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Washington
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45-4585178
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(State or other jurisdiction of
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(I.R.S. Employer
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incorporation or organization)
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Identification No.)
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6920 220th Street SW, | ||||
Mountlake Terrace, Washington |
98043 | |||
(Address of principal executive offices) |
(Zip code) |
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Matthew D. Mullet
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John F. Breyer, Jr.
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Chief Financial Officer
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Breyer & Associates PC
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FS Bancorp, Inc.
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8180 Greensboro Drive
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6920 220th Street SW | Suite 785 | |||
Mountlake Terrace, Washington 98043 |
McLean, Virginia 22102 | |||
(425) 771-5299 | (703) 883-1100 |
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Large accelerated filer ☐
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Accelerated filer ☒
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Non-accelerated filer ☐
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Smaller reporting company ☒
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Emerging growth company ☐
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(a) |
the Registrant’s Annual Report on Form 10-K for the fiscal year ended December 31, 2021 (File No. 001-35589) filed with the Commission on March 16, 2022;
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(b) |
all other reports filed by the Registrant pursuant to Section 13(a) or 15(d) of the Securities Exchange Act since the end of the fiscal year covered by the Annual Report on Form 10-K referred to in Item 3(a) above; and
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(c) |
the description of the Registrant’s common stock, par value $.01 per share, set forth in its Registration Statement on Form 8-A, registering its common stock pursuant to Section 12(b) of the Securities Exchange Act of 1934, filed as of June
28, 2012 and all amendments thereto or reports filed for the purpose of updating such description.
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Exhibit
Number
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Description of Document
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4.1 |
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4.2 |
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5 |
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10.1 | FS Bancorp, Inc. Nonqualified 2022 Stock Purchase Plan(3) | |
10.2 | Form of Enrollment/Change Form under the FS Bancorp, Inc. Nonqualified 2022 Stock Purchase Plan | |
23.1 | Consent of Moss Adams LLP |
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23.2 |
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24 | Power of attorney (contained in the signature page of the Registration Statement) |
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107 |
(1) |
Incorporated by reference to the Registrant’s Registration Statement on Form S-1 (333-177125) filed on October 3, 2011.
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(2) |
Incorporated by reference to the Registrant’s Current Report on Form 8-K filed on July 10, 2013 (File No. 001-35589).
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(3) |
Incorporated by reference to the Registrant’s Definitive Proxy Statement for the Annual Meeting of Shareholders held on May 26, 2022.
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(a) |
The undersigned Registrant hereby undertakes:
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FS BANCORP, INC.
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By: /s/Joseph C. Adams
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Joseph C. Adams
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Chief Executive Officer
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(Duly Authorized Representative) |
/s/Joseph C. Adams
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/s/Matthew D. Mullet
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Joseph C. Adams
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Matthew D. Mullet
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Chief Executive Officer and Director
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Chief Financial Officer, Treasurer and Secretary
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(Principal Executive Officer)
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(Principal Financial Officer)
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Date: June 21, 2022
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Date: June 21, 2022
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/s/Ted A. Leech
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/s/Pamela M. Andrews
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Ted A. Leech
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Pamela M. Andrews
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Chairman of the Board of Directors
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Director
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Date: June 21, 2022
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Date: June 21, 2022
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/s/Marina Cofer-Wildsmith
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/s/Michael J. Mansfield
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Marina Cofer-Wildsmith
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Michael J. Mansfield
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Director
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Director
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Date: June 21, 2022
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Date: June 21, 2022
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/s/Margaret R. Piesik | /s/Joseph P. Zavaglia | |
Margaret R. Piesik |
Joseph P. Zavaglia |
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Director |
Director |
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Date: June 21, 2022 |
Date: June 21, 2022 |
Exhibit
Number
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Description of Document
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5 |
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10.2 | Form of Enrollment/Change Form under the FS Bancorp, Inc. Nonqualified 2022 Stock Purchase Plan | |
23.1 | Consent of Moss Adams LLP |
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23.2 |
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24 | Power of attorney (contained in the signature page of the Registration Statement) |
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107 |
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Sincerely,
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/s/BREYER & ASSOCIATES PC
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BREYER & ASSOCIATES PC
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Exhibit 10.2 |
FS Bancorp, Inc. (the “Company”)
Nonqualified 2022 Stock Purchase Plan (“NSPP”)
Capitalized terms used but not otherwise defined herein shall
have the meaning given to them in the NSPP.
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Enrollment / Change Form
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a.
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The NSPP is established voluntarily by the Company and it is discretionary in nature;
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b.
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The NSPP is not a tax-qualified employee stock purchase plan within the meaning of Code Section 423, and as such the tax and
other benefits accorded to tax-qualified employee stock purchase plans are not available under this Plan;
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c.
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All decisions with respect to future offers to participate in the NSPP, if any, will be at the sole discretion of the Committee;
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d.
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I am voluntarily participating in the NSPP;
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e.
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The purchase price of the Common Stock is 100% of the fair market value of the Common Stock on the Exercise Date, as defined in the NSPP (i.e.,
there is no discounted purchase price);
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f.
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By participating in the Plan, I am entitled to a matching contribution of Common Stock, subject in all respects to the terms and limits of the
NSPP;
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g.
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The purchase rights and Common Stock subject to the purchase rights, and the income from and value of same, are not intended
to replace any pension rights or compensation; and
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h.
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The purchase rights and the Common Stock subject to the purchase rights, and the income from and value of same, are not part
of normal or expected compensation for any purpose, including, but not limited to calculating any severance, resignation, termination, redundancy, dismissal, end-of-service payments, bonuses, long-service awards, pension or retirement or
welfare benefits or similar payments.
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Security
Type
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Security Class
Title
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Fee
Calculation
Rule
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Amount
Registered
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Proposed
Maximum
Offering Price
Per Share
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Maximum
Aggregate
Offering Price
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Fee Rate
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Amount of
Registration
Fee
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Equity
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Common
Stock, par
value $0.01
per share
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Rule
457(c) and
Rule
457(h)
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1,000,000(1)
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$29.25(2)
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$29,250,000 |
.0000927
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$2,712 | |||||||
Total Offering Amounts | $29,250,000 |
$2,712 | ||||||||||||
Total Fee Offsets |
$ 0 |
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Net Fee Due | $2,712 |
(1) |
Pursuant to Rule 416 under the Securities Act of 1933, this Registration Statement includes an indeterminate number of additional shares which may be necessary to adjust the number of shares reserved for issuance pursuant to the FS Bancorp,
Inc. Nonqualified 2022 Stock Purchase Plan as a result of a stock split, stock dividend or similar adjustment of the outstanding common stock of the registrant.
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(2) |
Estimated in accordance with Rule 457(c) and Rule 457(h) of the Securities Act of 1933, calculated on the basis of $29.25 per share, the average of the high and low sale prices per share of the registrant’s common stock on the Nasdaq Global
Market on June 13, 2022, which date is within five business days prior to filing this Registration Statement.
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