0001567619-20-008788.txt : 20200501
0001567619-20-008788.hdr.sgml : 20200501
20200501172713
ACCESSION NUMBER: 0001567619-20-008788
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200501
FILED AS OF DATE: 20200501
DATE AS OF CHANGE: 20200501
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gavenda Dana C
CENTRAL INDEX KEY: 0001405816
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37831
FILM NUMBER: 20841978
MAIL ADDRESS:
STREET 1: 45 SOUTH MAIN STREET
CITY: FAIRPORT
STATE: NY
ZIP: 14450
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: FSB Bancorp, Inc.
CENTRAL INDEX KEY: 0001667939
STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035]
IRS NUMBER: 000000000
STATE OF INCORPORATION: MD
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 45 SOUTH MAIN STREET
CITY: FAIRPORT
STATE: NY
ZIP: 14450
BUSINESS PHONE: (585) 223-9080
MAIL ADDRESS:
STREET 1: 45 SOUTH MAIN STREET
CITY: FAIRPORT
STATE: NY
ZIP: 14450
FORMER COMPANY:
FORMER CONFORMED NAME: FSB Community Bankshares, Inc.
DATE OF NAME CHANGE: 20160224
4
1
doc1.xml
FORM 4
X0306
4
2020-05-01
1
0001667939
FSB Bancorp, Inc.
FSBC
0001405816
Gavenda Dana C
45 SOUTH MAIN STREET
FAIRPORT
NY
14450
1
0
0
1
Chairman
Common Stock
2020-05-01
4
D
0
19410
D
0
D
Common Stock
2020-05-01
4
D
0
54
D
0
I
By Spouse
Common Stock
2020-05-01
4
D
0
17036
D
0
I
By ESOP
Common Stock
2020-05-01
4
D
0
9988
D
0
I
By 401(k)
Common Stock
2020-05-01
4
D
0
5601
D
0
I
By IRA
Stock Options
16.72
2020-05-01
4
D
0
48540
D
2018-10-02
2027-10-02
Common Stock
48540
0
D
Each share of Issuer common stock was converted into and became exchangeable for the right to receive, at the election of the holder, (i) $17.80 in cash and (ii) 0.4394 shares of Evans Bancorp, Inc. ("Buyer") common stock.
Each option to purchase Issuer common stock, whether vested or unvested, automatically converted to the right to receive a cash payment equal to (i) the number of shares of Issuer common stock provided for in such option and (ii) the excess, if any, of $17.80 over the exercise price per share of Issuer common stock provided for in such option, which cash payment shall be made without interest and shall be net of all applicable withholding taxes.
Reflects transactions not required to be reported pursuant to Section 16 of the Securities Exchange Act of 1934, as amended.
/s/ Benjamin M. Azoff, pursuant to power of attorney
2020-05-01