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