SEC Form 4 · accession 0001140361-17-037630
FSB Bancorp, Inc. · FSBC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Dana C Gavenda
Officer — President and CEO · Director
Period of report
Oct 2, 2017
Accepted (ET)
Oct 4, 2017 · 4:31 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001667939
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Oct 2, 2017 | A | 19,410 | $0.00 | A | 19,410 | D | |
| Common Stock | holding | — | — | — | 54 | I | By Spouse | |
| Common StockF3 | holding | — | — | — | 22,405 | I | By ESOP | |
| Common StockF3 | holding | — | — | — | 9,988 | I | By 401(k) |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock OptionsF2 | $16.72 | Oct 2, 2017 | A | 48,540 | A | Oct 2, 2018 | Oct 2, 2027 | Common Stock | 48,540 | 48,540 | D |
Explanation of responses
- F1Shares of restricted stock vest at a rate of 20% per year commencing on October 2, 2018.
- F2Stock options vest at a rate of 20% per year commencing on October 2, 2018.
- F3Reflects transactions not required to be reported pursuant to Section 16 of the Securities Exchange Act of 1934, as amended.