0001496877-11-000037.txt : 20110620 0001496877-11-000037.hdr.sgml : 20110620 20110620100325 ACCESSION NUMBER: 0001496877-11-000037 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110617 FILED AS OF DATE: 20110620 DATE AS OF CHANGE: 20110620 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LISTA GEORGE CENTRAL INDEX KEY: 0001256421 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12569 FILM NUMBER: 11920217 MAIL ADDRESS: STREET 1: C/O SUSSEX BANK STREET 2: 399 ROUTE 23 CITY: FRANKLIN STATE: NJ ZIP: 07416 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: 0427 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 X0303 4 2011-06-17 0 0001028954 SUSSEX BANCORP SBBX 0001256421 LISTA GEORGE C/O SUSSEX BANK 399 ROUTE 23 FRANKLIN NJ 07416 0 1 0 0 CEO - TriState Ins. Agency Common Stock 2011-06-17 4 P 0 1100 6.17 A 47767 D Linda Kuipers, Attorney-in-Fact 2011-06-20