SEC Form 4 · accession 0001140361-16-087407
Provident Bancorp, Inc. · PVBC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David P Mansfield
Officer — President and CEO · Director
Period of report
Nov 17, 2016
Accepted (ET)
Nov 21, 2016 · 4:23 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001635840
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Nov 17, 2016 | A | 44,644 | $0.00 | A | 44,644 | D | |
| Common Stock | holding | — | — | — | 15,000 | I | By 401(k) | |
| Common Stock | holding | — | — | — | 1,519 | I | By Spouse | |
| Common Stock | holding | — | — | — | 8,481 | I | By Spouse joint with children | |
| Common StockF3 | holding | — | — | — | 1,015 | I | By ESOP |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock OptionsF2 | $17.40 | Nov 17, 2016 | A | 111,600 | A | Nov 17, 2017 | Nov 17, 2026 | Common Stock | 111,600 | 111,600 | D |
Explanation of responses
- F1Shares of restricted stock vest at a rate of 20% per year commencing on November 17, 2017.
- F2Stock option vest at a rate of 20% per year commencing on November 17, 2017.
- F3Reflects transactions not required to be reported pursuant to Section 16 of the Securities Exchange Act of 1934, as amended.