- Statement of Changes in Beneficial Ownership (4)
January 28 2010 - 8:48AM
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
*
VACCARO JAMES S
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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
__
X
__ Officer (give title below)
_____ Other (specify below)
Chairman, President and CEO
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(Last)
(First)
(Middle)
C/O CENTRAL JERSEY BANCORP,, 1903 HIGHWAY 35
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3. Date of Earliest Transaction
(MM/DD/YYYY)
1/26/2010
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(Street)
OAKHURST, NJ 07755
(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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1/26/2010
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P
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1000
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A
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$3
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24879
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D
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Common Stock, $0.01 par value
(1)
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43099
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I
(2)
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By SEP
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Common Stock, $0.01 par value
(1)
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7790
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I
(3)
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By 401(k)
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Common Stock, $0.01 par value
(1)
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2698
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I
(4)
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By Children
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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 by Citi, Smith Barney as custodian for the benefit of the James S. Vaccaro Simplified Employee
Pension.
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(
3)
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These shares are held pursuant to the 401(k) Plan of Central Jersey Bank, N.A.
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(
4)
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These shares are held by Mr. Vaccaro as custodian for his daughters under the Uniform Transfers to Minors Act, 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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VACCARO JAMES S
C/O CENTRAL JERSEY BANCORP,
1903 HIGHWAY 35
OAKHURST, NJ 07755
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X
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Chairman, President and CEO
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Signatures
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/s/ James S. Vaccaro
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1/27/2010
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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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