Embassy Bancorp (EMYB) Form 4 Embassy Bancorp / Bernard M Lesavoy ownership change

SEC Form 4

FORM 4

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

1. Name and Address of Reporting Person^*

Lesavoy Bernard M

(Last) (First) (Middle)

100 GATEWAY DRIVE, SUITE 100

(Street)

BETHLEHEM PA 18017

(City) (State) (Zip)

2. Issuer Name and Ticker or Trading Symbol
Embassy Bancorp, Inc. [ emyb ]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director	10% Owner
	Officer (give title below)	Other (specify below)

3. Date of Earliest Transaction (Month/Day/Year)
02/23/2022

4. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	3. Transaction Code (Instr. 8)		4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5)			5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
			Code	V	Amount	(A) or (D)	Price
Common Stock	02/23/2022		A		2,156(1)	A	$0	102,068.0299(2)	D
Common Stock								9,507.0681(3)	I	As PUGTMA for daughter
Common Stock								7,832.7636(4)	I	As PUGTMA for son
Common Stock								7,082.3329(5)	I	As PUGTMA for son
Common Stock								412	I	By Red Bird Associates LLC
Common Stock								2,726(6)	I	By Spouse
Common Stock								45,553(7)	I	By IRA

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	4. Transaction Code (Instr. 8)		5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)		6. Date Exercisable and Expiration Date (Month/Day/Year)		7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)		8. Price of Derivative Security (Instr. 5)	9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)	10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
				Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares

Explanation of Responses:

1. Shares of restricted stock granted pursuant to the 2010 Stock Incentive Plan.

2. Includes 1,420.6615 shares acquired pursuant to the dividend reinvestment plan.

3. Includes 134.9878 shares acquired pursuant to the dividend reinvestment plan.

4. Includes 111.1715 shares acquired pursuant to the dividend reinvestment plan.

5. Includes 100.4983 shares acquired pursuant to the dividend reinvestment plan.

6. Includes 38 shares acquired pursuant to the dividend reinvestment plan.

7. Includes 647 shares acquired pursuant to the dividend reinvestment plan.

	Laura A. Suplee for Bernard M. Lesavoy under Power of Attorney dated January 19, 2018	02/25/2022
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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