SEC Form 4 · accession 0001464633-17-000002
Embassy Bancorp, Inc. · EMYB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Bernard M Lesavoy
Director
Period of report
Feb 17, 2017
Accepted (ET)
Feb 22, 2017 · 5:05 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 | Feb 17, 2017 | A | 668 | $0.00 | A | 85,265 | D | |
| Common StockF9 | Feb 17, 2017 | J | 485 | $0.00 | D | 42,787 | I | By IRA |
| Common StockF3,F4 | holding | — | — | — | 8,930 | I | Footnote | |
| Common StockF5,F6 | holding | — | — | — | 7,357 | I | Footnote | |
| Common StockF7,F8 | holding | — | — | — | 6,653 | I | Footnote | |
| Common Stock | holding | — | — | — | 2,564 | I | By Spouse IRA | |
| Common Stock | holding | — | — | — | 412 | I | By Red Bird Associates LLC |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Shares of restricted stock granted pursuant to the 2010 Stock Incentive Plan.
- F2Includes 1,017.475 shares acquired on 9/30/2016 pursuant to a dividend reinvestment feature under Embassy Bancorp Inc. Dividend Reinvestment and Stock Purchase Plan.
- F3Includes 107.4026 shares acquired on 9/30/2016 pursuant to a dividend reinvestment feature under Embassy Bancorp Inc. Dividend Reinvestment and Stock Purchase Plan.
- F4As PUGTMA for daughter.
- F5Includes 88.4892 shares acquired on 9/30/2016 pursuant to a dividend reinvestment feature under Embassy Bancorp Inc. Dividend Reinvestment and Stock Purchase Plan.
- F6As PUGTMA for son.
- F7Includes 80.0125 shares acquired on 9/30/2016 pursuant to a dividend reinvestment feature under Embassy Bancorp Inc. Dividend Reinvestment and Stock Purchase Plan.
- F8As PUGTMA for son.
- F9Reflects the disposition of 485 shares as a result of shares unable to be identified following the transfer between IRA accounts, among different brokers.