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*
Maroney Kevin D

(Last) (First) (Middle)
ONE GRIMSBY DRIVE

(Street)
HAMBURG NY 14075

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
EVANS BANCORP INC [ EVBN ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
05/20/2020
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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 05/20/2020 A 2,054 A (1) 2,054 I By Trustee of 401(k)
Common Stock 2,088(2) I By Trustee of ESOP
Common Stock 4,711(3) D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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. Received, in addition to $61,716.32 in cash, in exchange for 8,288 shares of FSB Bancorp, Inc. ("FSB") common stock allocated to Mr. Maroney's FSB 401(k) account on May 20, 2020 in connection with the merger of FSB with and into Evans Bancorp, Inc. ("Evans") effective May 1, 2020 (the "Merger").
2. Received, in addition to $51,532.02 in cash, in exchange for 7,445 shares of FSB common stock allocated to Mr. Maroney's FSB ESOP account on May 14, 2020 in connection with the Merger.
3. Received in exchange for 10,722 shares of FSB common stock in connection with the Merger. At the effective time of the Merger at 12:01 a.m. on May 1, 2020 (the "Effective Time"), each outstanding share of FSB common stock converted into the right to receive, at the election of each holder, either, 0.4394 shares of Evans common stock and $17.80 in cash (the "Merger Consideration"). On April 30, 2020, the last trading day before the Effective Time, the closing price of FSB's common stock was $13.36 per share and the closing price of Evans' common stock was $27.77 per share. All fractional share holdings were paid in cash.
Remarks:
/s/Jessica L. Brosius, Attorney in Fact for Kevin D. Maroney 05/22/2020
** 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).
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