0001567619-21-022187.txt : 20211216 0001567619-21-022187.hdr.sgml : 20211216 20211216155959 ACCESSION NUMBER: 0001567619-21-022187 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211215 FILED AS OF DATE: 20211216 DATE AS OF CHANGE: 20211216 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Fox Mark E. CENTRAL INDEX KEY: 0001622331 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36706 FILM NUMBER: 211497761 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 2021-12-15 0 0001605301 CB Financial Services, Inc. CBFV 0001622331 Fox Mark E. 100 N. MARKET STREET CARMICHAELS PA 15320 1 1 0 0 Chairman of the Board Common Stock 2021-12-15 4 P 0 250 24.1333 A 6253 I By 401(k) Common Stock 2021-12-15 4 P 0 55 24.2099 A 725 I By IRA Common Stock 725 I By Corporation Common Stock 6952 D Stock Options 30.75 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 Includes shares of restricted stock which vest at a rate of 20% per year commencing on December 14, 2021. 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. /s/ Daniel Lutz, pursuant to power of attorney 2021-12-16