SEC Form 4 · accession 0001140361-17-046788
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 15, 2017
Accepted (ET)
Dec 19, 2017 · 6:01 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 Stock | holding | — | — | — | 53,608 | D | ||
| Common StockF4 | 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 OptionsF1 | $30.75 | Dec 15, 2017 | A | 3,280 | A | Dec 15, 2018 | Dec 16, 2027 | Common Stock | 3,280 | 3,280 | D |
| Stock OptionsF2 | $26.45 | holding | — | — | — | Dec 16, 2017 | Dec 16, 2026 | Common Stock | 2,810 | 2,810 | D |
| Stock OptionsF3 | $22.25 | holding | — | — | — | Dec 16, 2016 | Dec 16, 2025 | Common Stock | 10,000 | 10,000 | D |
Explanation of responses
- F1Stock options vest at a rate of 20% per year commencing on December 15, 2018.
- F2Stock options vest at a rate of 20% per year commencing on December 16, 2017.
- F3Stock options vest at a rate of 20% per year commencing on December 16, 2016.
- F4The 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.