-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Q2i2kBwZqR0hY15oGTqZ6glmzQ/S02URG0SPow5Z7TUJx3v/QfcQtrFAsrVn0Rgm 8vzGUBCpf5dbBXaReMaqTg== 0000939057-04-000118.txt : 20040427 0000939057-04-000118.hdr.sgml : 20040427 20040427113742 ACCESSION NUMBER: 0000939057-04-000118 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040423 FILED AS OF DATE: 20040427 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JACOBS SY CENTRAL INDEX KEY: 0001166408 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-28304 FILM NUMBER: 04755989 BUSINESS ADDRESS: STREET 1: ONE FIFTH AVENUE CITY: NEW YORK STATE: NY ZIP: 10003 MAIL ADDRESS: STREET 1: ONE FIFTH AVENUE CITY: NEW YORK STATE: NY ZIP: 10003 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PROVIDENT FINANCIAL HOLDINGS INC CENTRAL INDEX KEY: 0001010470 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035] IRS NUMBER: 330704889 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 3756 CENTRAL AVE CITY: RIVERSIDE STATE: CA ZIP: 92506 BUSINESS PHONE: 9096866060 MAIL ADDRESS: STREET 1: 3756 CENTRAL AVENUE CITY: RIVERSIDE STATE: CA ZIP: 92506 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2004-04-23 0 0001010470 PROVIDENT FINANCIAL HOLDINGS INC PROV 0001166408 JACOBS SY ONE FIFTH AVENUE NEW YORK NY 10003 1 0 0 0 Option to Purchase 24.8 2004-04-23 4 A 0 8500 24.8 A 2005-04-23 2014-04-23 Common Stock 8500 13750 D Mr. Jacobs has been granted 5,250 options to acquire 5,250 shares of common stock under Provident's 1996 Stock Option Plan. The grant(s) vest ratably over a five-year period and expire in ten years. On April 23, 2004, Mr. Jacobs was granted 8,500 options to acquire 8,500 shares of common stock under Provident's 2003 Stock Option Plan. The grant vests ratably over a five-year period and expires in ten years. /s/ Seymour M. Jacobs 2004-04-26 -----END PRIVACY-ENHANCED MESSAGE-----