SEC Form 4 · accession 0001464628-17-000003
Embassy Bancorp, Inc. · EMYB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
James R Bartholomew
Officer — Executive Vice President, SLO
Period of report
Dec 20, 2017
Accepted (ET)
Dec 21, 2017 · 3:47 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001449794
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Dec 20, 2017 | A | 965 | $0.00 | A | 5,068 | D | |
| Common Stock | holding | — | — | — | 17,578 | I | By IRA | |
| Common StockF3,F4 | holding | — | — | — | 63 | I | Footnote | |
| Common StockF5,F6 | holding | — | — | — | 62 | I | Footnote |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Shares of restricted stock granted on December 20, 2017. All shares vest one third each year over a three year period.
- F2Includes 25.8630 shares acquired on September 30, 2017 pursuant to a dividend reinvestment feature under the Embassy Bancorp Inc. Dividend Reinvestment and Stock Purchase Plan.
- F3Includes 0.5888 shares acquired on September 30, 2017 pursuant to a dividend reinvestment feature under the Embassy Bancorp, Inc. Dividend Reinvestment and Stock Purchase Plan.
- F4By spouse as custodian for Grandson under UGMA PA.
- F5Includes 0.5800 shares acquired on September 30, 2017 pursuant to a dividend reinvestment feature under the Embassy Bancorp, Inc. Dividend Reinvestment and Stock Purchase Plan.
- F6By spouse as custodian for Granddaughter under UGMA PA.