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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 |
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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) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Stock Option (right to purchase) | $ 7 | 07/31/2007 | M | 4,000 | (2) | 02/08/2010 | Common Stock | 4,000 | $ 0 | 22,802 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
FREDERICKS MARK J C/O LAKELAND BANK 250 OAK RIDGE ROAD OAK RIDGE, NJ 07438 |
X |
Harry Cooper, POA | 08/01/2007 | |
**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:Self includes 2,069 shares acquired as part of the Company's Dividend Reinvestment Plan; I: 36,131 shares held by spouse, which includes 744 shares acquired as part of the Company's DRP. I; 28,088 shares held by Keil Oil Profit Sharing Plan of which Mr. Fredericks is Trustee, which includes 579 shares acquired as part of the Company's DRP; I:51,796 shares held by Fredericks Fuel PSP of which Mr. Fredericks is a Trustee. I: 19,348 shares held by Fredericks Fuel & Heating Service of which Mr. Fredericks is Pres. 121,677 shares held as custodian for children which includes 2,504 shares as part of the Company's Dividend Reinvestment Plan. |
(2) | Stock Option was granted pursuant to the Company's Equity Compensation and vests in 20% annual installments beginning on the grant date of February 9, 2000. |