-----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, FnxXi6ccEUDmnaaEjy4kvAeeGNmW2Wjxu9kCxAJ9QiJHXiM2n9AP+LlZfFAbJ1ep QA1Q1J4UugoGwJ9ZkCAe0g== 0001185477-05-000003.txt : 20050125 0001185477-05-000003.hdr.sgml : 20050125 20050125083836 ACCESSION NUMBER: 0001185477-05-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050125 FILED AS OF DATE: 20050125 DATE AS OF CHANGE: 20050125 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CHAZANOW SAMUEL M CENTRAL INDEX KEY: 0001253280 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12569 FILM NUMBER: 05545859 BUSINESS ADDRESS: STREET 1: SUSSEX BANK STREET 2: 399 ROUTE 23 CITY: FRANKLIN STATE: NJ ZIP: 07416 BUSINESS PHONE: 9738272914 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SUSSEX BANCORP CENTRAL INDEX KEY: 0001028954 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 223475473 STATE OF INCORPORATION: NJ FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 399 RTE 23 CITY: FRANKLIN STATE: NJ ZIP: 07416 BUSINESS PHONE: 9738272914 MAIL ADDRESS: STREET 1: 399 RTE 23 CITY: FRANKLIN STATE: NJ ZIP: 07416 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2005-01-25 0 0001028954 SUSSEX BANCORP sbb 0001253280 CHAZANOW SAMUEL M C/O SUSSEX BANK 200 MUNSONHURST RD., RT. 517 FRANKLIN NJ 07416 0 0 0 1 Vice President of Sussex Bank Option-right to purchase 14.97 2005-01-25 4 M 0 1138 0 A 2005-01-25 2015-01-25 Common Stock 1138 1138 D Candace Leatham POA 2005-01-25 -----END PRIVACY-ENHANCED MESSAGE-----