|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
|
| ||||||||||||||||||||||||||||||||||||||
|
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
FREDERICKS MARK J C/O LAKELAND BANCORP, INC. 250 OAK RIDGE ROAD OAK RIDGE, NJ 07438 |
X |
Harry Cooper POA | 11/28/2011 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | D:Included in Mr. Fredericks' shareholdings are 4,124 shares acquired as part of the Company's DRP and 7,778 shares acquired as part of a 5% stock dividend distributed on 2/16/2011. |
(2) | D: Mr. Fredericks also holds 156,583 shares as custodian for his children of which 3,987 shares were acquired as part of the Company's DRP and 7,319 shares acquired as part of a 5% stock dividend distributed on 2/16/2011. I: 35,456 shares held by Keil Oil PSP of which Mr. Fredericks is a trustee. 896 of these shares were acquired as part of the Company's DRP and 1,646 shares acquired as part of a 5% stock dividend distributed on 2/16/2011. 30,854 shares held by Fredericks Fuel & Heating Service of which 1,469 shares were acquired as part of a 5% stock dividend distributed on 2/16/2011. 21,330 shares held by Fredericks Fuel & Heating Service of which Mr. Fredericks is President of which 1,015 shares were acquired as part of a 5% stock dividend distributed on 2/16/2011. 45,610 shares held by Mr. Fredericks wife of which 1,153 shares were acquired as part of the Company's DRP and 2,117 shares acquired as part of a 5% stock dividend distributed on 2/16/2011. |