SEC Form 5 · accession 0001056943-17-000013
PEOPLES FINANCIAL SERVICES CORP. · PFIS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Debra E Dissinger
Officer — EVP, Chief Operating Officer
Period of report
Dec 31, 2016
Accepted (ET)
Feb 9, 2017 · 11:31 am EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001056943
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Dec 31, 2016 | J | 51 | $0.00 | A | 129 | I | PSB&T Employee Stock Ownership Plan |
| Common Stock | holding | — | — | — | 1,227 | D | ||
| Common StockF2 | holding | — | — | — | 11,160 | I | 401(k) |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents an allocation of shares under the Issuer's Employee Stock Ownership Plan.
- F2Balance includes adjustment of 2463 shares of common stock distributed to former spouse pursuant to a qualified domestic relations order. The reporting person no longer reports as beneficially owning any securities owned by former spouse.