SEC Form 4 · accession 0000707605-17-000097
AMERISERV FINANCIAL INC /PA/ · ASRV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Craig G Ford
Director · Other
Period of report
Aug 31, 2017
Accepted (ET)
Sep 5, 2017 · 2:37 pm EDT
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 | Aug 31, 2017 | M | 20,000 | $2.85 | A | 72,655 | D | |
| Common | Aug 31, 2017 | M | 20,000 | $2.28 | A | 92,655 | D | |
| CommonF3 | Aug 31, 2017 | S | 40,000 | $3.86 | D | 52,655 | 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)F1 | $2.85 | Aug 31, 2017 | M | 20,000 | D | Mar 20, 2011 | Mar 20, 2018 | Common Stock | 20,000 | 0 | D |
| Stock Option (Right to Buy)F2 | $2.28 | Aug 31, 2017 | M | 20,000 | D | Feb 16, 2014 | Feb 16, 2021 | Common Stock | 20,000 | 0 | D |
Explanation of responses
- F1These options vest in three equal installments beginning March 20, 2009, subject to acceleration or forfeiture in certain specified circumstances.
- F2These options vest in three equal installments beginning February 16, 2012, subject to acceleration or forfeiture in certain specified circumstances.
- F3This transaction was executed in multiple trades at prices ranging from $3.95 to $3.85. The price reported reflects the weighted average sale price. Full information regarding the number of shares sold and the prices at which the transactions were effected is available to the SEC staff, the issuer and any security holder of the issuer, upon request.