0001464631-21-000001.txt : 20211207 0001464631-21-000001.hdr.sgml : 20211207 20211207144634 ACCESSION NUMBER: 0001464631-21-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20211203 FILED AS OF DATE: 20211207 DATE AS OF CHANGE: 20211207 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lobach David M Jr CENTRAL INDEX KEY: 0001464631 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-53528 FILM NUMBER: 211475667 MAIL ADDRESS: STREET 1: 100 GATEWAY DRIVE, SUITE 100 CITY: BETHLEHEM STATE: PA ZIP: 18017 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Embassy Bancorp, Inc. CENTRAL INDEX KEY: 0001449794 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 263339011 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 100 GATEWAY DRIVE STREET 2: SUITE 100 CITY: BETHLEHEM STATE: PA ZIP: 18017 BUSINESS PHONE: 610-882-8800 MAIL ADDRESS: STREET 1: 100 GATEWAY DRIVE STREET 2: SUITE 100 CITY: BETHLEHEM STATE: PA ZIP: 18017 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2021-12-03 0 0001449794 Embassy Bancorp, Inc. emyb 0001464631 Lobach David M Jr 100 GATEWAY DRIVE, SUITE 100 BETHLEHEM PA 18017 1 1 0 0 President & CEO Common Stock 2021-12-03 4 M 0 17828 7 A 316991.085 D Common Stock 496.84 I By PUGTMA for Grandchild Common Stock 128306 I By IRA Common Stock 49900 I By Spouse IRA Option, Right to Buy 7 2021-12-03 4 M 0 17828 7 D 2022-02-22 Common Stock 17828 0 D Includes 4,301 non-qualified stock options and 13,527 incentive stock options which vested in three equal installments on February 22, 2014, 2015 and 2016. Includes 2.8214 shares acquired pursuant to dividend reinvestment plan. Includes 5.8337 shares acquired pursuant to dividend reinvestment plan. Reports 5 fewer shares than previously reported, based upon applicable broker records. Prior overreporting is attributable to an administrative oversight. Laura A. Suplee for David M. Lobach Jr. under Power of Attorney dated January 19, 2018 2021-12-07 EX-24 2 lobach.txt POWER OF ATTORNEY POWER OF ATTORNEY The undersigned, as a Section 16 reporting person of Embassy Bancorp, Inc. (the "Company"), hereby constitutes and appoints Judith A. Hunsicker, Lynne M. Neel, Laura A. Suplee, Andrea L. Reinert, and Mark A. Casciano the undersigned's true and lawful attorney(s)-in-fact to: 1. complete and execute Forms 3, 4 and 5 and other forms and all amendments thereto as such attorneys-in-fact shall in their discretion determine to be required or advisable pursuant to Section 16 of the Securities Exchange Act of 1934 (as amended) and the rules and regulations promulgated thereunder, or any successor laws and regulations, as a consequence of the undersigned's ownership, acquisition or disposition of securities of the Company; and 2. do all acts necessary in order to file such forms with the Securities and Exchange Commission, any securities exchange or national association, the Company and such other person or agency as the attorneys-in-fact shall deem appropriate. The undersigned hereby ratifies and confirms all that said attorneys-in-fact and agent shall do or cause to be done by virtue hereof. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, is not assuming, nor is the Company assuming, any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934 (as amended). This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4 and 5 with respect to the undersigned's holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the Company and the foregoing attorneys-in-fact. IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 19th day of January, 2018. Signature: /s/ David M. Lobach Jr. Print Name: David M. Lobach, Jr.