Ownership Submission
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FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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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OMB APPROVAL
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OMB Number:3235-0104Expires:January 31, 2005Estimated average burden hours per response...0.5
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1. Name and Address of Reporting Person *
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Montano Trevor
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2. Date of Event Requiring Statement (Month/Day/Year)
2024-05-22
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3. Issuer Name and Ticker or Trading Symbol
BLUE RIDGE BANKSHARES, INC. [BRBS]
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(Last)
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(First)
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(Middle)
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1801 BAYBERRY COURT , SUITE 101
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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_____ Director
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_____ 10% Owner
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_____ Officer (give title below)
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_____ Other (specify below)
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5. If Amendment, Date Original Filed(Month/Day/Year)
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(Street)
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RICHMOND
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VA
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23226
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6. Individual or Join/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 Beneficially Owned
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1.Title of Security
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2. Amount of Securities Beneficially Owned
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3. Ownership Form: Direct (D) or Indirect (I)
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4. Nature of Indirect Beneficial Ownership
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
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2. Date Exercisable and Expiration Date
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3. Title and Amount of Securities Underlying Derivative Security
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
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6. Nature of Indirect Beneficial Ownership
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Date Exercisable
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Expriation Date
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Title
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Amount or Number of Shares
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Montano Trevor
1801 BAYBERRY COURT
SUITE 101
RICHMOND, VA23226
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Signatures
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Trevor Montano
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2024-07-02
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**Signature of Reporting Person
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Date
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Explanation of Responses:
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(*)
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If the form is filed by more than one reporting person, see Instruction 5(b)(v).
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(**)
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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(1)
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The reporting person disclaims beneficial ownership of these securities except to the extent of the reporting person's pecuniary interest in the securities.
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(2)
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The Mandatorily Convertible Cumulative Perpetual Preferred Stock, Series B, becomes convertible into shares of common stock upon a Mandatory Conversion or Partial Conversion (as such terms are defined in the Articles of Amendment to the Company's Articles of Incorporation creating and authorizing the shares of Mandatorily Convertible Cumulative Perpetual Preferred Stock, Series B).
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(3)
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The Mandatorily Convertible Cumulative Perpetual Preferred Stock, Series B, is perpetual and therefore has no expiration date.
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(4)
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Upon a Mandatory Conversion or Partial Conversion, all or a portion of the shares of Mandatorily Convertible Cumulative Perpetual Preferred Stock, Series B, are convertible into Common Stock on a 1-for-4,000 basis, which reflects an initial conversion price of $2.50 per share of Common Stock, subject to certain adjustments.
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(5)
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The Series B Warrant is exercisable to purchase shares of Mandatorily Convertible Cumulative Perpetual Preferred Stock, Series B, at a price of $10,000 per share, subject to certain adjustments. Upon a Mandatory Conversion, the Series B Warrant will become exercisable by the reporting person to purchase shares of Common Stock (reflecting a conversion on a 1-for-4,000 basis) at a price of $2.50 per share, subject to certain adjustments.
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Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
See Instruction 6 for procedure.Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.
