-----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, Bsmfl5r70ymeWerT/6EIVy8KuyMtAn6MOTXVPM8wH7IHCgDV7GScp4H6LoqFKJEi 7N4rbVdyO3OkQT1jVwRyWA== 0000943374-04-000716.txt : 20040805 0000943374-04-000716.hdr.sgml : 20040805 20040805163925 ACCESSION NUMBER: 0000943374-04-000716 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040803 FILED AS OF DATE: 20040805 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PROVIDENT FINANCIAL SERVICES INC CENTRAL INDEX KEY: 0001178970 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035] IRS NUMBER: 421547151 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 830 BERGEN AVENUE CITY: JERSEY CITY STATE: NJ ZIP: 07306 BUSINESS PHONE: 2013331000 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SHEIN JEFFRIES CENTRAL INDEX KEY: 0001185362 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31566 FILM NUMBER: 04955146 BUSINESS ADDRESS: STREET 1: MIDDLESEX WATER CO STREET 2: PO BOX 1500 CITY: ISELIN STATE: NJ ZIP: 08830 BUSINESS PHONE: 7326341500 MAIL ADDRESS: STREET 1: PO BOX 1500 CITY: ISELIN STATE: NJ ZIP: 08830 4 1 shein_form4-080504ex.xml X0202 4 2004-08-03 0 0001178970 PROVIDENT FINANCIAL SERVICES INC PFS 0001185362 SHEIN JEFFRIES 830 BERGEN AVENUE JERSEY CITY NJ 07306 1 0 0 0 Common Stock 2004-08-03 4 P 0 13888 17.44 A 35000 I By Trust 1 Common Stock 354794 D Common Stock 1595 I By Trust 2 Common Stock 1595 I By Trust 3 Common Stock 1993 I By Trust 4 Common Stock 23026 I By Wife Common Stock 383819 I By Deferred Fee Plan Shares held by the Morris & Lydia Goldfarb Foundation Trust. Shares held by Norman Tanzman Trust U/A 7/23/84 FBO Janice Shein Bershad. Shares held by Norman Tanzman Trust U/A 7/23/84 FBO Sanders Kleinfeld. Shares held by Norman Tanzman Trust U/A 7/24/85 FBO Dru Sara Kleinfeld. /s/ John F. Kuntz, pursuant to power of attorney 2004-08-05 -----END PRIVACY-ENHANCED MESSAGE-----