0001567619-21-013444.txt : 20210715 0001567619-21-013444.hdr.sgml : 20210715 20210715112410 ACCESSION NUMBER: 0001567619-21-013444 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210701 FILED AS OF DATE: 20210715 DATE AS OF CHANGE: 20210715 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Story Amanda G. CENTRAL INDEX KEY: 0001796496 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-39165 FILM NUMBER: 211092053 MAIL ADDRESS: STREET 1: 17 WEST MAIN STREET CITY: LURAY STATE: VA ZIP: 22835 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BLUE RIDGE BANKSHARES, INC. CENTRAL INDEX KEY: 0000842717 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 541470908 STATE OF INCORPORATION: VA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 17 WEST MAIN STREET CITY: LURAY STATE: VA ZIP: 22835 BUSINESS PHONE: 540-843-5207 MAIL ADDRESS: STREET 1: 17 WEST MAIN STREET CITY: LURAY STATE: VA ZIP: 22835 FORMER COMPANY: FORMER CONFORMED NAME: BLUE RIDGE BANKSHARES INC DATE OF NAME CHANGE: 19881115 4/A 1 doc1.xml FORM 4/A X0306 4/A 2021-07-01 2021-07-12 0 0000842717 BLUE RIDGE BANKSHARES, INC. BRBS 0001796496 Story Amanda G. 17 WEST MAIN STREET LURAY VA 22835 0 1 0 1 Chief Accountng Officer Corporate Secretary Common Stock 2021-07-01 4 A 0 1500 0 A 11302 D Common Stock 5619 I By ESOP The original Form 4 inadvertently reported a transaction from 2020 and is being amended to report the correct transaction. Award of time-based restricted stock subject to a vesting schedule. On March 17, 2021, Blue Ridge Bankshares, Inc. (the "Company") declared a three-for-two stock split effected in the form of a 50% stock dividend on its common stock outstanding to shareholders of record as of April 20, 2021. As a result, the reporting person received 3,767 shares of the Company's common stock as of April 20, 2021. At the same time, 1,873 shares were allocated to the reporting person's account under the Company's employee stock ownership plan /s/ Amanda G. Story 2021-07-15