J. Christopher Jacobsen - Jun 14, 2023 Form 4 Insider Report for HV Bancorp, Inc. (HVBC)

Signature
/s/ Janice Garner, pursuant to power of attorney
Stock symbol
HVBC
Transactions as of
Jun 14, 2023
Transactions value $
-$92,252
Form type
4
Date filed
6/16/2023, 04:46 PM
Previous filing
Jan 31, 2023

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction HVBC Common Stock Tax liability -$67.3K -1.93K -17.52% $34.90 9.07K Jun 14, 2023 Direct
transaction HVBC Common Stock Disposed to Issuer -9.07K -100% 0 Jun 16, 2023 Direct F1
transaction HVBC Common Stock Disposed to Issuer -22.1K -100% 0 Jun 16, 2023 By IRA F1
transaction HVBC Common Stock Disposed to Issuer -6.52K -100% 0 Jun 16, 2023 By 401(k) F1
transaction HVBC Common Stock Disposed to Issuer -1.49K -100% 0 Jun 16, 2023 By ESOP F1

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction HVBC Stock Options Disposed to Issuer -$25K $0 Jun 16, 2023 Common Stock 25K $14.80 Direct F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

J. Christopher Jacobsen is no longer subject to Section 16 filing requirements. Form 4 or Form 5 obligations may continue.

Explanation of Responses:

Id Content
F1 Pursuant to a merger agreement between the Issuer and Citizens Financial Services, Inc. ("CZFS"), each share of Issuer common stock was converted into and became exchangeable for the right to receive, at the election of the holder, either (i) $30.50 in cash or (ii) 0.4040 shares of CZFS common stock, subject to allocation procedures to ensure that 20% of the outstanding shares of Issuer common stock are exchanged for cash and 80% of the outstanding shares of Issuer common stock are exchanged for shares of CZFS common stock.
F2 Each option to purchase Issuer common stock, whether vested or unvested, automatically converted to the right to receive a cash payment equal to (i) the number of shares of Issuer common stock provided for in such option multiplied by (ii) the excess, if any, of $30.50 over the exercise price per share of Issuer common stock provided for in such option, which cash payment was made without interest and net of all applicable withholding taxes.