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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN 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. | |||
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. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
FREDERICKS MARK J C/O LAKELAND BANK 250 OAK RIDGE ROAD OAK RIDGE, NJ 07438 |
X |
Harry Cooper, POA | 11/05/2008 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | I: Mr. Fredericks was a trustee of the Lakeland Bank PSP. As part of the liquidation of the assets of the Plan, 19,733 shares of Lakeland Bancorp were sold. 39,387 shares held by wife, which includes 1,164 shares acquired as part of the Company's DRP and 1,820 shares acquired as part of a 5% st. div. paid 11/16/07; 30,619 shares held by Keil Oil PSP of which Mr. Fredericks is a trustee, which includes 905 shares acquired as part of the Company's DRP and 1,415 shares acquired as part of a 5% st. div. paid 11/16/07; 54,385 shares held by Fredericks Fuel PSP of which Mr. Fredericks is a trustee, which includes 2,589 shares acquired as part of a 5% st. div. paid 11/16/07; 20,315 shares held by Fredericks Fuel & Heating Service of which Mr. Fredericks is President, which includes 967 shares acquired as part of a 5% st. div. paid 11/16/07; |
(2) | D: Mr. Fredericks owns 114,420 shares, which includes 3,377 shares acquired as part of the Company's DRP and 5,259 shares acquired as part of a 5% stock dividend paid November 16, 2007. 133,870 shares held as custodian for his children, which includes, 3,949 shares acquired as part of the Company's DRP and 6,128 shares acquired as part of a 5% stock dividend paid November 16, 2007. |