0001567619-22-004947.txt : 20220217 0001567619-22-004947.hdr.sgml : 20220217 20220217173426 ACCESSION NUMBER: 0001567619-22-004947 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220216 FILED AS OF DATE: 20220217 DATE AS OF CHANGE: 20220217 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: 22649656 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 2022-02-16 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 2022-02-16 4 A 0 2500 0.00 A 15100 D Common Stock 2500 I By IRA Stock Options 26.25 2022-02-16 4 A 0 10000 0.00 A 2023-02-16 2032-02-16 Common Stock 10000 10000 D Stock Options 18.60 2021-08-31 2030-08-31 Common Stock 12000 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. Shares of restricted stock vest at a rate of 20% per year commencing on February 16, 2023. Stock options 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 February 16, 2023. /s/ Daniel Lutz, pursuant to power of attorney 2022-02-17