0000939057-24-000003.txt : 20240105 0000939057-24-000003.hdr.sgml : 20240105 20240105124929 ACCESSION NUMBER: 0000939057-24-000003 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20210101 FILED AS OF DATE: 20240105 DATE AS OF CHANGE: 20240105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Van Cise Todd CENTRAL INDEX KEY: 0002007067 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23333 FILM NUMBER: 24515354 MAIL ADDRESS: STREET 1: 624 SIMPSON AVENUE CITY: HOQUIAM 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] ORGANIZATION NAME: 02 Finance 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 3 1 primary_doc.xml PRIMARY DOCUMENT X0206 3 2021-01-01 0 0001046050 TIMBERLAND BANCORP INC TSBK 0002007067 Van Cise Todd 624 SIMPSON AVENUE HOQUIAM WA 98550 0 1 0 0 Chief Credit Administrator/EVP Common Stock, $0.01 par value per share 1000 D Common Stock, $0.01 par value per share 2108 I By KSOP Stock options (right to buy) 29.69 2018-09-23 2027-09-23 Common Stock, $0.01 par value per share 2000 D Stock options (right to buy) 31.8 2019-09-25 2028-09-25 Common Stock, $0.01 par value per share 1600 D Stock options (right to buy) 27.14 2020-09-24 2029-09-24 Common Stock, $0.01 par value per share 1400 D Stock Options (right to buy) 16.87 2021-09-22 2030-09-22 Common Stock, $0.01 par value per share 800 D Stock options (right to buy) 28.23 2022-09-28 2031-09-28 Common Stock, $0.01 par value per share 2000 D Stock options (right to buy) 27.4 2023-09-27 2032-09-27 Common Stock, $0.01 par value per share 2000 D Represents shares held in the Timberland Bank Employee Stock Ownership and 40l(k) Plan ("KSOP") Stock options were granted on 9/23/2017. These options vested at 20% per annum. Stock options were granted on 9/25/2018. These options vest at 20% per annum. Stock options were granted on 9/24/2019. These options vest at 20% per annum. Stock options were granted on 9/22/2020. These options vest at 20% per annum. Stock options were granted on 9/28/2021. These options vest at 20% per annum. Stock options were granted on 9/27/2022. These options vest at 20% per annum. /s/Cheryl Parks, Power of Attorney for Todd Van Cise 2024-01-04 EX-24 2 poavancise.htm EXHIBIT 24

Exhibit 24
POWER OF ATTORNEY
The undersigned hereby constitutes and appoints each of Marci Basich and Cheryl Parks, signing singly, the undersigned's true and lawful attorney-in-fact to:
(1)  execute for and on behalf of the undersigned, in the undersigned's capacity as an officer and / or director of Timberland Bancorp, Inc., ("TSBK"), Forms 3, 4, and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder;
(2)  do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Form 3,4 or 5 and timely file such form with the United States Securities and Exchange Commission and any stock exchange or similar authority; and
(3)  take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact's discretion.
The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's substitute and substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. The "undersigned" acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is TSBK assuming, any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934.
This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4 and 5 with respect to the undersigned's holdings of and transactions in securities issued by TSBK, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact.

IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this  27 day of Dec 2023.

 
Signature
 
 
 
/s/Todd Van Cise
 
 
 
Todd Van Cise


Notary Acknowledgement
State of WA
County of Pierce
I certify that I know or have satisfactory evidence that Todd Van Cise [name of person] is the person who appeared before me and id person acknowledged that he/she signed this instrument and acknowledge it to be his/her free and voluntary act for the uses and purposes mentioned in this instrument.
Dated 12/27/23
  
   
(Seal or Stamp)
 /s/Melissa Richards
MELISSA RICHARDS
Signature
COMMISSION EXPIRES 5-10-24
 
NOTARY PUBLIC 55532
  
STATE OF WASHINGTON
Notary
 
Title

My Appointment Expires: 5-10-24