SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
PETRO THOMAS M

(Last) (First) (Middle)
12 EAST BROAD STREET

(Street)
HAZLETON PA 18201

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
NORTHEAST PENNSYLVANIA FINANCIAL CORP [ NEPF ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Pres. & Chief Exec. Officer
3. Date of Earliest Transaction (Month/Day/Year)
06/14/2004
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 06/14/2004 P 2,000 A $17.8765 2,000 I By IRA
Common Stock 3,000 D
Common Stock 6,000 I By Stock Award(1)
Common Stock 7,000 I By Stock Award II(2)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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 Securities Underlying Derivative Security (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: 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
Stock Option (right-to-buy) $17.74 09/17/2004(3) 09/17/2013 Common Stock 13,700 13,700 D
Stock Option (right-to-buy) $17.74 09/17/2004(4) 09/17/2013 Common Stock 16,300 16,300 D
Stock Option (right-to-buy) $18.75 11/06/2004(5) 11/06/2013 Common Stock 10,000 10,000 D
Stock Option (right-to-buy) $17.86 03/02/2005(6) 03/02/2014 Common Stock 22,000 22,000 D
Explanation of Responses:
1. Stock Awards granted pursuant to the Northeast Pennsylvania Financial Corp. 2004 Stock Plan vest in three annual installments commencing on March 2, 2005.
2. Stock Awards granted pursuant to the Northeast Pennsylvania Financial Corp. 1998 Stock-Based Incentive Plan vest in three annual installments beginning on October 30, 2004.
3. Stock Options granted pursuant to the Northeast Pennsylvania Financial Corp. 1998 Stock Option Plan vest in three annual Installments commencing on September 17, 2004.
4. Stock Options granted pursuant to the Northeast Pennsylvania Financial Corp. 2000 Stock Option Plan vest in three annual Installments commencing on September 17, 2004.
5. Stock Options granted pursuant to the Northeast Pennsylvania Financial Corp. 2000 Stock Option Plan vest in three annual Installments commencing on November 6, 2004.
6. Stock Options granted pursuant to the Northeast Pennsylvania Financial Corp. 2000 Stock Option Plan vest in three annual installments commencing on March 2, 2005.
Remarks:
/s/ Petro, Thomas M. 06/15/2004
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* 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).
Note: 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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