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Washington
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45-4585178
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(State or other jurisdiction of
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(I.R.S. Employer
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incorporation or organization)
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Identification No.)
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| 6920 220th Street SW, | ||||
| Mountlake Terrace, Washington |
98043 | |||
| (Address of principal executive offices) |
(Zip code) |
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Matthew D. Mullet
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John F. Breyer, Jr.
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Chief Financial Officer
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Breyer & Associates PC
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FS Bancorp, Inc.
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8180 Greensboro Drive
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| 6920 220th Street SW | Suite 785 | |||
| Mountlake Terrace, Washington 98043 |
McLean, Virginia 22102 | |||
| (425) 771-5299 | (703) 883-1100 | |||
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Large accelerated filer ☐
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Accelerated filer ☒
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Non-accelerated filer ☐
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Smaller reporting company ☒
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Emerging growth company ☐
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| (a) |
the Registrant’s Annual Report on Form 10-K for the fiscal year ended December 31, 2021 (File No. 001-35589) filed with the Commission on March 16, 2022;
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all other reports filed by the Registrant pursuant to Section 13(a) or 15(d) of the Securities Exchange Act since the end of the fiscal year covered by the Annual Report on Form 10-K referred to in Item 3(a) above; and
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| (c) |
the description of the Registrant’s common stock, par value $.01 per share, set forth in its Registration Statement on Form 8-A, registering its common stock pursuant to Section 12(b) of the Securities Exchange Act of 1934, filed as of June
28, 2012 and all amendments thereto or reports filed for the purpose of updating such description.
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Exhibit
Number
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Description of Document
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| 4.1 |
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| 4.2 |
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| 5 |
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| 10.1 | FS Bancorp, Inc. Nonqualified 2022 Stock Purchase Plan(3) | |
| 10.2 | Form of Enrollment/Change Form under the FS Bancorp, Inc. Nonqualified 2022 Stock Purchase Plan | |
| 23.1 | Consent of Moss Adams LLP |
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| 23.2 |
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| 24 | Power of attorney (contained in the signature page of the Registration Statement) |
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| 107 |
| (1) |
Incorporated by reference to the Registrant’s Registration Statement on Form S-1 (333-177125) filed on October 3, 2011.
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| (2) |
Incorporated by reference to the Registrant’s Current Report on Form 8-K filed on July 10, 2013 (File No. 001-35589).
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Incorporated by reference to the Registrant’s Definitive Proxy Statement for the Annual Meeting of Shareholders held on May 26, 2022.
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| (a) |
The undersigned Registrant hereby undertakes:
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FS BANCORP, INC.
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By: /s/Joseph C. Adams
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Joseph C. Adams
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Chief Executive Officer
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/s/Joseph C. Adams
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/s/Matthew D. Mullet
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Joseph C. Adams
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Matthew D. Mullet
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Chief Executive Officer and Director
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Chief Financial Officer, Treasurer and Secretary
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(Principal Executive Officer)
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(Principal Financial Officer)
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Date: June 21, 2022
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Date: June 21, 2022
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/s/Ted A. Leech
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/s/Pamela M. Andrews
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Ted A. Leech
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Pamela M. Andrews
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Chairman of the Board of Directors
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Director
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Date: June 21, 2022
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Date: June 21, 2022
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/s/Marina Cofer-Wildsmith
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/s/Michael J. Mansfield
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Marina Cofer-Wildsmith
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Michael J. Mansfield
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Director
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Director
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Date: June 21, 2022
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Date: June 21, 2022
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| /s/Margaret R. Piesik | /s/Joseph P. Zavaglia | |
| Margaret R. Piesik |
Joseph P. Zavaglia |
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| Director |
Director |
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| Date: June 21, 2022 |
Date: June 21, 2022 |
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Exhibit
Number
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Description of Document
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| 5 |
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| 10.2 | Form of Enrollment/Change Form under the FS Bancorp, Inc. Nonqualified 2022 Stock Purchase Plan | |
| 23.1 | Consent of Moss Adams LLP |
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| 23.2 |
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| 24 | Power of attorney (contained in the signature page of the Registration Statement) |
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| 107 |