SEC Form 4 · accession 0001209191-16-089257
FIRST US BANCSHARES, INC. · FUSB
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Andrew C Bearden Jr.
Director
Period of report
Dec 31, 2015
Accepted (ET)
Jan 5, 2016 · 6:10 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000717806
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Phantom Stock UnitsF2,F1,F3 | — | Dec 31, 2015 | A | 646 | A | — | — | Common Stock | 646 | 11,968 | D |
Explanation of responses
- F1The units convert to common stock on a 1-for-1 basis.
- F2Includes 23.79 shares attributable to quarterly dividends accrued under the United Security Bancshares, Inc. Non-employee Directors' Deferred Compensation Plan.
- F3The phantom stock units were accrued under the United Security Bancshares, Inc. Non-Employee Directors' Deferred Compensation Plan and are to be settled in common stock at the end of the deferral period.