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