-----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, GxQ8eYo6M2OxQdTCosEgeFUugGKCIFuTGFhQYNeSTw9wJoqE3okXOnwmvqoM41hV I4VRDybAHCnJzA+8ep3GZw== 0001209191-05-036924.txt : 20050713 0001209191-05-036924.hdr.sgml : 20050713 20050713171823 ACCESSION NUMBER: 0001209191-05-036924 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050711 FILED AS OF DATE: 20050713 DATE AS OF CHANGE: 20050713 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 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: 05952942 BUSINESS ADDRESS: STREET 1: NORTH FORK BANCORP INC STREET 2: 275 BROADHOLLOW ROAD CITY: MELVILLE STATE: NY ZIP: 11747 BUSINESS PHONE: 6318441252 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2005-07-11 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 2005-07-11 4 F 0 256740 29.29 D 1342859 D Common Stock 2005-07-11 4 M 0 16141 20.89 A 1359000 D Common Stock 2005-07-11 4 M 0 201339 23.41 A 1560339 D Common Stock 2005-07-11 4 M 0 23399 22.75 A 1583738 D Common Stock 2005-07-11 4 M 0 15862 25.76 A 1599600 D stock option (right to buy) 20.89 2005-07-11 4 M 0 22500 20.89 D 2005-07-11 2011-12-13 Common Stock 22500 0 D stock option (right to buy) 23.41 2005-07-11 4 M 0 250996 23.41 D 2005-07-11 2012-03-11 Common Stock 250996 0 D stock option (right to buy) 22.75 2005-07-11 4 M 0 30000 22.75 D 2005-07-11 2012-12-10 Common Stock 30000 0 D stock option (right to buy) 25.76 2005-07-11 4 M 0 18000 25.76 D 2005-07-11 2013-12-09 Common Stock 18000 0 D stock option (right to buy) 29.14 2005-07-11 4 A 0 281712 29.14 A 2005-07-11 2015-07-11 Common Stock 281712 281712 D Phantom Stock 2005-07-11 4 M 0 64756 A Common Stock 64756 64756 D A "reload option" granted upon exercise of underlying option by surrender of previously owned shares as payment of the option exercise price. Phantom Stock - 1 for 1 The reporting person elected in December 2004 to exercise the options reported herein; as part of such election, the reporting person elected to defer receipt of the shares of common stock issuable upon exercise, resulting in the accrual to his account of shares of phantom stock reported herein. The reporting person will receive the shares of common stock on the earliest of a change in control of the Company, the reporting person's death or disability or upon the separation of the reporting person's service with the Company. by Linda Bishop as Attorney-in-Fact for John Bohlsen 2005-07-13 -----END PRIVACY-ENHANCED MESSAGE-----