0000939057-22-000330.txt : 20221107 0000939057-22-000330.hdr.sgml : 20221107 20221107131124 ACCESSION NUMBER: 0000939057-22-000330 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221104 FILED AS OF DATE: 20221107 DATE AS OF CHANGE: 20221107 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SAND MICHAEL R CENTRAL INDEX KEY: 0001251572 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23333 FILM NUMBER: 221364654 MAIL ADDRESS: STREET 1: 128 BEACON HILL DRIVE CITY: HOGUIAM STATE: WA ZIP: 98550 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TIMBERLAND BANCORP INC CENTRAL INDEX KEY: 0001046050 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTIONS, NOT FEDERALLY CHARTERED [6036] IRS NUMBER: 911863696 STATE OF INCORPORATION: WA FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 624 SIMPSON AVE CITY: HOQUIAM STATE: WA ZIP: 98550 BUSINESS PHONE: 3605334747 MAIL ADDRESS: STREET 1: 624 SIMPSON AVE CITY: HOQUIAM STATE: WA ZIP: 98550 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2022-11-04 0 0001046050 TIMBERLAND BANCORP INC TSBK 0001251572 SAND MICHAEL R 624 SIMPSON AVENUE HOQUIAM WA 98550 1 1 0 0 CEO Common Stock, $0.01 par value per share 2022-11-04 4 M 0 1000 15.67 A 73856 D Common Stock, $0.01 par value per share 2022-11-04 4 M 0 2000 16.87 A 75856 D Common Stock, $0.01 par value per share 2022-11-04 4 S 0 3000 32 D 72856 D Common Stock, $0.01 par value per share 94085 I By KSOP Stock Options (Right to buy) 15.67 2022-11-04 4 M 0 1000 0 D 2021-09-27 2026-09-27 Common Stock 1000 22000 D Stock Options (Right to buy) 16.87 2022-11-04 4 M 0 2000 0 D 2022-09-22 2030-09-22 Common Stock 2000 20000 D Represents shares held in the Timberland Bank Employee Stock Ownership and 401(k) Plan ("KSOP"). /s/Michael R. Sand 2022-11-07