SEC Form 4
FORM 4 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
| 2. Issuer Name and Ticker or Trading Symbol F&M BANK CORP [ fmbm ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
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3. Date of Earliest Transaction (Month/Day/Year) 02/24/2021 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed (Month/Day/Year) | 6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 02/26/2021 | P | 300 | A | $26.52 | 975(1) | D | |||
Common Stock | 8,730.1129(2) | D | ||||||||
Common Stock | 53.9583(3) | I | Custodian for Grandson | |||||||
Common Stock | 52.7474(4) | I | Custodian for Granddaughter | |||||||
Common Stock | 53.0619 | I | Custodian for Grandson | |||||||
Common Stock | 26.4001 | I | Custodian for Grandson | |||||||
Common Stock | 712 | I | By Non-Qualified Deferred Comp | |||||||
Common Stock | 178.0523 | I | By Son | |||||||
Common Stock | 178.0523 | I | By Son | |||||||
Common Stock | 179.3432 | I | By daughter | |||||||
Common Stock | 02/26/2021 | D | 179.3432 | D | $0 | 179.3432 | I | By Daughter(5) | ||
Common Stock | 51.1193(6) | I | Custodian for Granddaughter |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
1. Includes 66.5142 Mr. Caplinger received in Dividend Reinvestment Plan. Footnote: on the 6/23/2020 reporting 725 shares were disposed in error. The amount of disposable shares were 125. A balance of 600 shares remained in this account. |
2. Includes 1.1864 shares in Dividend Reinvestment Plan. |
3. Includes 1.1577 shares by Dividend Reinvestment Plan. |
4. Includes 1.1651 shares in Dividend Reinvestment Plan. |
5. Accidentally reported on 6/19/2020 179.3432 Indirect By Daughter Twice on the form. Please dispose of the additional 179.3432 shares. |
6. Includes 1.1193 shares by Dividend Reinvestment Plan. |
Candy Barkley | 02/26/2021 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |