SEC Form 4 · accession 0001140361-18-001431
FSB Bancorp, Inc. · FSBC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Kathleen M Dold
Officer — SVP
Period of report
Jan 5, 2018
Accepted (ET)
Jan 9, 2018 · 3:55 pm EST
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 | Jan 5, 2018 | A | 2,000 | $0.00 | A | 2,000 | D | |
| Common StockF3 | holding | — | — | — | 1,494 | 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 | $17.52 | Jan 5, 2018 | A | 5,000 | A | Jan 5, 2019 | Jan 5, 2028 | Common Stock | 5,000 | 5,000 | D |
Explanation of responses
- F1Shares of restricted stock vest at a rate of 20% per year commencing on January 5, 2019.
- F2Stock options vest at a rate of 20% per year commencing on January 5, 2019.
- F3Reflects transactions not required to be reported pursuant to Section 16 of the Securities Exchange Act of 1934, as amended.