0000707605-17-000037.txt : 20170510 0000707605-17-000037.hdr.sgml : 20170510 20170510115045 ACCESSION NUMBER: 0000707605-17-000037 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170509 FILED AS OF DATE: 20170510 DATE AS OF CHANGE: 20170510 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMERISERV FINANCIAL INC /PA/ CENTRAL INDEX KEY: 0000707605 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 251424278 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: MAIN & FRANKLIN STS STREET 2: PO BOX 430 CITY: JOHNSTOWN STATE: PA ZIP: 15907 BUSINESS PHONE: 8145335300 MAIL ADDRESS: STREET 1: MAIN & FRANKLIN STS STREET 2: PO BOX 430 CITY: JOHNSTOWN STATE: PA ZIP: 15907 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ADAMS J MICHAEL JR CENTRAL INDEX KEY: 0001180672 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11204 FILM NUMBER: 17829167 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2017-05-09 0000707605 AMERISERV FINANCIAL INC /PA/ ASRV 0001180672 ADAMS J MICHAEL JR PA 1 0 0 0 Common 2017-05-09 5 A 0 4445 4.0488 A 85800.6663 D Common 57.4977 I By Minor Child Annual Retainer of $18,000 payable in shares of common stock to each independent director. Sharon M. Callihan, Attorney-in-Fact 2017-05-10