0000939057-17-000004.txt : 20170110 0000939057-17-000004.hdr.sgml : 20170110 20170110150043 ACCESSION NUMBER: 0000939057-17-000004 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170109 FILED AS OF DATE: 20170110 DATE AS OF CHANGE: 20170110 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: 17520375 MAIL ADDRESS: STREET 1: 3756 CENTRAL AVENUE CITY: RIVERSIDE STATE: CA ZIP: 92506 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2017-01-09 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 2017-01-09 4 A 0 1000 0 A 4200 D The total ownership of 4,200 shares includes the 1,000 share restricted stock award of January 9, 2017 with 500 shares vesting on January 9, 2018 and 500 shares vesting on January 9, 2019; and 1,000 shares in Ms. Carpenter's employer sponsored 401(k) plan account. /s/Judy A. Carpenter 2017-01-10