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