; Election Deadline: For any election contained herein to be considered, the Election Form and Letter of Transmittal, properly completed in accordance with these instructions and signed, and any other documentation reasonably required by Farmers National Banc Corp.’s exchange agent, Computershare Trust Company, N.A. and Computershare Inc. (the “Exchange Agent”), and by the Cortland Bancorp 401(k) Plan (“Plan”) sponsor (the “Sponsor”), and must be sent to the Exchange Agent at one of the following addresses so that it is received by the Exchange Agent at or prior to the cutoff time (“Cutoff Time”) in order to meet the election deadline for submitting election forms (the “Election Deadline”).

 

If delivering by mail:    If delivering by courier:
Computershare Trust Company, N.A.    Computershare Trust Company, N.A.
c/o Voluntary Corporate Actions    c/o Voluntary Corporate Actions
P.O. Box 43011    Suite V
Providence, RI 02940-3011    150 Royall Street
   Canton, MA 02021

Do not send these materials directly to Cortland Bancorp (“Cortland”) or Farmers National Banc Corp. (“Farmers”) because the materials will not be forwarded to the Exchange Agent and your election will be invalid. The method of delivery is at the option and risk of the surrendering Plan participant. Registered mail, appropriately insured, with return receipt requested, is recommended. A return envelope is enclosed for your convenience.

The Cutoff Time is October 21, 2021, and the Election Deadline is October 25, 2021. If the Election Deadline is extended for any reason, both Farmers and Cortland will announce the new Election Deadline at least five business days prior to the Election Deadline in a press release, on their websites and in a filing with the SEC. You may also obtain up-to-date information regarding the Election Deadline by calling Georgeson, the Information Agent at 1-866-431-2096. You bear the risk of ensuring proper and timely delivery. Therefore, we encourage you to submit your election materials promptly. If you do not make a valid and timely election, you will be deemed to have made No Election with respect to your Cortland common shares.

The Exchange Agent will determine whether any Election Form and Letter of Transmittal is received on a timely basis and whether an Election Form and Letter of Transmittal has been properly completed.

2. Revocation or Change of Election Form: Any Election Form and Letter of Transmittal may be revoked or changed by written notice from the Plan participant submitting such form to the Exchange Agent, but to be effective such notice must be received by the Exchange Agent prior to the Cutoff Time. Revocations must specify the name of the account in which your percentage of Cortland common shares is held. The Exchange Agent will have discretion to determine whether any revocation or change is received on a timely basis and whether any such revocation or change has been properly made. No election may be revoked or changed after the Cutoff Time unless and until the Agreement and Plan of Merger, dated as of June 22, 2021 (as it may be amended from time to time, the “Merger Agreement”), entered into by and among Cortland, FMNB Merger Subsidiary IV, LLC and Farmers, is terminated. See Instruction 3.

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3. Termination of Merger Agreement: In the event of termination of the Merger Agreement, the Exchange Agent will disregard all Plan participants’ Election Forms and Letters of Transmittal.

4. Signatures: If the Election Form and Letter of Transmittal is signed by the Plan participant, the signature(s) must correspond exactly with the name(s) as written on the Plan sponsor’s records. Election Forms and Letters of Transmittal executed by trustees, executors, administrators, guardians, attorneys-in-fact, officers of corporations or others acting in a fiduciary capacity who are not identified as such to the registration must be accompanied by proper evidence of the signatory’s authority to act.

5. Guarantee of Signatures: No signature guarantee is required on the Election Form and Letter of Transmittal.

 

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