0000939057-12-000376.txt : 20121221 0000939057-12-000376.hdr.sgml : 20121221 20121221101219 ACCESSION NUMBER: 0000939057-12-000376 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121220 FILED AS OF DATE: 20121221 DATE AS OF CHANGE: 20121221 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Carpenter Judy A CENTRAL INDEX KEY: 0001563549 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-28304 FILM NUMBER: 121279498 MAIL ADDRESS: STREET 1: 3756 CENTRAL AVENUE CITY: RIVERSIDE STATE: CA ZIP: 92506 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PROVIDENT FINANCIAL HOLDINGS INC CENTRAL INDEX KEY: 0001010470 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035] IRS NUMBER: 330704889 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 3756 CENTRAL AVE CITY: RIVERSIDE STATE: CA ZIP: 92506 BUSINESS PHONE: 9096866060 MAIL ADDRESS: STREET 1: 3756 CENTRAL AVENUE CITY: RIVERSIDE STATE: CA ZIP: 92506 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2012-12-20 0 0001010470 PROVIDENT FINANCIAL HOLDINGS INC PROV 0001563549 Carpenter Judy A 3756 CENTRAL AVENUE RIVERSIDE CA 92506 1 0 0 0 Option to Purchase 16.47 2012-12-20 4 A 0 20000 0 A 2014-12-20 2022-12-20 Common Stock 20000 20000 D The activity described in this Form 4 reflects that Ms. Carpenter has been granted 20,000 options to acquire 20,000 shares of common stock under Provident's 2010 Equity Incentive Plan. Fifty percent of the grant vests on December 20, 2014, fifty percent of the grant vests on December 20, 2016, and the entire grant expires in ten years. /s/Judy A. Carpenter 2012-12-20