0001209191-12-047192.txt : 20121001
0001209191-12-047192.hdr.sgml : 20121001
20121001172938
ACCESSION NUMBER: 0001209191-12-047192
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120928
FILED AS OF DATE: 20121001
DATE AS OF CHANGE: 20121001
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: 121120915
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
X0306
4
2012-09-28
0
0001070154
PROVIDENT NEW YORK BANCORP
PBNY
0001208875
STRAYTON GEORGE
400 RELLA BOULEVARD
MONTEBELLO
NY
10901
1
0
0
0
Common Stock
2012-09-28
4
A
0
2000
0.00
A
2000
D
Common Stock
0
I
By 401(K)
Common Stock
461
I
By ESOP
Common Stock
0
I
By Spouse
Common Stock
428016
I
The Strayton Joint Revocable Trust
Grant of Restricted Stock subject to time-based vesting.
Katharine Brown, as POA for George Strayton
2012-10-01