FORM 5
[__] Check box if no longer |
UNITED STATES SECURITIES
AND EXCHANGE COMMISSION Washington, D.C. 20549 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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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1. Name and Address of Reporting
Person*
Ross, Paul K
(Last)
(First)
(Middle)
49 Shadowbrook Court
(Street)
Bernardsville, NJ 07924
(City)
(State)
(Zip)
|
2.
Issuer Name and
Ticker or Trading Symbol United National Bancorp - UNBJ
3. I.R.S.
Identification
Number of Reporting Person, if an entity (Voluntary) |
4. Statement for
(Month/Year) 12/2002
5. If Amendment,
Date of Original (Month/Year) |
6. Relationship of Reporting
Person(s) to Issuer
(Check all
applicable) X Director __ 10% Owner __ Officer (give title below) __ Other (specify below) 7. Individual or Joint/Group Reporting
(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 at the end of Issuer's Fiscal Year (Instr. 3 and 4) |
6. Ownership
Form: Direct (D) or Indirect (I) (Instr. 4) |
7. Nature of
Indirect Beneficial Ownership (Instr. 4) |
||
Amount | (A) or (D) | Price | |||||||
Common Stock | //2002 | 1,045 | I | 2* | |||||
Common Stock | //2002 | 6,529 | I | 1** | |||||
Common Stock | //2002 | 5,830 | D | ||||||
Total - 13,404 |
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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. Conver- sion or Exercise Price of Deri- vative Security |
3. Transaction Date (Month/ Day/ Year) |
3A. Deemed Execution Date, if any (Month/ Day/ Year) |
4.
Transaction Code
(Instr. 8) |
5. Number
of |
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 at End of Year (Instr. 4) |
10. Ownership of
Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
|||
(A) | (D) | Date Exercisable |
Expiration Date |
Title | Amount or Number of Shares | |||||||||
Explanation
of Responses: *2 - In a Trust/Paul K. Ross is one of the Trustees and Beneficiaries. |
||
/s/ Paul K. Ross | 02/14/2003 | |
** Signature of Reporting Person | Date | |
** 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. |