0001552781-21-000360.txt : 20210506 0001552781-21-000360.hdr.sgml : 20210506 20210506171958 ACCESSION NUMBER: 0001552781-21-000360 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210504 FILED AS OF DATE: 20210506 DATE AS OF CHANGE: 20210506 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Deary-Bell Shannon CENTRAL INDEX KEY: 0001856591 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40379 FILM NUMBER: 21899001 MAIL ADDRESS: STREET 1: 3100 ZINFANDEL DRIVE, SUITE 100 CITY: RANCHO CORDOVA STATE: CA ZIP: 95670 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FIVE STAR BANCORP CENTRAL INDEX KEY: 0001275168 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 753100966 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3100 ZINFANDEL DRIVE STREET 2: SUITE 100 CITY: RANCHO CORDOVA STATE: CA ZIP: 95670 BUSINESS PHONE: 916-626-5000 MAIL ADDRESS: STREET 1: 3100 ZINFANDEL DRIVE STREET 2: SUITE 100 CITY: RANCHO CORDOVA STATE: CA ZIP: 95670 4 1 ownership.xml X0306 4 2021-05-04 0 0001275168 FIVE STAR BANCORP FSBC 0001856591 Deary-Bell Shannon C/O FIVE STAR BANCORP 3100 ZINFANDEL DRIVE, SUITE 100 RANCHO CORDOVA CA 95670 1 0 0 0 Common Stock 2021-05-04 4 P 0 16500 20 A 56354 I By self as trustee Common Stock 2500 I See footnotes Common Stock 2500 I See footnotes Shares are held by The Bell Family Revocable Trust dated December 14, 1994, for which Ms. Deary-Bell serves as a trustee. Ms. Deary-Bell, the reporting person, disclaims ownership of these securities, and this report shall not be deemed an admission that Ms. Deary-Bell is the beneficial owner of the securities for purposes of Section 16 or for any other purpose. Shares are held by The Connor J. Bell 2018 Irrevocable Trust, dated 11/2/2018, for the benefit of Ms. Deary-Bell's minor child. Shares are held by The Riley S. Bell 2018 Irrevocable Trust, dated 11/2/2018, for the benefit of Ms. Deary-Bell's minor child. /s/ Shannon Deary-Bell, by Heather C. Luck, Attorney-in-Fact 2021-05-06