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