0001567619-21-016065.txt : 20210818 0001567619-21-016065.hdr.sgml : 20210818 20210818174905 ACCESSION NUMBER: 0001567619-21-016065 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210701 FILED AS OF DATE: 20210818 DATE AS OF CHANGE: 20210818 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dean Mensel D CENTRAL INDEX KEY: 0001372927 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39165 FILM NUMBER: 211187669 MAIL ADDRESS: STREET 1: 4095 VALLEY PIKE CITY: WINCHESTER STATE: VA ZIP: 22602 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 1 doc1.xml FORM 4 X0306 4 2021-07-01 0 0000842717 BLUE RIDGE BANKSHARES, INC. BRBS 0001372927 Dean Mensel D 17 WEST MAIN STREET LURAY VA 22835 1 0 0 0 Common Stock 2021-07-01 4 A 0 2510 17.93 A 2510 D Common Stock 73010 I By Mensel D. Dean Revocable Trust Stock received in lieu of cash compensation 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 24,125 shares of the Company's common stock as of April 20, 2021, allocated to the Mensel D. Dean Revocable Trust. /s/ Amanda G. Story, Attorney-In-Fact 2021-08-18