SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Fernandes Gary John

(Last) (First) (Middle)
SANDY SPRING BANCORP, INC.
17801 GEORGIA AVENUE

(Street)
OLNEY MD 20832

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/31/2021
3. Issuer Name and Ticker or Trading Symbol
SANDY SPRING BANCORP INC [ SASR ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
EVP, Chief Human Resources Off
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 491.7923 D
Common Stock 1,007.1227 D(1)
Common Stock 109 D(2)
Common Stock 191 D(3)
Common Stock 572 D(4)
Common Stock 4,546 D(5)
Common Stock 1,279 D(6)
Common Stock 65 D(7)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Options (Right to Buy) 03/15/2018 03/15/2024 Common Stock 368 $42.48 D
Stock Options (Right to Buy) 03/28/2019 03/28/2025 Common Stock 443 $38.15 D
Explanation of Responses:
1. Shares purchased through the Employee Stock Purchase Plan.
2. Restricted stock awarded under 2015 Omnibus Incentive Plan vests in equal installments annually for five years beginning April 1, 2018.
3. Restricted stock awarded under 2015 Omnibus Incentive Plan vests in equal installments annually for five years beginning on April 1, 2019.
4. Restricted stock awarded under 2015 Omnibus Incentive Plan vests in equal installments annually for five years beginning on April 1, 2020.
5. Restricted stock awarded under 2015 Omnibus Incentive Plan vests in equal installments annually for five years beginning on April 1, 2021.
6. Restricted stock awarded under 2015 Omnibus Incentive Plan will vest ratably on April 1, 2022, April 1, 2023, and April 1 2024.
7. Restricted stock awarded under 2015 Omnibus Incentive Plan vests in equal installments annually for five years beginning April 1, 2017.
/s/ Janet VA Replogle, attorney-in-fact for Mr. Fernandes 04/07/2021
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.