0001567619-20-006677.txt : 20200318
0001567619-20-006677.hdr.sgml : 20200318
20200318153300
ACCESSION NUMBER: 0001567619-20-006677
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200318
FILED AS OF DATE: 20200318
DATE AS OF CHANGE: 20200318
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Burchianti Ralph
CENTRAL INDEX KEY: 0001622336
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36706
FILM NUMBER: 20724207
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
2020-03-18
0
0001605301
CB Financial Services, Inc.
CBFV
0001622336
Burchianti Ralph
100 N. MARKET STREET
CARMICHAELS
PA
15320
0
1
0
0
Executive Vice President
Common Stock
2020-03-18
4
P
0
1000
20.00
A
59208
D
Common Stock
2020-03-18
4
P
0
1000
19.34
A
60208
D
Common Stock
2020-03-18
4
P
0
1000
19.349
A
61208
D
Common Stock
2020-03-18
4
P
0
1000
19.80
A
62208
D
Common Stock
2200
I
By Investment Club
Stock Options
30.75
2018-12-15
2027-12-16
Common Stock
3280
3280
D
Stock Options
26.45
2017-12-16
2026-12-16
Common Stock
2810
2810
D
Stock Options
22.25
2016-12-16
2025-12-16
Common Stock
10000
10000
D
Includes shares of restricted stock which vest at a rate of 20% per year commencing on December 14, 2020.
Includes shares of restricted stock which vest at a rate of 20% per year commencing on December 14, 2019.
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.
The investment club owns a total of 2,200 shares of the issuer's common stock. Mr. Burchianti has a 14% interest in the investment club and disclaims beneficial ownership with respect to 1,887 shares.
/s/ Daniel Lutz, pursuant to power of attorney
2020-03-18