0000939057-21-000286.txt : 20210930 0000939057-21-000286.hdr.sgml : 20210930 20210930122202 ACCESSION NUMBER: 0000939057-21-000286 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210928 FILED AS OF DATE: 20210930 DATE AS OF CHANGE: 20210930 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CLINTON ANDREA M CENTRAL INDEX KEY: 0001251579 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23333 FILM NUMBER: 211294389 MAIL ADDRESS: STREET 1: 4520 GREEN COVE CT NW CITY: OLYMPIA STATE: WA ZIP: 98502 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 2021-09-28 0 0001046050 TIMBERLAND BANCORP INC TSBK 0001251579 CLINTON ANDREA M 624 SIMPSON AVENUE HOQUIAM WA 98550 1 0 0 0 Stock Option (Right To Buy) 28.23 2021-09-28 4 A 0 1000 0 A 2022-09-28 2031-09-28 Common Stock 1000 9000 D (1) Stock options were granted on 9/28/2021. These options will vest at 20% per annum. /s/ Andrea Clinton 2021-09-28