0001140361-17-046781.txt : 20171219 0001140361-17-046781.hdr.sgml : 20171219 20171219175742 ACCESSION NUMBER: 0001140361-17-046781 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171215 FILED AS OF DATE: 20171219 DATE AS OF CHANGE: 20171219 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: 171265147 MAIL ADDRESS: STREET 1: 100 N. 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 2017-12-15 0 0001605301 CB Financial Services, Inc. CBFV 0001622427 Headlee Joseph N. 100 N. MARKET STREET CARMICHAELS PA 15320 1 0 0 0 Common Stock 2017-12-15 4 A 0 750 0.00 A 16520 D Common Stock 5000 I By Partnership Stock Options 30.75 2017-12-15 4 A 0 1115 0.00 A 2018-12-15 2027-12-15 Common Stock 1115 1115 D Stock Options 26.45 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 15, 2018. Stock options vest at a rate of 20% per year commencing on December 15, 2018. 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 2017-12-19