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Large accelerated filer [ ]
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Accelerated filer [ ]
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Non-accelerated filer [X]
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Smaller reporting company [X]
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Emerging growth company [ ] |
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting
standards provided pursuant to Section 7(a)(2)(B) of the Securities Act.
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[ ]
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(a) |
the Registrant’s Annual Report on Form 10-K for the fiscal year ended June 30, 2022 (File No. 000-28304), filed with the Commission on September 2, 2022;
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(b) |
all other reports filed by the Registrant pursuant to Section 13(a) or 15(d) of the Securities Exchange Act since the end of the fiscal year covered by the Annual Report on Form 10-K referred to in Item 3(a) above;
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(c) |
the description of the Registrant’s common stock, par value $0.01 per share, set forth in its Registration Statement on Form 8-A, registering its common stock, pursuant to Section 12(g) of the Securities Exchange Act of 1934, as amended
(the “Exchange Act”), and all amendments thereto or reports filed for the purpose of updating such description.
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Exhibit
Number
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Description of Document
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4.3
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Form of Certificate of Common Stock of the Registrant(3)
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(1) |
Incorporated by reference to Exhibit 3.1 to the Registrant’s Quarterly Report on Form 10-Q filed on November 9, 2010.
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(2) |
Incorporated by reference to Exhibit 3.1 to the Registrant’s Current Report on Form 8-K filed on November 30, 2022.
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(3) |
Incorporated by reference to Registrant’s Registration Statement on Form S-1 filed on March 11, 1996.
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(4) |
Included as Appendix A to the Registrant’s Definitive Proxy Statement on Schedule 14A for the Annual Meeting of Shareholders held on November 29, 2022.
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PROVIDENT FINANCIAL HOLDINGS, INC.
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By: /s/ Craig G. Blunden |
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Craig G. Blunden
Chairman and Chief Executive Officer
(Duly Authorized Representative)
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Signature
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Title
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Date
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/s/Craig G. Blunden
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Chairman and Chief Executive Officer (Principal
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December 16, 2022 |
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Craig G. Blunden
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Executive Officer)
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/s/Donavon P. Ternes
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President, Chief Operating Officer and Chief Financial
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December 16, 2022 |
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Donavon P. Ternes
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Officer (Principal Financial and Accounting Officer)
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/s/Bruce W. Bennett
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Director
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December 16, 2022 |
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Bruce W. Bennett
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/s/Judy A. Carpenter |
Director
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December 16, 2022 |
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Judy A. Carpenter
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/s/Debbi H. Guthrie
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Director
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December 16, 2022 |
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Debbi H. Guthrie
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/s/Kathy M. Michalak |
Director
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December 16, 2022 |
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Kathy M. Michalak
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/s/Roy H. Taylor |
Director
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December 16, 2022 |
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Roy H. Taylor
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/s/William E. Thomas |
Director
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December 16, 2022 |
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William E. Thomas
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Exhibit
Number
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Description of Document
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1.
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The shares of Common Stock being so registered have been duly authorized.
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2.
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Such shares will be, when and if issued, sold and paid for as contemplated by the Plan, validly issued, fully paid and non-assessable.
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Sincerely, |
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/s/BREYER & ASSOCIATES PC
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BREYER & ASSOCIATES PC |
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PROVIDENT FINANCIAL HOLDINGS, INC.
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By: ______________________________________
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Its: ______________________________________
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ACCEPTED:
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___________________________________________ |
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(Signature) |
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___________________________________________
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(Street Address) |
___________________________________________ |
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(City, State and Zip Code) |
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PROVIDENT FINANCIAL HOLDINGS, INC.
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By: ______________________________________
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Its: ______________________________________
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ACCEPTED:
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___________________________________________ |
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(Signature) |
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___________________________________________
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(Street Address) |
___________________________________________ |
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(City, State and Zip Code) |
Date of Vesting
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Number of Shares Vested
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PROVIDENT FINANCIAL HOLDINGS, INC.
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By: ______________________________________
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Its: ______________________________________
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ACCEPTED:
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___________________________________________ |
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(Signature) |
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___________________________________________
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(Street Address) |
___________________________________________ |
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(City, State and Zip Code) |
Security
Type
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Security Class
Title
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Fee
Calculation
Rule
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Amount
Registered
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Proposed
Maximum
Offering Price
Per Share (2)
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Maximum
Aggregate Offering Price
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Fee Rate
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Amount of
Registration
Fee
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Equity
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Common
Stock, par
value $.01
per share
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Rule 457(c) and
Rule 457(h)
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375,000(1)
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$14.79 | $5,546,250 |
.0001102
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$612 |
Total Offering Amounts
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$5,546,250 | $612 | |||||
Total Fee Offsets
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$0 | ||||||
Net Fee Due
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$612 |
(1) |
Pursuant to Rule 416 under the Securities Act of 1933, this Registration Statement includes an indeterminate number of additional shares which may be necessary to adjust the number of shares reserved for issuance pursuant to the Provident
Financial Holdings, Inc. 2022 Equity Incentive Plan as a result of a stock split, stock dividend or similar adjustment of the outstanding common stock of the registrant.
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(2) |
Estimated in accordance with Rule 457(c) and Rule 457(h) of the Securities Act of 1933, calculated on the basis of $14.79 per share, the average of the high and low sale prices per share of the registrant’s common stock on the Nasdaq
Global Market on December 12, 2022, which date is within five business days prior to filing this Registration Statement.
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