0001415889-20-002983.txt : 20201218
0001415889-20-002983.hdr.sgml : 20201218
20201218101746
ACCESSION NUMBER: 0001415889-20-002983
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201216
FILED AS OF DATE: 20201218
DATE AS OF CHANGE: 20201218
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Benson Frank M.
CENTRAL INDEX KEY: 0001740383
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38491
FILM NUMBER: 201398288
MAIL ADDRESS:
STREET 1: 300 NORTH WATER STREET
CITY: SALEM
STATE: IN
ZIP: 47167
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Mid-Southern Bancorp, Inc.
CENTRAL INDEX KEY: 0001734875
STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035]
IRS NUMBER: 824821705
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 300 N. WATER STREET
CITY: SALEM
STATE: IN
ZIP: 47167
BUSINESS PHONE: (812)883-2639
MAIL ADDRESS:
STREET 1: 300 N. WATER STREET
CITY: SALEM
STATE: IN
ZIP: 47167
4
1
form4-12182020_071238.xml
X0306
4
2020-12-16
0001734875
Mid-Southern Bancorp, Inc.
MSVB
0001740383
Benson Frank M.
300 NORTH WATER STREET
SALEM
IN
47167
false
true
false
false
EVP AND SENIOR LOAN OFFICER
Common Stock
2020-12-16
4
A
0
250
A
4300
D
Common Stock
20000
I
By IRA
Represents award of restricted stock pursuant to the 2019 Equity Incentive Plan. 20% of the restricted stock award vests immediately, with the remaining 80% of the awarded stock vesting in four equal installments beginning on December 16, 2021 with the shares fully vested on December 16, 2024.
/s/ Frank M. Benson III
2020-12-16