SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
BOHUNY BRUCE D.

(Last) (First) (Middle)
C/O LAKELAND BANCORP, INC.
250 OAK RIDGE ROAD

(Street)
OAK RIDGE NJ 07438

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
LAKELAND BANCORP INC [ LBAI ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
05/22/2012
4. 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 Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 05/22/2012 S 1,000 D $9.2 15,154 I Shares held by Bohuny family LLC in which Mr. Bohuny is a non-managing member.
Common Stock 06/06/2012 S 2,000 D $9.09 13,154 I Shares held by Bohuny family LLC in which Mr. Bohuny is a non-managing member.
Common Stock 06/07/2012 S 1,000 D $9.14 12,154 I Shares held by Bohuny family LLC in which Mr. Bohuny is a non-managing member.
Common Stock 06/08/2012 S 4,000 D $9.24 8,154 I Shares held by Bohuny family LLC in which Mr. Bohuny is a non-managing member.
Common Stock 06/11/2012 S 1,000 D $9.52 7,154 I Shares held by Bohuny family LLC in which Mr. Bohuny is a non-managing member.
Common Stock 06/12/2012 S 409 D $9.58 6,745 I Shares held by Bohuny family LLC in which Mr. Bohuny is a non-managing member.
Common Stock 06/14/2012 S 1,000 D $9.85 5,745(1) I Shares held by Bohuny family LLC in which Mr. Bohuny is a non-managing member.
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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 Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. I: The shares reported in column 5 of Table I reflect Mr. Bohuny's actual current holdings, after each of the reported transactions The totals include 768 shares acquired as part of a 5% stock dividend paid April 16, 2012; Also included in indirect holdings are 464 shares held by Mr. Bohuny's wife, of which 17 shares were acquired as part of a 5% stock dividend paid on April 16, 2012 and 22 shares were acquired as part of the Company's DRP. D: Mr. Bohuny owns 28,334 shares directly, of which 1,322 shares were acquired as part of a 5% stock dividend paid on April 16, 2012 and 956 shares were acquired as part of the Company's DRP. Mr. Bohuny also holds 1,468 shares as custodian for his children. Of this total, 69 shares were acquired as part of a 5% stock dividend paid on April 16, 2012 and 32 shares were acquired as part of the Company's DRP.
Remarks:
Bruce D. Bohuny 07/23/2012
** 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.
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