0001567619-21-016090.txt : 20210819
0001567619-21-016090.hdr.sgml : 20210819
20210819093136
ACCESSION NUMBER: 0001567619-21-016090
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210701
FILED AS OF DATE: 20210819
DATE AS OF CHANGE: 20210819
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Holzwarth Andrew C.
CENTRAL INDEX KEY: 0001796438
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39165
FILM NUMBER: 211188607
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
1
doc1.xml
FORM 4
X0306
4
2021-07-01
0
0000842717
BLUE RIDGE BANKSHARES, INC.
BRBS
0001796438
Holzwarth Andrew C.
17 WEST MAIN STREET
LURAY
VA
22835
1
0
0
0
Common Stock
2021-07-01
4
A
0
1333
17.93
A
106003
D
Common Stock
7882
I
By UTMA Account - Andrew Ward Holzwarth
Common Stock
0
I
By UTMA Account - Michael Anthony Holzwarth
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 34,890 shares of the Company's common stock as of April 20, 2021. At the same time, 2,627 shares were allocated to the UTMA Account for Andrew Ward Holzwarth.
The reporting person is no longer the Trustee of the UTMA Account for Michael Anthony Holzwarth and therefore no longer has any beneficial ownership of the 7,882 shares held.
/s/ Amanda G. Story, Attorney-In-Fact
2021-08-19