0001567619-21-017023.txt : 20210913
0001567619-21-017023.hdr.sgml : 20210913
20210913175444
ACCESSION NUMBER: 0001567619-21-017023
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210913
FILED AS OF DATE: 20210913
DATE AS OF CHANGE: 20210913
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Montgomery John Haines
CENTRAL INDEX KEY: 0001437134
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36706
FILM NUMBER: 211250640
MAIL ADDRESS:
STREET 1: 100 NORTH MARKET STREET
CITY: CARMICHAELS
STATE: PA
ZIP: 15320
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CB Financial Services, Inc.
CENTRAL INDEX KEY: 0001605301
STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022]
IRS NUMBER: 000000000
STATE OF INCORPORATION: PA
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 100 NORTH MARKET STREET
CITY: CARMICHAELS
STATE: PA
ZIP: 15320
BUSINESS PHONE: 724-966-5041
MAIL ADDRESS:
STREET 1: 100 NORTH MARKET STREET
CITY: CARMICHAELS
STATE: PA
ZIP: 15320
4
1
doc1.xml
FORM 4
X0306
4
2021-09-13
0
0001605301
CB Financial Services, Inc.
CBFV
0001437134
Montgomery John Haines
100 N. MARKET STREET
CARMICHAELS
PA
15320
1
1
0
0
President and CEO
Common Stock
2021-09-13
4
M
0
3000
18.60
A
12600
D
Common Stock
2500
I
By IRA
Stock Options
18.60
2021-09-13
4
M
0
3000
0.00
D
2021-08-31
2030-08-31
Common Stock
3000
12000
D
Includes shares of restricted stock which vest at a rate of 20% per year commencing on December 14, 2021.
Includes shares of restricted stock which vest at a rate of 20% per year commencing on August 31, 2021.
Stock options vest at a rate of 20% per year commencing on August 31, 2021.
/s/ Daniel Lutz, pursuant to power of attorney
2021-09-13