0001964333-23-000121.txt : 20230421
0001964333-23-000121.hdr.sgml : 20230421
20230421201246
ACCESSION NUMBER: 0001964333-23-000121
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 3
CONFORMED PERIOD OF REPORT: 20230421
FILED AS OF DATE: 20230421
DATE AS OF CHANGE: 20230421
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Carosi Nicholas III
CENTRAL INDEX KEY: 0001546069
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41633
FILM NUMBER: 23837696
MAIL ADDRESS:
STREET 1: 22900 SHAW ROAD
STREET 2: SUITE 111
CITY: STERLING
STATE: VA
ZIP: 20166
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Burke & Herbert Financial Services Corp.
CENTRAL INDEX KEY: 0001964333
STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021]
IRS NUMBER: 920289417
STATE OF INCORPORATION: VA
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 100 S. FAIRFAX STREET
CITY: ALEXANDRIA
STATE: VA
ZIP: 22314
BUSINESS PHONE: 703-549-6600
MAIL ADDRESS:
STREET 1: 100 S. FAIRFAX STREET
CITY: ALEXANDRIA
STATE: VA
ZIP: 22314
3
1
wf-form3_168212235520323.xml
FORM 3
X0206
3
2023-04-21
0
0001964333
Burke & Herbert Financial Services Corp.
BHRB
0001546069
Carosi Nicholas III
100 SOUTH FAIRFAX STREET
ALEXANDRIA
VA
22314
1
0
0
0
Common Stock
4040
D
Common Stock
400
I
Held by spouse
Restricted Stock Units
2026-12-31
Common Stock
3000.0
D
Performance-Based Restricted Stock Units
Common Stock
3000.0
D
Performance-Based Restricted Stock Units
Common Stock
1000.0
D
Assuming continued service this award will vest on the expiration date.
Each unit represents a contingent right to receive one common share or an equivalent amount of cash, or a combination of the two, at the discretion of Burke & Herbert Financial Services Corp.
Assuming continued service and the satisfaction of performance conditions, this award will vest no sooner than December 31, 2024 and no later than December 31, 2026.
Assuming continued service and the satisfaction of performance conditions, this award will vest no sooner than January 19, 2026 and no later than January 19, 2028.
/s/ Kirtan Parikh, as Attorney-in-Fact for Nicholas Carosi III
2023-04-21
EX-24
2
section16poafornickcaros.htm
POWER OF ATTORNEY FOR NICHOLAS CAROSI III
section16poafornickcaros
GRAPHIC
3
section16poafornickcaros001.jpg
POWER OF ATTORNEY FOR NICHOLAS CAROSI III (GRAPHIC)
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