Annual Statement of Changes in Beneficial Ownership (5)
15 Febbraio 2022 - 5:48PM
Edgar (US Regulatory)
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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).
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Form 3 Holdings Reported
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Form 4 Transactions Reported
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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3235-0362
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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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1. Name and Address of Reporting Person
*
Keyser Jay B | 2. Issuer Name and Ticker or Trading SymbolVirginia National Bankshares Corp [VABK] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Last)
(First)
(Middle)
10 COURTHOUSE SQUARE | 3. Statement for Issuer's Fiscal Year Ended (MM/DD/YYYY) 10/28/2021 |
(Street)
WARRENTON, VA 20186
(City)
(State)
(Zip)
| 4. If Amendment, Date Original Filed(MM/DD/YYYY) | 6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form Filed by One Reporting Person
___ Form Filed by More than One Reporting Person
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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. Trans. Date | 2A. Deemed Execution Date, if any | 3. Trans. 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) |
Amount | (A) or (D) | Price |
Common Stock | 10/28/2021 | | G | 5668 | D | $0.00 | 1033 | I | By Revocable Trust (1) |
Common Stock | 10/28/2021 | | G | 5668 | A | $0.00 | 5668 | I | By LLC (1) |
Common Stock | | | | | | | 1289 | D | |
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 Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. 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 (MM/DD/YYYY) | 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 at End of Issuer's Fiscal Year (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
(1) | On October 27, 2021, the reporting person transferred shares from by his revocable trust to a newly created LLC of which he was the sole member and manager. On October 31, 2021, the reporting person transferred 100% of the ownership of the LLC to an irrevocable trust for the benefit of his wife, children and future lineal descendants. The reporting person's wife and a third party are co-trustees of the irrevocable trust. The reporting person remains as the manager of the LLC with sole voting and investment authority. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Keyser Jay B 10 COURTHOUSE SQUARE WARRENTON, VA 20186 | X |
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Signatures
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Donna G. Shewmake, Attorney-in-Fact | | 2/14/2022 |
**Signature of Reporting Person | Date |
Grafico Azioni Virginia National Banksh... (NASDAQ:VABK)
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Da Dic 2024 a Gen 2025
Grafico Azioni Virginia National Banksh... (NASDAQ:VABK)
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Da Gen 2024 a Gen 2025