SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Brown Derek J

(Last) (First) (Middle)
105 W. 8TH STREET

(Street)
PORT ANGELES WA 98362

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/01/2020
3. Issuer Name and Ticker or Trading Symbol
First Northwest Bancorp [ FNWB ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
EVP, Chief HR/Marketing Off.
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 17,106(1) D
Common Stock 2,096.78(2) I 401(k) Plan
Common Stock 2,330.263 I By ESOP
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. Includes 6,000 unvested shares of restricted stock granted under the First Northwest Bancorp 2015 Incentive Plan ("2015" Plan"), of which 3,000 shares will vest per year beginning on July 6, 2020; and 4,000 unvested shares of restricted stock granted under the 2015 Plan, of which 1,000 shares will vest per year beginning on December 7, 2020.
2. Consists of units held in the First Federal Savings and Loan Association of Port Angeles 401(k) Plan, which consists of shares of the Issuer's common stock and a liquidity cash component. As a result, the number of underlying shares may fluctuate from time to time.
Remarks:
/s/Joyce L. Ruiz, Attorney-in-Fact for Derek J. Brown 03/09/2020
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.