-----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, T6JoCauoPZvEpnkG/9myYq8D+ugpiAcLO2gGx+/QYerPHuXzMN6VPh0R1Oa+U2co K7ypsOBK4aHlZBOZZzjzMA== 0001208866-04-000002.txt : 20040116 0001208866-04-000002.hdr.sgml : 20040116 20040116204409 ACCESSION NUMBER: 0001208866-04-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040114 FILED AS OF DATE: 20040116 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HELMER WILLIAM F CENTRAL INDEX KEY: 0001208866 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25233 FILM NUMBER: 04530725 MAIL ADDRESS: STREET 1: PROVIDENT BANCORP INC STREET 2: 400 BELLA BLVD CITY: MONTEBELLO STATE: NY ZIP: 10901 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PROVIDENT BANCORP INC/NY/ CENTRAL INDEX KEY: 0001070154 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTIONS, NOT FEDERALLY CHARTERED [6036] IRS NUMBER: 061537499 FISCAL YEAR END: 0430 BUSINESS ADDRESS: STREET 1: 400 RELLA BLVD CITY: MONTEBELLO STATE: NY ZIP: 10901 BUSINESS PHONE: 8453698040 4 1 hel198.xml X0201 4 2004-01-14 0 0001070154 PROVIDENT BANCORP INC/NY/ 'PBCP' 0001208866 HELMER WILLIAM F 400 RELLA BLVD. MONTEBELLO NY 10901 1 0 0 0 Common Stock 88460.00 I By employee pension plan Common Stock 44230.00 I By Profit Sharing Plan Trust Common Stock 2004-01-14 4 J 0 40000 10.00 A 166900.00 D Common Stock 2004-01-14 4 J 0 30000 10.00 A 68042.00 I By Spouse Exempt purchase from company in public offering Reflects corporate reorganization /s/ Helmer, William F. 2004-01-16 -----END PRIVACY-ENHANCED MESSAGE-----