SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Champi Gerard A

(Last) (First) (Middle)
102 E. DRINKER STREET

(Street)
DUNMORE PA 18512

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/26/2010
3. Issuer Name and Ticker or Trading Symbol
FIRST NATIONAL COMMUNITY BANCORP INC [ FNCB ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Interim President and CEO
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 1,695 D
Common Stock 2,857(1) D
Common Stock 1,735 I custodial for children
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Options 03/01/2003 08/28/2012 Common Stock 11,000 $5.81 D
Options 05/27/2004 11/26/2013 Common Stock 5,500 $10.01 D
Options 05/24/2005 11/24/2014 Common Stock 1,925 $16.71 D
Options 05/23/2006 11/23/2015 Common Stock 2,337 $19.31 D
Options 05/29/2007 11/29/2016 Common Stock 2,337 $23.13 D
Options 05/13/2008 11/13/2017 Common Stock 3,500 $16.9 D
Options 07/05/2009 01/05/2019 Common Stock 5,600 $10.81 D
Explanation of Responses:
1. Co-owner with wife
Remarks:
Gerard A. Champi 03/08/2010
** 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 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).
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.