UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Stock option (right to buy) (1) | 03/15/2013(2) | Â (1) | Common Stock | 100,000 | $ 8.05 (3) | D | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
PADRICK KEVIN D 201 WELLS AVENUE SOUTH RENTON, WA 98057 |
 X |  |  |  |
/s/Kevin D. Padrick | 03/20/2013 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Represents grant of stock options under the Stock Option Agreement ("Agreement") between Mr. Padrick and Stilwell Value LLC dated as of March 15, 2013. The Agreement provides that the stock options awarded to Mr. Padrick will expire on the earlier of: (i) a change in control of FFNW, as defined in the Agreement; (ii) three years after March 15, 2013(i.e., March 15, 2016) or such other date mutually agreed to by the parties pursuant to the Agreement; and (iii) in the event Mr. Padrick resigns or is removed from FFNW's Board of Directors. |
(2) | Vests on the March 15, 2013, the date FFNW announced in a press release that Mr. Padrick had been seated on the Board of Directors pursuant to the Agreement. |
(3) | Subject to Adjustment as provided in the Agreement. |