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