-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, MOxvyni93tfs7SFdQwQ+jJTObV0+WCaiH49O/ddbaJo8W+NO9PqOkPB+ZCQpwyTr HJCKFutdYDhqFpOUcx/Xjw== 0000950110-97-000266.txt : 19970222 0000950110-97-000266.hdr.sgml : 19970222 ACCESSION NUMBER: 0000950110-97-000266 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970213 SROS: NONE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: SUSSEX BANCORP CENTRAL INDEX KEY: 0001028954 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 223475473 STATE OF INCORPORATION: NJ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-49759 FILM NUMBER: 97531070 BUSINESS ADDRESS: STREET 1: 399 RTE 23 STREET 2: 9 CITY: FRANKLIN STATE: NJ ZIP: 07416 BUSINESS PHONE: 2018272917 MAIL ADDRESS: STREET 1: 399 RTE 23 CITY: FRANKLIN STATE: NJ ZIP: 07416 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: HAMM AMBROSE CENTRAL INDEX KEY: 0001033209 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: C/O UNITY BANCORP INC STREET 2: 64 OLD HIGHWAY 22 CITY: CLINTON STATE: NJ ZIP: 08809 BUSINESS PHONE: 9087307630 MAIL ADDRESS: STREET 1: C/O UNITY BANCORP INC STREET 2: 64 OLD HIGHWAY 22 CITY: CLINTON STATE: NJ ZIP: 08809 SC 13G 1 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 -------------- SCHEDULE 13G INFORMATION STATEMENT PURSUANT TO RULES 13d-1 AND 13d-2 UNDER THE SECURITIES EXCHANGE ACT OF 1934 (AMENDMENT NO. )* SUSSEX BANCORP - -------------------------------------------------------------------------------- (Name of Issuer) COMMON STOCK, NO PAR VALUE - -------------------------------------------------------------------------------- (Title of Class of Securities) 869245100 - -------------------------------------------------------------------------------- (CUSIP Number) * The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page. The information required on the remainder of this cover page shall not be deemed to be "filed" for the purposes of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). (continued on following page(s)) Page 1 of 5 Pages CUSIP No. 869245100 13G Page 2 of 5 Pages ------------ --- --- 1. NAME OF REPORTING PERSONS S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS: Ambrose Hamm - -------------------------------------------------------------------------------- 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*: (a) [ ] (b) [X] - -------------------------------------------------------------------------------- 3. SEC USE ONLY: - -------------------------------------------------------------------------------- 4. CITIZENSHIP OR PLACE OF ORGANIZATION: U.S.A. - -------------------------------------------------------------------------------- NUMBER OF 5. SOLE VOTING POWER: 66,604 SHARES BENEFICIALLY 6. SHARED VOTING POWER: 0 OWNED BY EACH 7. SOLE DISPOSITIVE POWER: 66,604 REPORTING PERSON 8. SHARED DISPOSITIVE POWER: 0 WITH 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON: 66,604 - -------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES / / CERTAIN SHARES: - -------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9): 9.9% - -------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON: IN - -------------------------------------------------------------------------------- Page 2 of 5 Pages SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 Under the Securities Exchange Act of 1934 Check the following box if a fee is being paid with this statement [ ]. Item 1(a). Name of Issuer: Sussex Bancorp -------------------------------------------------------------- Item 1(b). Address of Issuer's Principal Executive Offices: 399 Route 23, P. O. Box 353 Franklin, NJ 07416 -------------------------------------------------------------- Item 2(a). Name of Person Filing: Ambrose Hamm -------------------------------------------------------------- Item 2(b). Address of Principal Business Office, or if none, Residence: 399 Route 23, P. O. Box 353, Franklin, NJ 07416 -------------------------------------------------------------- Item 2(c). Citizenship: U.S.A. -------------------------------------------------------------- Item 2(d). Title of Class of Securities: Common Stock, No Par Value -------------------------------------------------------------- Item 2(e). CUSIP Number: 869245100 -------------------------------------------------------------- Item 3. If this statement is filed pursuant to Rules 13d-1(b), or 13d-2(b), check whether the person filing is a: Not Applicable -------------------------------------------------------------- Item 4. Ownership: (a) Amount Beneficially Owned: 66,604 -------------------------------------------------------------- Page 3 of 5 Pages (b) Percent of Class: 9.9% -------------------------------------------------------------- (c) Number of shares as to which such person has: (i) Sole power to vote or to direct the vote: 66,604 -------------------------------------------------------------- (ii) Shared power to vote or to direct the vote: 0 -------------------------------------------------------------- (iii) Sole power to dispose or to direct the disposition of: 66,604 -------------------------------------------------------------- (iv) Shared power to dispose or to direct the disposition of: 0 -------------------------------------------------------------- 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 -------------------------------------------------------------- Page 4 of 5 Pages Item 9. Notice of Dissolution of Group: Not Applicable -------------------------------------------------------------- Item 10. Certification. By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were acquired in the ordinary course of business and were not acquired for the purpose of and do not have the effect of changing or influencing the control of the issuer of such securities and were not acquired in connection with or as a participant in any transaction having such 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. February 13, 1997 - --------------------------- (Date) /s/ Ambrose Hamm - --------------------------- (Signature) Ambrose Hamm - --------------------------- (Name/Title) Page 5 of 5 Pages -----END PRIVACY-ENHANCED MESSAGE-----