SEC Form 4 · accession 0000707605-16-000165
AMERISERV FINANCIAL INC /PA/ · ASRV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael D Lynch
Officer — SVP & CFO
Period of report
Feb 23, 2016
Accepted (ET)
Feb 23, 2016 · 2:31 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000707605
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Feb 23, 2016 | M | 750 | $2.75 | A | 2,710 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F2 | $2.75 | Feb 23, 2016 | M | 750 | D | Mar 15, 2013 | Mar 15, 2022 | Common | 750 | 1,308 | D |
Explanation of responses
- F1These common shares are held jointly with Mr. Lynch's spouse.
- F2The options vest in three equal annual installments beginning on March 15, 2013, subject to acceleration or forfeiture in certain specified circumstances.