SEC Form 4 · accession 0001667682-17-000003
Embassy Bancorp, Inc. · EMYB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Patti Gates Smith
Director
Period of report
Feb 17, 2017
Accepted (ET)
Feb 22, 2017 · 4:21 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 | 623 | $0.00 | A | 234,713 | I | Footnote |
| Common Stock | holding | — | — | — | 2,953 | I | By IRA | |
| Common StockF3 | holding | — | — | — | 200 | I | Footnote |
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.
- F2By self as trustee of the Patti G. Smith Living Trust.
- F3By self as trustee of the Patti G. Smith Living Trust.