01/31/2025 | Press release | Distributed by Public on 01/31/2025 09:56
FORM 4
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES 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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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
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 Underlying Securities (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 of Derivative Security: 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 |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Deary-Bell Shannon C/O FIVE STAR BANCORP 3100 ZINFANDEL DRIVE, SUITE 100 RANCHO CORDOVA, CA 95670 |
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/s/ Shannon Deary-Bell, by Heather C. Luck, Attorney-in-Fact | 01/31/2025 |
**Signature of Reporting Person | Date |
* | 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). |
(1) | Granted pursuant to the Five Star Bancorp 2021 Equity Incentive Plan with all shares scheduled to vest on December 31, 2025, provided the reporting person, Ms. Deary-Bell, remains as a director with Five Star Bancorp on that date. |
(2) | Shares are held by The Bell Family Revocable Trust dated December 14, 1994, for which Ms. Deary-Bell serves as a trustee. |
(3) | Shares are held by the Beverly B. Deary Trust (Survivor's Trust), for which Ms. Deary-Bell serves as a trustee. |
(4) | Shares are held by The Connor J. Bell 2018 Irrevocable Trust, dated 11/2/2018, for the benefit of Ms. Deary-Bell's child. |
(5) | Ms. Deary-Bell disclaims ownership of these securities, and this report shall not be deemed an admission that Ms. Deary-Bell is the beneficial owner of the securities for purposes of Section 16 or for any other purpose. |
(6) | Shares are held by The Riley S. Bell 2018 Irrevocable Trust, dated 11/2/2018, for the benefit of Ms. Deary-Bell's child. |