Central Jersey Bancorp - Statement of Changes in Beneficial Ownership (4)
18 Août 2008 - 10:11PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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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(f) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
BROCKRIEDE JOHN A
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2. Issuer Name
and
Ticker or Trading Symbol
CENTRAL JERSEY BANCORP
[
CJBK
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
_____ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Last)
(First)
(Middle)
C/O CENTRAL JERSEY BANCORP, 627 SECOND AVENUE
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3. Date of Earliest Transaction
(MM/DD/YYYY)
8/15/2008
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(Street)
LONG BRANCH, NJ 07740
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock, $0.01 par value
(1)
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8/15/2008
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P
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2000
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A
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$7.98
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284660
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D
(2)
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Common Stock, $0.01 par value
(1)
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2612
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D
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Common Stock, $0.01 par value
(1)
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30000
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I
(3)
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By IRA
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Common Stock, $0.01 par value
(1)
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2637
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I
(4)
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By IRA
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Common Stock, $0.01 par value
(1)
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5282
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I
(5)
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By SEP
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Common Stock, $0.01 par value
(1)
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107298
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I
(6)
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By LLC
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Common Stock, $0.01 par value
(1)
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20977
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I
(7)
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By Trusts
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Explanation of Responses:
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(
1)
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Share amounts have been adjusted, as appropriate, to account for various 5% stock distributions made to the shareholders of
Central Jersey Bancorp, the 6 for 5 stock split in the form of a stock dividend effected as of July 15, 2004, and the 2 for
1 stock split in the form of a stock dividend effected as of June 15, 2005.
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(
2)
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These shares are held jointly with the reporting person's wife.
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(
3)
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These shares are held by PaineWebber in an Individual Retirement Account for the benefit of Mr. Brockriede.
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(
4)
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These shares are held by PaineWebber in an Individual Retirement Account for the benefit of Mr. Brockriede's wife, as to
which shares he disclaims any beneficial interest.
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(
5)
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These shares are held by PaineWebber in a Simplified Employee Pension Plan for the benefit of Mr. Brockriede.
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(
6)
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These shares are held by CJM Management, L.L.C., of which Mr. Brockriede is a member. Mr. Brockriede disclaims beneficial
ownership of these shares except to the extent of his ownership interest in CJM Management, L.L.C.
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(
7)
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These shares are held in trusts for the benefit of Mr. Brockriede's family members, of which Mr. Brockriede's wife is
trustee, as to which shares he disclaims any beneficial interest.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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BROCKRIEDE JOHN A
C/O CENTRAL JERSEY BANCORP
627 SECOND AVENUE
LONG BRANCH, NJ 07740
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X
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Signatures
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/s/ James S. Vaccaro, as Attorney-in-Fact for John A. Brockriede
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8/18/2008
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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.
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