0001628280-21-004077.txt : 20210305
0001628280-21-004077.hdr.sgml : 20210305
20210305170259
ACCESSION NUMBER: 0001628280-21-004077
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210303
FILED AS OF DATE: 20210305
DATE AS OF CHANGE: 20210305
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LABOZZETTA ANTHONY J
CENTRAL INDEX KEY: 0001199807
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-31566
FILM NUMBER: 21719407
MAIL ADDRESS:
STREET 1: SUSSEX BANCORP
STREET 2: 399 ROUTE 23
CITY: FRANKLIN
STATE: NJ
ZIP: 07416
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: PROVIDENT FINANCIAL SERVICES INC
CENTRAL INDEX KEY: 0001178970
STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035]
IRS NUMBER: 421547151
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 830 BERGEN AVENUE
CITY: JERSEY CITY
STATE: NJ
ZIP: 07306
BUSINESS PHONE: 2013331000
4
1
wf-form4_161498174791784.xml
FORM 4
X0306
4
2021-03-03
0
0001178970
PROVIDENT FINANCIAL SERVICES INC
PFS
0001199807
LABOZZETTA ANTHONY J
239 WASHINGTON STREET
JERSEY CITY
NJ
07302
1
1
0
0
President and COO
Common Stock
2021-03-03
4
A
0
7930
0
A
406963
D
Common Stock
5168
I
By Spouse's IRA
Common Stock
7778
I
By Son
Common Stock
3247
I
By Son
Shares of restricted stock vest at a rate of 33.3% per year over a period ending March 3,2024.
/s/ Leonard G. Gleason, Pursuant to Power of Attorney
2021-03-05