0001062993-23-015849.txt : 20230804 0001062993-23-015849.hdr.sgml : 20230804 20230804133556 ACCESSION NUMBER: 0001062993-23-015849 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230802 FILED AS OF DATE: 20230804 DATE AS OF CHANGE: 20230804 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DEACON MARY ANN CENTRAL INDEX KEY: 0001077743 STATE OF INCORPORATION: NJ FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-17820 FILM NUMBER: 231143248 MAIL ADDRESS: STREET 1: LAKELAND BANK STREET 2: 250 OAK RIDGE RD CITY: OAK RIDGE STATE: NJ ZIP: 07438 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: LAKELAND BANCORP INC CENTRAL INDEX KEY: 0000846901 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 222953275 STATE OF INCORPORATION: NJ FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 250 OAK RIDGE RD CITY: OAK RIDGE STATE: NJ ZIP: 07438 BUSINESS PHONE: 9736972000 MAIL ADDRESS: STREET 1: 250 OAK RIDGE RD CITY: OAKRIDGE STATE: NJ ZIP: 07438 4 1 form4.xml STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES X0508 4 2023-08-02 0000846901 LAKELAND BANCORP INC LBAI 0001077743 DEACON MARY ANN C/O 250 OAK RIDGE ROAD OAK RIDGE NJ 07438 1 0 0 0 0 Common Stock 2023-08-02 4 P 0 10 14.886 A 39349 D Common Stock 263032 I 99% owner in P. Deacon Ltd Partnership Common Stock 20435 I Shares in name of husband Common Stock 96177 I Shares in name of Deacon Homes, Inc. Profit Sharing Common Stock 6400 I Shares held in mother's IRA which Mary Ann Deacon holds Power of Attorney Common Stock 2702 I Shares held in Deacon Family Foundation, Inc. /s/ Patricia Backman, POA 2023-08-04