0001415889-22-011541.txt : 20221118 0001415889-22-011541.hdr.sgml : 20221118 20221118103805 ACCESSION NUMBER: 0001415889-22-011541 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221116 FILED AS OF DATE: 20221118 DATE AS OF CHANGE: 20221118 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bailey Larry R. CENTRAL INDEX KEY: 0001740390 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38491 FILM NUMBER: 221400937 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 form4-11182022_031158.xml X0306 4 2022-11-16 0001734875 Mid-Southern Bancorp, Inc. MSVB 0001740390 Bailey Larry R. 300 NORTH WATER STREET SALEM IN 47167 true false false false Common Stock 2022-11-16 4 A 0 1080 13 A 11314 D Stock Options 13 2022-11-16 4 A 0 1500 0 A 2032-11-16 Common Stock 1500 11225 D 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 November 16, 2023, with the shares fully vested on November 16, 2026. The options were granted under the 2019 Equity Incentive Plan. 20% of the options granted were exercisable immediately with the remaining 80% of the awarded options first becoming exercisable in four equal installments beginning on November 16, 2023, with the options fully exercisable on November 16, 2026. /s/ Larry R. Bailey 2022-11-18