-----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, JJnSItp0i2if8IjkJdNeAlfpoI5XzRgEFWnHg8hGJs4gsu/FkSnH26ZPjMjIqHcO A97V4sABsJ5sm13XocNUPA== 0001209191-04-057365.txt : 20041213 0001209191-04-057365.hdr.sgml : 20041213 20041213200629 ACCESSION NUMBER: 0001209191-04-057365 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041209 FILED AS OF DATE: 20041213 DATE AS OF CHANGE: 20041213 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BOHLSEN JOHN CENTRAL INDEX KEY: 0001194339 STATE OF INCORPORATION: DE FISCAL YEAR END: 1230 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10458 FILM NUMBER: 041200004 BUSINESS ADDRESS: STREET 1: NORTH FORK BANCORP INC STREET 2: 275 BROADHOLLOW ROAD CITY: MELVILLE STATE: NY ZIP: 11747 BUSINESS PHONE: 6318441252 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NORTH FORK BANCORPORATION INC CENTRAL INDEX KEY: 0000352510 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 363154608 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 275 BROAD HOLLOW RD STREET 2: PO BOX 8914 CITY: MELVILLE STATE: NY ZIP: 11747 BUSINESS PHONE: 6318441004 MAIL ADDRESS: STREET 1: 275 BROAD HOLLOW RD STREET 2: PO BOX 8914 CITY: MELVILLE STATE: NY ZIP: 11747 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2004-12-09 0 0000352510 NORTH FORK BANCORPORATION INC NFB 0001194339 BOHLSEN JOHN C/O NORTH FORK BANCORPORATION INC. 275 BROADHOLLOW ROAD MELVILLE NY 11747 1 1 0 0 Vice Chairman Common Stock 2004-12-09 4 A 0 180000 27.59 A 1599598 D Common Stock 34095 I by 401(k) Plan Common Stock 40278 I by SERP Common Stock 7174 I by IRA Stock Options 27.59 2004-12-09 4 A 0 25500 27.59 A 2004-12-09 2014-12-09 Common Stock 25500 349282 D Acquisition represents a year-end grant of restricted stock that vests upon reporting person's retirement. Reflects current holdings adjusted for a North Fork Bancorporation, Inc. 3-for-2 stock split effective Nov. 15, 2004. Reflects a new grant of 25,500 options plus previously granted options adjusted for a North Fork Bancorporation, Inc. 3-for-2 stock split effective Nov. 15, 2004. Linda Bishop, as Attorney-in-Fact for John Bohlsen 2004-12-09 -----END PRIVACY-ENHANCED MESSAGE-----