|
1)
|
NAME
OF REPORTING PERSON
Timberland Bank Employee
Stock Ownership and 401(k) Plan
|
|
2)
|
CHECK
THE APPROPRIATE BOX IF A MEMBER OF A GROUP
a) [ ]
b) [X]
|
|
3)
|
SEC
USE ONLY
|
|
4)
|
CITIZENSHIP
OR PLACE OF ORGANIZATION
Not
applicable
|
|
NUMBER
OF
SHARES
BENEFICIALLY
OWNED
BY
EACH
REPORTING
PERSON
WITH
|
5)
|
SOLE
VOTING POWER
-0-
|
||||
|
6)
|
SHARED
VOTING POWER
886,007
|
|||||
|
7)
|
SOLE
DISPOSITIVE POWER
-0-
|
|||||
|
8)
|
SHARED
DISPOSITIVE POWER
886,007
|
|||||
|
9)
|
AGGREGATE
AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
886,007
|
|
10)
|
CHECK
BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES
CERTAIN
SHARES [
]
|
|
11)
|
PERCENT
OF CLASS REPRESENTED BY AMOUNT IN ROW 9
12.6%
|
|
12)
|
TYPE
OF REPORTING PERSON
EP
|
|
NAME
OF ISSUER:
Timberland
Bancorp, Inc. (the "Corporation")
|
|
|
ITEM
1(b)
|
ADDRESS
OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES:
624
Simpson Avenue, Hoquiam, Washington 98550
|
|
ITEM
2(a)
|
NAME
OF PERSON FILING:
Timberland
Bank Employee Stock Ownership and 401(k) Plan (the "KSOP")
|
|
ITEM
2(b)
|
ADDRESS
OF PRINCIPAL BUSINESS OFFICE:
The
business address of the KSOP is:
624
Simpson Avenue, Hoquiam, Washington 98550
|
|
ITEM
2(c)
|
CITIZENSHIP:
Not
Applicable.
|
|
ITEM
2(d)
|
TITLE
OF CLASS OF SECURITIES
Common
stock, par value $.01 per share (the "Common Stock")
|
|
ITEM
2(e)
|
CUSIP
NUMBER: 887098 10 1
|
|
ITEM
3
|
IF
THIS STATEMENT IS FILED PURSUANT TO SECTION 240.13d-1(b) OR 240.13d-2(b)
or (c), CHECK WHETHER THE PERSON FILING IS:
|
||
|
(a)
|
[ ]
|
Broker
or dealer registered under section 15 of the Act (15 U.S.C.
78o);
|
|
|
(b)
|
[ ]
|
Bank
as defined in section 3(a)(6) of the Act (15 U.S.C.
78c);
|
|
|
(c)
|
[ ]
|
Insurance
company as defined in section 3(a)(19) of the Act (15 U.S.C.
78c);
|
|
|
(d)
|
[ ]
|
Investment
company registered under section 8 of the Investment Company Act of 1940
(15 U.S.C. 80a-8);
|
|
|
(e)
|
[ ]
|
An
investment adviser in accordance with Section
240.13d-1(b)(1)(ii)(E);
|
|
|
(f)
|
[X
]
|
An
employee benefit plan or endowment fund in accordance with Section
240.13d-1(b)(1)(ii)(F);
|
|
|
(g)
|
[ ]
|
A
parent holding company or control person in accordance with Section
240.13d-1(b)(1)(ii)(G);
|
|
|
(h)
|
[ ]
|
A
savings association as defined in Section 3(b) of the Federal Deposit
Insurance Act (12 U.S.C. 1813);
|
|
|
(i)
|
[ ]
|
A
church plan that is excluded from the definition of an investment company
under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C.
80a-3); and
|
|
|
(j)
|
[ ]
|
Group,
in accordance with Section
240.13d-1(b)(1)(ii)(J).
|
|
|
ITEM
4
|
OWNERSHIP:
The
shares reported represent the 886,007 shares held in the employee
stock ownership ("ESOP") portion of the KSOP (12.6% of the outstanding
shares). The KSOP has shared voting and dispositive powers with
respect to shares held by the ESOP portion of the KSOP.
Pursuant
to the KSOP, participants in the ESOP portion are entitled to instruct the
plan trustee as to the voting of the shares allocated to their ESOP
accounts. On each issue with respect to which shareholders are
entitled to vote, the KSOP trustee is required to vote the shares held by
the ESOP portion which have not been allocated to participant accounts in
the manner directed under the KSOP.
|
|
ITEM
5
|
OWNERSHIP
OF FIVE PERCENT OR LESS OF A CLASS:
Not
applicable.
|
|
ITEM
6.
|
OWNERSHIP
OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON:
Not
Applicable.
|
|
ITEM
7.
|
IDENTIFICATION
AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING
REPORTED ON BY THE PARENT HOLDING COMPANY:
Not
Applicable.
|
|
ITEM
8.
|
IDENTIFICATION
AND CLASSIFICATION OF MEMBERS OF THE GROUP:
Not
Applicable.
|
|
ITEM
9.
|
NOTICE
OF DISSOLUTION OF GROUP:
Not
Applicable.
|
|
ITEM
10.
|
CERTIFICATIONS
By
signing below I certify that, to the best of my knowledge and belief, the
securities referred to above were acquired and are held in the ordinary
course of business and were not acquired and are not held for the purpose
of or with the effect of changing or influencing the control of the issuer
of the securities and were not acquired and are not held in connection
with or as a participant in any transaction having that purpose or
effect.
|
|
SIGNATURE
|
After
reasonable inquiry and to the best of my knowledge and belief, I certify
that the information set forth in this statement is true, complete and
correct.
|
|
Date:
February 4, 2010
|
TIMBERLAND
BANK EMPLOYEE STOCK
STOCK
OWNERSHIP AND 401(k) PLAN
|
||
|
By:
|
Timberland Bank, as Plan
Administrator
|
||
|
By:
|
/s/Dean
J.
Brydon
|
||
|
Name:
|
Dean
J. Brydon
|
||
|
Title:
|
Chief
Financial Officer
|
||