SEC FORM 4
SEC Form 4
FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.
UNITED STATES SECURITIES AND EXCHANGE COMMISSION | OMB APPROVAL | |
Washington, D.C. 20549 | OMB Number: | 3235-0287 |
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP | Estimated average burden | |
hours per response: | 0.5 |
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
1. Name and Address of Reporting Person* | 2. | Issuer Name and Ticker or Trading Symbol | ||
Ugarkovich T aira | Cullman Bancorp, Inc. /MD/[ CULL ] | |||
3. | Date of Earliest Transaction (Month/Day/Year) | |||
(Last) | (First) | (Middle) | 08/18/2023 | |
316 SECOND AVENUE, S.W. | 4. | If Amendment, Date of Original Filed (Month/Day/Year) | ||
(Street) | ||||
CULLMAN | AL | 35055 | ||
(City) | (State) | (Zip) |
5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
Director | 10% Owner | |
X | Officer (give title | Other (specify |
below) | below) |
EVP and COO
6. Individual or Joint/Group Filing (Check Applicable Line)
-
Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) | 2. Transaction | 2A. Deemed | 3. | 4. Securities Acquired (A) or | 5. Amount of | 6. Ownership | 7. Nature of | |||||||||
Date | Execution Date, | Transaction | Disposed Of (D) (Instr. 3, 4 and | Securities | Form: Direct | Indirect | ||||||||||
(Month/Day/Year) | if any | Code (Instr. | 5) | Beneficially | (D) or Indirect | Beneficial | ||||||||||
(Month/Day/Year) | 8) | Owned Following | (I) (Instr. 4) | Ownership | ||||||||||||
(A) or | Reported | (Instr. 4) | ||||||||||||||
Code | V | Amount | Price | Transaction(s) | ||||||||||||
(D) | (Instr. 3 and 4) | |||||||||||||||
Common Stock | 08/18/2023 | A | 26,594(2) | A | $0 | 105,150(1) | D | |||||||||
Common Stock | 10,884(5) | I | By | |||||||||||||
ESOP | ||||||||||||||||
Common Stock | 25,000 | I | By | |||||||||||||
Spouse | ||||||||||||||||
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||||||||
(e.g., puts, calls, warrants, options, convertible securities) | ||||||||||||||||
1. Title of | 2. | 3. Transaction | 3A. Deemed | 4. | 5. | 6. Date Exercisable and 7. Title and Amount of | 8. Price of | 9. Number of | 10. | 11. Nature | ||||||
Derivative | Conversion | Date | Execution Date, | Transaction | Number | Expiration Date | Securities Underlying | Derivative | derivative | Ownership of Indirect | ||||||
Security | or Exercise | (Month/Day/Year) | if any | Code (Instr. | of | (Month/Day/Year) | Derivative Security | Security | Securities | Form: | Beneficial | |||||
(Instr. 3) | Price of | (Month/Day/Year) | 8) | Derivative | (Instr. 3 and 4) | (Instr. 5) | Beneficially | Direct (D) | Ownership | |||||||
Derivative | Securities | Owned | or Indirect | (Instr. 4) | ||||||||||||
Security | Acquired | Following | (I) (Instr. 4) | |||||||||||||
(A) or | Reported | |||||||||||||||
Disposed | Transaction(s) | |||||||||||||||
of (D) | (Instr. 4) | |||||||||||||||
(Instr. 3, 4 | ||||||||||||||||
and 5) | ||||||||||||||||
Amount or | ||||||||||||||||
Date | Expiration | Number of | ||||||||||||||
Code V | (A) (D) | Exercisable | Date | Title | Shares |
Stock | $ | 10.54 | 06/20/2024 | 06/20/2033 |
Options | ||||
Stock | $ | 9.856 | 08/18/2021 | 08/18/2030 |
Options | ||||
Explanation of Responses:
- Includes shares of restricted stock that vest at a rate of 20% per year commencing on August 18, 2021.
- Shares of restricted stock vest at a rate of 20% per year commencing on August 18, 2024.
- Stock options vest at a rate of 20% per year commencing on June 20, 2024.
- Stock options vest at a rate of 20% per year commencing on August 18, 2021.
- Reflects transactions not required to be reported pursuant to Section 16 of the Securities Act of 1934, as amended.
Common 66,487(3) Stock
Common 51,136(4) Stock
66,487(3) D
51,136(4) D
/s/ Ned A. Quint, pursuant to | 08/22/2023 | |
power of attorney | ||
SEC FORM 4
** Signature of Reporting Person | Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
- If the form is filed by more than one reporting person, see Instruction 4 (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). Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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 Number.
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Cullman Bancorp Inc. published this content on 23 August 2023 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 23 August 2023 16:00:07 UTC.