On November 18, 2008, Charles H. Harris and Martha W. Medley were elected to serve on the Company's board of directors. The initial terms for Mr. Harris and Ms. Medley will expire at the 2009 annual meeting, at which time they will be subject to election by the shareholders.

Mr. Harris is Vice President for Student Services at Averett University in Danville, Virginia. Ms. Medley is a partner in the law firm of Daniel, Medley & Kirby, P.C., with offices in Martinsville and Danville, Virginia.

On November 18, 2008, the Board of Directors of American National Bankshares Inc. (the "Company") amended the Company's bylaws to increase the size of the board of directors from eleven to thirteen persons.

The Bylaws of the Company, as amended, are funished with this Current Report on Form 8-K as Exhibit 3.2.

Exhibit
Number    Description
3.2         Bylaws of American National Bankshares Inc.; amended November 18,
2008

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

Date: November 19, 2008 /s/ Neal A. Petrovich
Senior Vice President and Chief Financial Officer