0001209191-22-000592.txt : 20220104
0001209191-22-000592.hdr.sgml : 20220104
20220104150635
ACCESSION NUMBER: 0001209191-22-000592
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211231
FILED AS OF DATE: 20220104
DATE AS OF CHANGE: 20220104
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hale David Peter
CENTRAL INDEX KEY: 0001713233
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-14549
FILM NUMBER: 22505423
MAIL ADDRESS:
STREET 1: 131 WEST FRONT STREET
STREET 2: P O BOX 249
CITY: THOMASVILLE
STATE: AL
ZIP: 36784
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: FIRST US BANCSHARES, INC.
CENTRAL INDEX KEY: 0000717806
STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022]
IRS NUMBER: 630843362
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3291 U.S. HIGHWAY 280
CITY: BIRMINGHAM
STATE: AL
ZIP: 35243
BUSINESS PHONE: 2055821084
MAIL ADDRESS:
STREET 1: 3291 U.S. HIGHWAY 280
CITY: BIRMINGHAM
STATE: AL
ZIP: 35243
FORMER COMPANY:
FORMER CONFORMED NAME: FIRST US BANCSHARES INC
DATE OF NAME CHANGE: 20161011
FORMER COMPANY:
FORMER CONFORMED NAME: UNITED SECURITY BANCSHARES INC
DATE OF NAME CHANGE: 19920703
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-12-31
0
0000717806
FIRST US BANCSHARES, INC.
FUSB
0001713233
Hale David Peter
3291 U. S. HIGHWAY 280
BIRMINGHAM
AL
35243
1
0
0
0
Phantom Stock Units
2021-12-31
4
A
0
447.35
10.57
A
Common Stock
447.35
8501.38
D
The units convert to common stock on a 1-for-1 basis.
Includes 21.61 shares attributable to quarterly dividends accrued under the First US Bancshares, Inc. Non-Employee Directors' Deferred Compensation Plan.
The phantom stock units were accrued under the First US Bancshares, Inc. Non-Employee Directors' Deferred Compensation Plan and are to be settled in common stock at the end of the deferral period.
/s/Beverly J. Dozier, by power of attorney
2022-01-04