0001628280-23-002978.txt : 20230209 0001628280-23-002978.hdr.sgml : 20230209 20230209163421 ACCESSION NUMBER: 0001628280-23-002978 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221231 FILED AS OF DATE: 20230209 DATE AS OF CHANGE: 20230209 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LABOZZETTA ANTHONY J CENTRAL INDEX KEY: 0001199807 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-31566 FILM NUMBER: 23606773 MAIL ADDRESS: STREET 1: SUSSEX BANCORP STREET 2: 399 ROUTE 23 CITY: FRANKLIN STATE: NJ ZIP: 07416 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 5 1 wf-form5_167597842453282.xml FORM 5 X0306 5 2022-12-31 0 0 0 0001178970 PROVIDENT FINANCIAL SERVICES INC PFS 0001199807 LABOZZETTA ANTHONY J 239 WASHINGTON STREET JERSEY CITY NJ 07302 1 1 0 0 President and CEO Common Stock 440443 D Common Stock 641 I By ESOP Common Stock 3790 I by IRA Common Stock 5321 I By Spouse's IRA Common Stock 9627 I By Son Common Stock 3449 I By Son Reflects transactions not required to be reported pursuant to Section 16 of the Securities Exchange Act of 1934, as amended. /s/ John Kuntz, Pursuant to Power of Attorney 2023-02-09