0001209191-12-002201.txt : 20120105 0001209191-12-002201.hdr.sgml : 20120105 20120105165808 ACCESSION NUMBER: 0001209191-12-002201 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120103 FILED AS OF DATE: 20120105 DATE AS OF CHANGE: 20120105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: STRAYTON GEORGE CENTRAL INDEX KEY: 0001208875 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35385 FILM NUMBER: 12511926 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 NEW YORK BANCORP CENTRAL INDEX KEY: 0001070154 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTIONS, NOT FEDERALLY CHARTERED [6036] IRS NUMBER: 800091851 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 400 RELLA BLVD CITY: MONTEBELLO STATE: NY ZIP: 10901 BUSINESS PHONE: 8453698040 MAIL ADDRESS: STREET 1: 400 RELLA BLVD CITY: MONTEBELLO STATE: NY ZIP: 10901 FORMER COMPANY: FORMER CONFORMED NAME: PROVIDENT BANCORP INC/NY/ DATE OF NAME CHANGE: 19980910 4 1 doc4.xml FORM 4 SUBMISSION X0304 4 2012-01-03 0 0001070154 PROVIDENT NEW YORK BANCORP PBNY 0001208875 STRAYTON GEORGE 400 RELLA BOULEVARD MONTEBELLO NY 10901 1 0 0 0 Common Stock 2012-01-03 4 M 0 2619 6.74 A 472778 I The Strayton Joint Revocable Trust Common Stock 0 D Common Stock 435 I By ESOP Common Stock 0 I By Spouse Phantom Stock 0.00 2012-01-03 4 M 0 2619 6.74 D 2012-01-03 2012-01-03 Phantom Stock 2619 47156 D Katharine B. Brown, P.O.A. for George Strayton 2012-01-05