0001496877-12-000051.txt : 20120806 0001496877-12-000051.hdr.sgml : 20120806 20120806124331 ACCESSION NUMBER: 0001496877-12-000051 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120802 FILED AS OF DATE: 20120806 DATE AS OF CHANGE: 20120806 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ursin John E CENTRAL INDEX KEY: 0001555311 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12569 FILM NUMBER: 121009114 MAIL ADDRESS: STREET 1: C/O SUSSEX BANCORP 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 X0306 4 2012-08-02 0 0001028954 SUSSEX BANCORP SBBX 0001555311 Ursin John E C/O SUSSEX BANCORP 399 ROUTE 23 FRANKLIN NJ 07416 1 0 0 0 Common Stock 2012-08-02 4 P 0 5864 5 A 10000 I By IRA Common Stock 300 I By IRA - Spouse Linda Kuipers, Attorney-in-Fact 2012-08-06