0001552781-21-000469.txt : 20210525
0001552781-21-000469.hdr.sgml : 20210525
20210525162455
ACCESSION NUMBER: 0001552781-21-000469
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210524
FILED AS OF DATE: 20210525
DATE AS OF CHANGE: 20210525
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Nickum David Frank
CENTRAL INDEX KEY: 0001857891
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40379
FILM NUMBER: 21960899
MAIL ADDRESS:
STREET 1: 3100 ZINFANDEL DRIVE, SUITE 100
CITY: RANCHO CORDOVA
STATE: CA
ZIP: 95670
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: FIVE STAR BANCORP
CENTRAL INDEX KEY: 0001275168
STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022]
IRS NUMBER: 753100966
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3100 ZINFANDEL DRIVE
STREET 2: SUITE 100
CITY: RANCHO CORDOVA
STATE: CA
ZIP: 95670
BUSINESS PHONE: 916-626-5000
MAIL ADDRESS:
STREET 1: 3100 ZINFANDEL DRIVE
STREET 2: SUITE 100
CITY: RANCHO CORDOVA
STATE: CA
ZIP: 95670
4
1
ownership.xml
X0306
4
2021-05-24
0
0001275168
FIVE STAR BANCORP
FSBC
0001857891
Nickum David Frank
C/O FIVE STAR BANCORP
3100 ZINFANDEL DRIVE, SUITE 100
RANCHO CORDOVA
CA
95670
1
0
0
0
Common Stock
2021-05-24
4
A
0
4500
0
A
173506
I
By self as trustee
Shares are held by the Nickum Family Trust dated March 14, 2008, for which Mr. Nickum serves as a trustee.
/s/ David F. Nickum, by Heather C. Luck, Attorney-in-Fact
2021-05-25