0001437749-18-017820.txt : 20181002 0001437749-18-017820.hdr.sgml : 20181002 20181002172149 ACCESSION NUMBER: 0001437749-18-017820 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180930 FILED AS OF DATE: 20181002 DATE AS OF CHANGE: 20181002 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: 181102593 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: UNITED SECURITY BANCSHARES INC DATE OF NAME CHANGE: 19920703 4 1 rdgdoc.xml FORM 4 X0306 4 2018-09-30 0000717806 FIRST US BANCSHARES INC FUSB 0001713233 Hale David Peter 3291 U. S. HIGHWAY 280 BIRMINGHAM AL 35243 1 Phantom Stock Units 2018-09-30 4 A 0 416.28 10.85 A Common Stock 416.28 1635.33 D The units convert to common stock on a 1-for-1 basis. Includes 1.53 shares attributable to quarterly dividends accrued under the United Security Bancshares, Inc. Non-Employee Directors' Deferred Compensation Plan. The phantom stock units were accrued under the United Security 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 2018-10-02