0001225208-23-009899.txt : 20231102 0001225208-23-009899.hdr.sgml : 20231102 20231102145500 ACCESSION NUMBER: 0001225208-23-009899 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231031 FILED AS OF DATE: 20231102 DATE AS OF CHANGE: 20231102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MONROE TIMOTHY J CENTRAL INDEX KEY: 0001211055 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-56605 FILM NUMBER: 231371637 MAIL ADDRESS: STREET 1: 42 CHURCH STREET STREET 2: PO BOX 297 CITY: GOVENEUR STATE: NY ZIP: 13642-0297 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Gouverneur Bancorp, Inc./MD/ CENTRAL INDEX KEY: 0001978811 STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTIONS, NOT FEDERALLY CHARTERED [6036] IRS NUMBER: 000000000 STATE OF INCORPORATION: MD FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 42 CHURCH STREET CITY: GOUVERNEUR STATE: NY ZIP: 13642 BUSINESS PHONE: 315-287-2600 MAIL ADDRESS: STREET 1: 42 CHURCH STREET CITY: GOUVERNEUR STATE: NY ZIP: 13642 4 1 doc4.xml X0508 4 2023-10-31 0001978811 Gouverneur Bancorp, Inc./MD/ GOVB 0001211055 MONROE TIMOTHY J 42 CHURCH STREET GOUVERNEUR NY 13642 1 0 Common Stock 2023-10-31 4 J 0 5334.0000 0.0000 A 5334.0000 D Common Stock 2023-10-31 4 P 0 3000.0000 10.0000 A 8334.0000 D Pursuant to the Plan of Conversion and Reorganization, as adopted on May 22, 2023, each share of Gouverneur Bancorp, Inc. (Federal corporation) common stock was exchanged for 0.5334 shares of Gouverneur Bancorp, Inc. (Maryland corporation) common stock, rounded down to the nearest whole share. /s/ Kimberly A. Adams, Power of Attorney 2023-11-02