0000939057-16-000982.txt : 20160901 0000939057-16-000982.hdr.sgml : 20160901 20160901155205 ACCESSION NUMBER: 0000939057-16-000982 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160831 FILED AS OF DATE: 20160901 DATE AS OF CHANGE: 20160901 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 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: 161865790 MAIL ADDRESS: STREET 1: 3756 CENTRAL AVENUE CITY: RIVERSIDE STATE: CA ZIP: 92506 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2016-08-31 0 0001010470 PROVIDENT FINANCIAL HOLDINGS INC PROV 0001563549 Carpenter Judy A 3756 CENTRAL AVENUE RIVERSIDE CA 92506 1 0 0 0 Common Stock, Par Value $0.01 2016-08-31 4 M 0 1000 16.47 A 3200 D Option to Purchase Common Stock 16.47 2016-08-31 4 M 0 1000 0 D 2014-12-20 2022-12-20 Common Stock 1000 39000 D The total ownership of 3,200 shares includes 1,000 shares in Ms. Carpenter's employer sponsored 401(k) plan account. Comprised of 19,000 options granted under the Provident 2010 Equity Incentive Plan and 20,000 options granted under the Provident 2013 Equity Incentive Plan. /s/Judy A. Carpenter 2016-08-31