-----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, QEeMterGEQLHP2iU+N/lffT8UCckwhTEboM6tAEd34uhxkvWboHs+U94SacAUjw2 rSJsM7xP5o6b0iOrC4TlcA== 0000939057-05-000211.txt : 20050801 0000939057-05-000211.hdr.sgml : 20050801 20050801120316 ACCESSION NUMBER: 0000939057-05-000211 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050729 FILED AS OF DATE: 20050801 DATE AS OF CHANGE: 20050801 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: 05987154 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 X0202 4 2005-07-29 0 0001046050 TIMBERLAND BANCORP INC TSBK 0001251572 SAND MICHAEL R 128 BEACON HILL DRIVE HOQUIAM WA 98550 1 1 0 0 President & CEO Common Stock, $.01 par value per share 2005-07-29 4 M 0 5200 12 A 45474 D Common Stock, $.01 par value per share 2005-07-29 4 S 0 5200 23.5 D 40274 D Employee Stock Option (right to buy) 12 2005-07-29 4 M 0 5200 12 D 2003-01-29 2009-01-29 Common Stock 5200 33350 D Includes indirect ownership of 6,348 shares held by MRDP Trust, 15,902 shares held by pension plan, 889 shares held by IRA, 889 shares held by wife, and 1,250 shares held by children; does not reflect beneficial ownership of stock options reportable on Table II. /s/Michael R. Sand 2005-07-29 -----END PRIVACY-ENHANCED MESSAGE-----