0001526934-12-000003.txt : 20120112 0001526934-12-000003.hdr.sgml : 20120112 20120112154609 ACCESSION NUMBER: 0001526934-12-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20120110 FILED AS OF DATE: 20120112 DATE AS OF CHANGE: 20120112 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BARRETT BUSINESS SERVICES INC CENTRAL INDEX KEY: 0000902791 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HELP SUPPLY SERVICES [7363] IRS NUMBER: 520812977 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 8100 NE PARKWAY DRIVE STREET 2: SUITE 200 CITY: VANCOUVER STATE: WA ZIP: 98662 BUSINESS PHONE: (800) 494-5669 MAIL ADDRESS: STREET 1: 8100 NE PARKWAY DRIVE STREET 2: SUITE 200 CITY: VANCOUVER STATE: WA ZIP: 98662 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Estate of William W. Sherertz CENTRAL INDEX KEY: 0001526934 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-21886 FILM NUMBER: 12524203 BUSINESS ADDRESS: STREET 1: 25011 NE CRESAP RD CITY: BATTLE GROUND STATE: WA ZIP: 98604 BUSINESS PHONE: (503) 807-5579 MAIL ADDRESS: STREET 1: 25011 NE CRESAP RD CITY: BATTLE GROUND STATE: WA ZIP: 98604 4 1 primary_doc.xml PRIMARY DOCUMENT X0304 4 2012-01-10 0 0000902791 BARRETT BUSINESS SERVICES INC BBSI 0001526934 Estate of William W. Sherertz 25011 NE CRESAP RD BATTLE GROUND WA 98604 0 0 1 0 Common Stock 2012-01-10 4 S 0 1767 20.01 D 2536662 D Exhibit List: Exhibit 24 - Power of Attorney /s/ Christopher R. Harding, Jr., attorney in fact 2012-01-11 EX-24 2 exh24-poa.txt EXHIBIT 24 - POWER OF ATTORNEY POWER OF ATTORNEY Know all by these presents, that the undersigned hereby constitutes and appoints each of Thomas P. Palmer and Christopher R. Harding, Jr., signing singly, the undersigned's true and lawful attorneys-in-fact to: 1. Execute for and on behalf of the undersigned, in the undersigned's capacity as personal representative of the Estate of William W. Sherertz, a ten percent shareholder of Barrett Business Services, Inc., a Marlyand Corporation (the "Company"), Forms 3, 4, and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934, as amended, and the rules thereunder. 2. Do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3, 4, or 5 and timely file such form with the United States Securities and Exchange Commission; and 3. Take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact's discretion. The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934. The undersigned agrees that each such attorney-in-fact herein may rely entirely on information furnished orally or in writing by the undersigned to such attorney-in-fact. The undersigned also agrees to indemnify and hold harmless each such attorney-in-fact against any losses, claims, damages or liabilities (or actions in these respects) that arise out of or are based upon any untrue statement or omission of necessary facts in the information provided by the undersigned to either such attorney-in-fact for purposes of executing, acknowledging, delivering or filing Forms 3, 4 or 5 (including amendments thereto) and agrees to reimburse each such attorney-in-fact for any legal or other expenses reasonably incurred in connection with investigating or defending against any such loss, claim, damage, liability or action. This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4, and 5 with respect to the undersigned's holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact. IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 10th day of January, 2012. ESTATE OF WILLIAM W. SHERERTZ /s/ Kimberly J. Sherertz ___________________________________________ Kimberly J. Sherertz, personal representative