-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, IGQJKsKRr+mPnd3HUqsDzP0omuz4Zk81dVCWmBa/F/nGnSOUjVRk7mgalnSQNHBC 6Nne9Ztg7CdySpOHXHWcWg== 0000946275-05-000201.txt : 20050214 0000946275-05-000201.hdr.sgml : 20050214 20050214171823 ACCESSION NUMBER: 0000946275-05-000201 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20050214 DATE AS OF CHANGE: 20050214 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: SYNERGY FINANCIAL GROUP INC EMPLOYEE STOCK OWNERSHIP PLAN CENTRAL INDEX KEY: 0001276730 IRS NUMBER: 010738894 STATE OF INCORPORATION: NJ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A MAIL ADDRESS: STREET 1: 310 NORTH AVENUE EAST CITY: CRANFORD STATE: NJ ZIP: 07016 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: SYNERGY FINANCIAL GROUP INC /NJ/ CENTRAL INDEX KEY: 0001263766 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035] IRS NUMBER: 522413926 STATE OF INCORPORATION: NJ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-79501 FILM NUMBER: 05612500 BUSINESS ADDRESS: STREET 1: 310 NORTH AVE EAST CITY: CRANFORD STATE: NJ ZIP: 07016 BUSINESS PHONE: 8006933838 SC 13G/A 1 sc13ga_021405-0207.txt ESOP SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 ---------------------- SCHEDULE 13G INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES 13d-1(b), (c) AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO RULE 13d-2(b) (Amendment No.1 )* Synergy Financial Group, Inc. - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock - -------------------------------------------------------------------------------- (Title of Class of Securities) 87162V 10 2 - -------------------------------------------------------------------------------- (CUSIP Number) January 20, 2004 - -------------------------------------------------------------------------------- (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this schedule is filed: |X| Rule 13d-1(b) |_| Rule 13d-1(c) |_| Rule 13d-1(d) - ----------------- * The remainder of the cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). (Continued on following pages) Page 1 of 4 pages Page 2 of 4 pages CUSIP No. 87162V 10 2 Schedule 13G ----------- ------------ 1. Name of Reporting Person S.S. or I.R.S. Identification Number of above person: Synergy Financial Group, Inc. Employee Stock Ownership Plan 2. Check the appropriate box if a member of a group* (a) |X| (b) |_| 3. SEC Use Only 4. Citizenship or Place of Organization: New Jersey ---------- Number of Shares Beneficially Owned by Each Reporting Person with: 5. Sole Voting Power: 0 ------- 6. Shared Voting Power: 994,557 ------- 7. Sole Dispositive Power: 0 ------- 8. Shared Dispositive Power: 994,557 ------- 9. Aggregate Amount Beneficially Owned by Each Reporting Person: 994,557 ------- 10. Check Box If The Aggregate Amount in Row (9) Excludes Certain Shares* |_| 11. Percent of Class Represented by Amount in Row 9: 8.0% --- 12. Type of Reporting Person*: EP ---- * SEE INSTRUCTION Page 3 of 4 pages Item 1(a) Name of Issuer: Synergy Financial Group, Inc. -------------- ----------------------------- Item 1(b) Address of Issuer's Principal Executive Offices: ----------------------------------------------- 310 North Avenue East Cranford, New Jersey 07016 Item 2(a) Name of Person Filing: --------------------- Synergy Financial Group, Inc. Employee Stock Ownership Plan Item 2(b) Address of Principal Business Office: Same as Item 1(b) ------------------------------------- ----------------- Item 2(c) Citizenship: New Jersey ------------ ---------- Item 2(d) Title of Class of Securities: Common Stock ----------------------------- ------------ Item 2(e) CUSIP Number: 87162V 10 2 ------------ ----------- Item 3 Check whether the person filing is a: Item 3(f) X Employee Benefit Plan, in accordance with Rule 13d-1(b)(1)(ii)(F). --- Item 3(j) X Group, in accordance with Rule 13d-1(b)(1)(ii)(J). --- Item 3(a)(b)(c)(d)(e)(g)(h)(i) - not applicable. Item 4(a) Amount Beneficially Owned: 994,557 ------------------------- ------- Item 4(b) Percent of Class: 8.0% ---------------- --- Item 4(c) Number of shares as to which such person has: (i) sole power to vote or to direct the vote 0 ------- (ii) shared power to vote or to direct the vote 994,557 ------- (iii) sole power to dispose or to direct the disposition of 0 ------- (iv) shared power to dispose or to direct the disposition of 994,557 ------- Page 4 of 4 pages Item 5 Ownership of Five Percent or Less of Class: ------------------------------------------ Not Applicable Item 6 Ownership of More than Five Percent on Behalf of Another Person: --------------------------------------------------------------- Not Applicable Item 7 Identification and Classification of the Subsidiary Which --------------------------------------------------------- Acquired the Security Being Reported on by the Parent Holding ------------------------------------------------------------- Company. ------- Not Applicable Item 8 Identification and Classification of Members of the Group. --------------------------------------------------------- This Schedule 13G is being filed on behalf of the Employee Stock Ownership Plan ("ESOP") identified in Item 2(a) by the ESOP Committee and the ESOP Trustee both filing under the Item 3(f) and 3(j) classifications. Exhibit A contains a disclosure of the voting and dispositive powers over shares of the issuer held directly by these entities exclusive of those shares held by the ESOP as well as identification of members of these groups. Item 9 Notice of Dissolution of Group. ------------------------------ Not Applicable Item 10 Certification. ------------- By signing below, I certify that, to the best of my knowledge and belief, the securities referred to above were acquired in the ordinary course of business and were not acquired for the purpose of and do not have the effect of changing or influencing the control of the issuer of such securities and were not acquired in connection with or as a participant in any transaction having such purpose or effect. SIGNATURE: After reasonable inquiry and to the best of my knowledge and belief, as a member of the ESOP Plan Committee, I certify that the information set forth in this statement is true, complete and correct. /s/John S. Fiore February 14, 2005 - ----------------------------- ------------------------------------------ John S. Fiore Date /s/Kevin A. Wenthen February 14, 2005 - ----------------------------- ------------------------------------------ Kevin A. Wenthen Date /s/Janice L. Ritz February 14, 2005 - ----------------------------- ------------------------------------------ Janice L. Ritz Date SIGNATURE: After reasonable inquiry and to the best of my knowledge and belief, in my capacity as an ESOP Trustee, I certify that the information set forth in this statement is true, complete and correct. /s/Kenneth S. Kasper February 14, 2005 - ----------------------------- ------------------------------------------ Kenneth S. Kasper Date /s/Paul T. LaCorte February 14, 2005 - ----------------------------- ------------------------------------------ Paul T. LaCorte Date /s/Nancy A. Davis February 14, 2005 - ----------------------------- ------------------------------------------ Nancy A. Davis Date /s/George Putvinski February 14, 2005 - ----------------------------- ------------------------------------------ George Putvinski Date /s/W. Phillip Scott February 14, 2005 - ----------------------------- ------------------------------------------ W. Phillip Scott Date - ----------------------------- ------------------------------------------ Albert N. Stender Date /s/David H. Gibbons, Jr. February 14, 2005 - ----------------------------- ------------------------------------------ David H. Gibbons, Jr. Date /s/Magdalena M. De Perez February 14, 2005 - ----------------------------- ------------------------------------------ Magdalena M. De Perez Date Exhibit A - --------- Identification of Members of Group ---------------------------------- Shares of common stock of the issuer are held in trust for the benefit of participating employees by the ESOP Trustees. The ESOP Trustees share voting and dispositive power with the ESOP Committee. By the terms of the ESOP, the ESOP Trustees vote stock allocated to participant accounts as directed by participants. Stock held by the Trust, but not yet allocated is voted by the ESOP Trustees as directed by the ESOP Committee. Investment direction is exercised by the ESOP Trustees as directed by the ESOP Committee. The ESOP Committee and the ESOP Trustees share voting and dispositive power with respect to the unallocated stock held by the ESOP pursuant to their fiduciary responsibilities under Section 404 of the Employee Retirement Income Security Act of 1974, as amended. Members of the ESOP Committee/ESOP Trustees and their beneficial ---------------------------------------------- ownership of shares of common stock of the issuer exclusive of membership on the ESOP Committee, responsibilities as ESOP Trustees, and of shares beneficially owned as a Participant in the ESOP are as follows: Beneficial Beneficial Ownership Name Ownership (1) as ESOP Participant Kenneth S. Kasper 42,973 - 0 - Paul T. LaCorte 25,388 - 0 - Nancy A. Davis 36,388 - 0 - George Putvinski 35,089 - 0 - W. Phillip Scott 21,685 - 0 - Albert N. Stender 43,694 - 0 - David H. Gibbons, Jr. 45,827 - 0 - Magdalena M. De Perez 8,805 - 0 - John S. Fiore 114,855 3,401 Kevin A. Wenthen 37,175 2,246 Janice L. Ritz 52,246 1,220 - -------------- (1) Beneficial ownership as of February 11, 2005. Includes shares of common stock of issuer owned in conjunction with family members. The ESOP Committee and ESOP Trustee(s) disclaim ownership of these shares in conjunction with the exercise of their fiduciary duties as members of the ESOP Committee and ESOP Trustee. Excludes beneficial shares beneficially owned as a plan participant. -----END PRIVACY-ENHANCED MESSAGE-----