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