0001140361-16-090396.txt : 20161220 0001140361-16-090396.hdr.sgml : 20161220 20161220171402 ACCESSION NUMBER: 0001140361-16-090396 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161216 FILED AS OF DATE: 20161220 DATE AS OF CHANGE: 20161220 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Headlee Joseph N. CENTRAL INDEX KEY: 0001622427 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36706 FILM NUMBER: 162062078 MAIL ADDRESS: STREET 1: 100 N. MARKET STREET CITY: CARMICHAELS STATE: PA ZIP: 15320 4 1 doc1.xml FORM 4 X0306 4 2016-12-16 0 0001605301 CB Financial Services, Inc. CBFV 0001622427 Headlee Joseph N. 100 N. MARKET STREET CARMICHAELS PA 15320 1 0 0 0 Common Stock 2016-12-16 4 A 0 500 0.00 A 15570 D Common Stock 5000 I By Partnership Stock Options 26.45 2016-12-16 4 A 0 1400 0.00 A 2017-12-16 2026-12-16 Common Stock 1400 1400 D Stock Options 22.25 2016-12-16 2025-12-16 Common Stock 5000 5000 D Shares of restricted stock vest 100% on December 16, 2017. Stock options vest at a rate of 20% per year commencing on December 16, 2017. Stock options vest at a rate of 20% per year commencing on December 16, 2016. /s/ Kevin D. Lemley, pursuant to power of attorney 2016-12-20