0001437749-23-017728.txt : 20230616 0001437749-23-017728.hdr.sgml : 20230616 20230616164651 ACCESSION NUMBER: 0001437749-23-017728 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230614 FILED AS OF DATE: 20230616 DATE AS OF CHANGE: 20230616 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Jacobsen J Christopher CENTRAL INDEX KEY: 0001693963 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37981 FILM NUMBER: 231021946 MAIL ADDRESS: STREET 1: 2005 SOUTH EASTON ROAD STREET 2: SUITE 304 CITY: DOYLESTOWN STATE: PA ZIP: 18901 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HV Bancorp, Inc. CENTRAL INDEX KEY: 0001594555 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 000000000 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2005 SOUTH EASTON ROAD, SUITE 304 CITY: DOYLESTOWN STATE: PA ZIP: 18901 BUSINESS PHONE: 267-280-4000 MAIL ADDRESS: STREET 1: 2005 SOUTH EASTON ROAD, SUITE 304 CITY: DOYLESTOWN STATE: PA ZIP: 18901 4 1 rdgdoc.xml FORM 4 X0407 4 2023-06-14 1 0001594555 HV Bancorp, Inc. HVBC 0001693963 Jacobsen J Christopher 2005 SOUTH EASTON ROAD, SUITE 304 DOYLESTOWN PA 18901 1 EVP and COO 0 Common Stock 2023-06-14 4 F 0 1927 34.90 D 9073 D Common Stock 2023-06-16 4 D 0 9073 D 0 D Common Stock 2023-06-16 4 D 0 22064 D 0 I By IRA Common Stock 2023-06-16 4 D 0 6518 D 0 I By 401(k) Common Stock 2023-06-16 4 D 0 1491 D 0 I By ESOP Stock Options 14.80 2023-06-16 4 D 0 25000 D 2019-06-13 2028-06-13 Common Stock 25000 0 D Pursuant to a merger agreement between the Issuer and Citizens Financial Services, Inc. ("CZFS"), each share of Issuer common stock was converted into and became exchangeable for the right to receive, at the election of the holder, either (i) $30.50 in cash or (ii) 0.4040 shares of CZFS common stock, subject to allocation procedures to ensure that 20% of the outstanding shares of Issuer common stock are exchanged for cash and 80% of the outstanding shares of Issuer common stock are exchanged for shares of CZFS common stock. Each option to purchase Issuer common stock, whether vested or unvested, automatically converted to the right to receive a cash payment equal to (i) the number of shares of Issuer common stock provided for in such option multiplied by (ii) the excess, if any, of $30.50 over the exercise price per share of Issuer common stock provided for in such option, which cash payment was made without interest and net of all applicable withholding taxes. /s/ Janice Garner, pursuant to power of attorney 2023-06-16