SEC Form 4 · accession 0001140361-15-044931
CB Financial Services, Inc. · CBFV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ralph Burchianti
Officer — EVP
Period of report
Dec 16, 2015
Accepted (ET)
Dec 17, 2015 · 4:02 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001605301
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Dec 16, 2015 | A | 400 | $0.00 | A | 50,400 | D | |
| Common StockF3 | holding | — | — | — | 2,200 | I | By Investment Club |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock OptionsF2 | $22.25 | Dec 16, 2015 | A | 10,000 | A | Dec 16, 2016 | Dec 16, 2025 | Common Stock | 10,000 | 10,000 | D |
Explanation of responses
- F1Shares of restricted stock vest 100% on December 16, 2016.
- F2Stock options vest at a rate of 20% per year commencing on December 16, 2016.
- F3The investment club owns a total of 2,200 shares of the issuer's common stock. Mr. Burchianti has a 10% interest in the investment club and disclaims beneficial ownership with respect to 1,980 shares.