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