1.
|
NAMES
OF REPORTING PERSONS
David
Montrose van
Roijen
|
2.
|
CHECK
THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a)
x
(b)
o
|
3.
|
SEC
USE ONLY
|
4.
|
SOURCE
OF FUNDS
PF
|
5.
|
CHECK
IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR
2(e)
o
|
6.
|
CITIZENSHIP
OR PLACE OF ORGANIZATION
United
States
|
NUMBER
OF
SHARES
BENEFICIALLY
OWNED
BY
EACH
REPORTING
PERSON
WITH:
|
7.
|
SOLE
VOTING POWER
|
0
shares
|
8.
|
SHARED
VOTING POWER
|
261,119
shares (1)
|
|
9.
|
SOLE
DISPOSITIVE POWER
|
29,000
shares
|
|
10.
|
SHARED
DISPOSITIVE POWER
|
12,800
shares (2)
|
11.
|
AGGREGATE
AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
261,119
(1)
|
12.
|
CHECK
IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES
o
|
13.
|
PERCENT
OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
7.3%
(3)
|
14.
|
TYPE
OF REPORTING PERSON
IN
|
1.
|
NAMES
OF REPORTING PERSONS
Currell
Hunton
Tiffany
|
2.
|
CHECK
THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a)
x
(b)
o
|
3.
|
SEC
USE ONLY
|
4.
|
SOURCE
OF FUNDS
PF
|
5.
|
CHECK
IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR
2(e)
o
|
6.
|
CITIZENSHIP
OR PLACE OF ORGANIZATION
United
States
|
NUMBER
OF
SHARES
BENEFICIALLY
OWNED
BY
EACH
REPORTING
PERSON
WITH:
|
7.
|
SOLE
VOTING POWER
|
0
shares
|
8.
|
SHARED
VOTING POWER
|
261,119
shares (1)
|
|
9.
|
SOLE
DISPOSITIVE POWER
|
116,237
shares
|
|
10.
|
SHARED
DISPOSITIVE POWER
|
0
shares
|
11.
|
AGGREGATE
AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
261,119
(1)
|
12.
|
CHECK
IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES
o
|
13.
|
PERCENT
OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
7.3%
(2)
|
14.
|
TYPE
OF REPORTING PERSON
IN
|
1.
|
NAMES
OF REPORTING PERSONS
Susanne
McClenaghan
Tiffany
|
2.
|
CHECK
THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a)
x
(b)
o
|
3.
|
SEC
USE ONLY
|
4.
|
SOURCE
OF FUNDS
PF,
OO (1)
|
5.
|
CHECK
IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR
2(e)
o
|
6.
|
CITIZENSHIP
OR PLACE OF ORGANIZATION
United
States
|
NUMBER
OF
SHARES
BENEFICIALLY
OWNED
BY
EACH
REPORTING
PERSON
WITH:
|
7.
|
SOLE
VOTING POWER
|
0
shares
|
8.
|
SHARED
VOTING POWER
|
261,119
shares (1)
|
|
9.
|
SOLE
DISPOSITIVE POWER
|
31,142
shares (2)
|
|
10.
|
SHARED
DISPOSITIVE POWER
|
0
shares
|
11.
|
AGGREGATE
AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
261,119
(1)
|
12.
|
CHECK
IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES
o
|
13.
|
PERCENT
OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
7.3%
(3)
|
14.
|
TYPE
OF REPORTING PERSON
IN
|
1.
|
NAMES
OF REPORTING PERSONS
Peter
Portner van
Roijen
|
2.
|
CHECK
THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a)
x
(b)
o
|
3.
|
SEC
USE ONLY
|
4.
|
SOURCE
OF FUNDS
PF
|
5.
|
CHECK
IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR
2(e)
o
|
6.
|
CITIZENSHIP
OR PLACE OF ORGANIZATION
United
States
|
NUMBER
OF
SHARES
BENEFICIALLY
OWNED
BY
EACH
REPORTING
PERSON
WITH:
|
7.
|
SOLE
VOTING POWER
|
0
shares
|
8.
|
SHARED
VOTING POWER
|
261,119
shares (1)
|
|
9.
|
SOLE
DISPOSITIVE POWER
|
18,400
shares
|
|
10.
|
SHARED
DISPOSITIVE POWER
|
12,800
shares (2)
|
11.
|
AGGREGATE
AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
261,119
(1)
|
12.
|
CHECK
IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES
o
|
13.
|
PERCENT
OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
7.3%
(3)
|
14.
|
TYPE
OF REPORTING PERSON
IN
|
1.
|
NAMES
OF REPORTING PERSONS
William
E. Sudduth
|
2.
|
CHECK
THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a)
x
(b)
o
|
3.
|
SEC
USE ONLY
|
4.
|
SOURCE
OF FUNDS
OO
(1)
|
5.
|
CHECK
IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR
2(e)
o
|
6.
|
CITIZENSHIP
OR PLACE OF ORGANIZATION
United
States
|
NUMBER
OF
SHARES
BENEFICIALLY
OWNED
BY
EACH
REPORTING
PERSON
WITH:
|
7.
|
SOLE
VOTING POWER
|
0
shares
|
8.
|
SHARED
VOTING POWER
|
261,119
shares (1)
|
|
9.
|
SOLE
DISPOSITIVE POWER
|
0
shares
|
|
10.
|
SHARED
DISPOSITIVE POWER
|
3,540
shares (2)(3)
|
11.
|
AGGREGATE
AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
261,119
(1)
|
12.
|
CHECK
IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES
o
|
13.
|
PERCENT
OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
7.3%
(4)
|
14.
|
TYPE
OF REPORTING PERSON
IN
|
1.
|
NAMES
OF REPORTING PERSONS
Richard
C. Stoker
|
2.
|
CHECK
THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a)
x
(b)
o
|
3.
|
SEC
USE ONLY
|
4.
|
SOURCE
OF FUNDS
PF
|
5.
|
CHECK
IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR
2(e)
o
|
6.
|
CITIZENSHIP
OR PLACE OF ORGANIZATION
United
States
|
NUMBER
OF
SHARES
BENEFICIALLY
OWNED
BY
EACH
REPORTING
PERSON
WITH:
|
7.
|
SOLE
VOTING POWER
|
0
shares
|
8.
|
SHARED
VOTING POWER
|
261,119
shares (1)
|
|
9.
|
SOLE
DISPOSITIVE POWER
|
50,000
shares
|
|
10.
|
SHARED
DISPOSITIVE POWER
|
0
shares
|
11.
|
AGGREGATE
AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
261,119
(1)
|
12.
|
CHECK
IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES
o
|
13.
|
PERCENT
OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
7.3%
(2)
|
14.
|
TYPE
OF REPORTING PERSON
IN
|
Item
1.
|
Security
and Issuer.
|
Item
2.
|
Identity
and Background.
|
a.
|
Name:
David M. van Roijen
|
b.
|
Address:
Crest Orchard, Box 7544, Charlottesville, Virginia
22906
|
c.
|
Occupation:
Owner, Crest Orchard, Box 7544, Charlottesville, VA 22906
VA
|
a.
|
Name:
C. Hunton Tiffany
|
b.
|
Address:
7176 Homestead Court, Warrenton, VA
20186
|
c.
|
Occupation:
Board of Directors, Fauquier Health System; Board of Trustees, Fauquier
Hospital, 500 Hospital Drive Warrenton,
VA 20186
|
a.
|
Name:
Susanne M. Tiffany
|
b.
|
Address:
7176 Homestead Court, Warrenton, VA
20186
|
c.
|
Occupation:
Retired
|
a.
|
Name:
Peter P. van Roijen
|
b.
|
Address:
Box 332, Wilson, WY 83014
|
c.
|
Occupation:
Self-employed
|
a.
|
Name:
William E. Sudduth
|
b.
|
Address:
273 Waterloo Street, Warrenton, VA
20186
|
c.
|
Occupation:
Owner, Sudduth Memorials, 273 Waterloo St., Warrenton, VA
20186
|
a.
|
Name:
Richard C. Stoker
|
b.
|
Address:
2980 N. Atlantic Blvd., Ft. Lauderdale, FL
33308
|
c.
|
Occupation:
Retired
|
Item 3.
|
Source and Amount of Funds or
Other Consideration.
|
Item
4.
|
Purpose
of Transaction.
|
Item
5.
|
Interest
in Securities of the Issuer.
|
Name
|
Number of
Shares
|
Percentage
|
||||||
David
Montrose van Roijen
|
261,119 | (1) | 7.3 | % | ||||
C.
Hunton Tiffany
|
261,119 | (1) | 7.3 | % | ||||
Susanne
McClenaghan Tiffany
|
261,119 | (1) | 7.3 | % | ||||
Peter
P. van Roijen
|
261,119 | (1) | 7.3 | % | ||||
William
E. Sudduth
|
261,119 | (1) | 7.3 | % | ||||
Richard
C. Stoker
|
261,119 | (1) | 7.3 | % |
Item 6.
|
Contracts, Arrangements,
Understandings or Relationships with Respect to Securities of the
Issuer.
|
Item
7.
|
Material
to be Filed as Exhibits.
|
Exhibit
No.
|
Description
|
99.1
|
Notice
of Intent to Nominate Directors, dated March 19, 2009 from William E.
Sudduth to the Company (1)
|
99.2
|
Joint
Filing Agreement (1)
|
99.3
|
Power
of Attorney granted by Susanne M. Tiffany (1)
|
99.4
|
Power
of Attorney granted by Peter P. van Roijen (1)
|
99.5
|
Power
of Attorney granted by William E. Sudduth (1)
|
99.6
|
Power
of Attorney granted by Richard C. Stoker
(1)
|
David
M. van Roijen
|
|
/s/
David M. van Roijen
|
|
Name/Title:
David M. van Roijen, an individual
|
|
C.
Hunton Tiffany
|
|
/s/
C. Hunton Tiffany
|
|
Name/Title:
C. Hunton Tiffany, an individual
|
|
Susanne
M. Tiffany
|
|
/s/
C. Hunton Tiffany, Attorney-in-Fact
|
|
Name/Title:
C. Hunton Tiffany, Attorney-in-Fact
|
|
Peter
P. van Roijen
|
|
/s/ David M. van Roijen,
Attorney-in-Fact
|
|
Name/Title:
David M. van Roijen, Attorney-in-Fact
|
|
William
E. Sudduth
|
|
/s/
C. Hunton Tiffany
|
|
Name/Title:
C. Hunton Tiffany, Attorney-in-Fact
|
|
Richard
C. Stoker
|
|
/s/
C. Hunton Tiffany
|
|
Name/Title:
C. Hunton Tiffany, Attorney-in-Fact
|