SEC Form 4 · accession 0001667682-17-000001
Embassy Bancorp, Inc. · EMYB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Patti Gates Smith
Director
Period of report
Jan 11, 2017
Accepted (ET)
Jan 12, 2017 · 3:45 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 | Jan 11, 2017 | G | 3,890 | $0.00 | D | 234,090 | I | Footnote |
| Common StockF3 | holding | — | — | — | 2,953 | I | By IRA | |
| Common StockF4 | holding | — | — | — | 200 | I | Footnote |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Includes 114 shares transferred on 9/8/2016 from IRA account.
- F2By self as trustee of the Patti G. Smith Living Trust.
- F3Excludes 114 shares transferred on 9/8/2016 to Living Trust account.
- F4By self as trustee of the Patti G. Smith Living Trust.