0001209191-12-002458.txt : 20120106 0001209191-12-002458.hdr.sgml : 20120106 20120106114031 ACCESSION NUMBER: 0001209191-12-002458 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111003 FILED AS OF DATE: 20120106 DATE AS OF CHANGE: 20120106 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: STRAYTON GEORGE CENTRAL INDEX KEY: 0001208875 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-35385 FILM NUMBER: 12513585 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/A 1 doc4a.xml FORM 4/A SUBMISSION X0304 4/A 2011-10-03 2011-10-03 0 0001070154 PROVIDENT NEW YORK BANCORP PBNY 0001208875 STRAYTON GEORGE 400 RELLA BOULEVARD MONTEBELLO NY 10901 1 0 0 0 Common Stock 2011-10-03 4 M 0 2619 5.51 A 470159 I The Strayton Joint Revocable Trust Common Stock 0 D Common Stock 0 I By Spouse Common Stock 435 I By ESOP Phantom Stock 0.00 2011-10-03 4 M 0 2619 5.51 D 2011-10-03 2011-10-03 Phantom Stock 2619 49775 D Amendment corrects the ownership form and nature of indirect ownership previously reported by the Reporting Person. Katharine Brown, POA for George Strayton 2012-01-06