0001062993-22-001063.txt : 20220114
0001062993-22-001063.hdr.sgml : 20220114
20220114150936
ACCESSION NUMBER: 0001062993-22-001063
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211231
FILED AS OF DATE: 20220114
DATE AS OF CHANGE: 20220114
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: STOPKO JEFFREY A
CENTRAL INDEX KEY: 0001180698
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-11204
FILM NUMBER: 22531715
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
5
1
form5.xml
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
X0306
5
2021-12-31
0
0
0000707605
AMERISERV FINANCIAL INC /PA/
ASRV
0001180698
STOPKO JEFFREY A
216 FRANKLIN STREET
JOHNSTOWN
PA
15901
0
1
0
0
President & CEO ASRV & Bank
Common Stock
2021-12-31
5
P
0
1193
3.86
A
97881
D
Shares purchased through 401(k) in 2021.
Sharon M. Callihan - Attorney-in-Fact
2022-01-14