-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, QzUB6H9R/CkaDmiOs7lfAHFpRIuB2ILogis9unxmzFP0T1za8RucSQ9LiTx8G1+a ep4/V2Y6lI+lUeMgESyV7w== 0000914317-10-000107.txt : 20100128 0000914317-10-000107.hdr.sgml : 20100128 20100128094653 ACCESSION NUMBER: 0000914317-10-000107 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100126 FILED AS OF DATE: 20100128 DATE AS OF CHANGE: 20100128 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CENTRAL JERSEY BANCORP CENTRAL INDEX KEY: 0001172353 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 223757709 STATE OF INCORPORATION: NJ FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 627 SECOND AVENUE CITY: LONG BRANCH STATE: NJ ZIP: 07740 BUSINESS PHONE: 7325711300 MAIL ADDRESS: STREET 1: 627 SECOND AVENUE CITY: LONG BRANCH STATE: NJ ZIP: 07740 FORMER COMPANY: FORMER CONFORMED NAME: MONMOUTH COMMUNITY BANCORP DATE OF NAME CHANGE: 20020429 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BROCKRIEDE JOHN A CENTRAL INDEX KEY: 0001179122 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-49925 FILM NUMBER: 10552151 MAIL ADDRESS: STREET 1: C/O MONMOUTH COMMUNITY BANCORP STREET 2: 627 SECOND AVE. CITY: LONG BRANCH STATE: NJ ZIP: 07740 4 1 form4-105016_jbex.xml 4 X0303 4 2010-01-26 0 0001172353 CENTRAL JERSEY BANCORP CJBK 0001179122 BROCKRIEDE JOHN A C/O CENTRAL JERSEY BANCORP 1903 HIGHWAY 35 OAKHURST NJ 07755 1 0 0 0 Common Stock, $0.01 par value 2010-01-26 4 P 0 2000 3.00 A 296388 D Common Stock, $0.01 par value 1244 D Common Stock, $0.01 par value 2488 D Common Stock, $0.01 par value 20534 I By IRA Common Stock, $0.01 par value 3202 I By IRA Common Stock, $0.01 par value 127281 I By LLC Common Stock, $0.01 par value 3899 I By SEP Common Stock, $0.01 par value 16355 I By Trusts Share amounts have been adjusted, as appropriate, to account for various 5% stock distributions made to the shareholders of Central Jersey Bancorp, the 6 for 5 stock split in the form of a stock dividend effected as of July 15, 2004, and the 2 for 1 stock split in the form of a stock dividend effected as of June 15, 2005. These shares are held jointly with the reporting person's wife through a broker. These shares are held jointly with the reporting person's wife directly. These shares are held by UBS in an Individual Retirement Account for the benefit of Mr. Brockriede. These shares are held by UBS in an Individual Retirement Account for the benefit of Mr. Brockriede's wife, as to which shares he disclaims any beneficial interest. These shares are held by CJM Management, L.L.C., of which Mr. Brockriede is a member. Mr. Brockriede disclaims beneficial ownership of these shares except to the extent of his ownership interest in CJM Management, L.L.C. These shares are held by UBS in a Simplified Employee Pension Plan for the benefit of Mr. Brockriede. These shares are held in trusts for the benefit of Mr. Brockriede's family members, of which Mr. Brockriede's wife is trustee, as to which shares he disclaims any beneficial interest. /s/ James S. Vaccaro, as Attorney-in-Fact for John A. Brockriede 2010-01-27 -----END PRIVACY-ENHANCED MESSAGE-----