On December 16, 2019, Dr. Franklin W. Maddux, a member of the Boards of Directors of American National Bankshares Inc. (the “Company”) and its banking subsidiary, American National Bank and Trust Company (the “Bank”) since 2002, notified the Company and the Bank of his decision to resign as a director of both entities effective December 31, 2019. Dr. Maddux has been named to the Management Board of Fresenius Medical Care and at which he is Global Chief Medical Officer. He will take on his new responsibilities at Fresenius Medical Care on January 1, 2020 and will not be in a position to continue his service as a director of the Company and the Bank.