-----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, NcDAHzOCuxUUELkVTlpRJtuVhCjJB5wiQy0aOox4ghLLnyOFnJGXFWqhLEY3MIrT EKnCQMBbLye8jRr8P6Vmyw== 0000846617-03-000016.txt : 20030121 0000846617-03-000016.hdr.sgml : 20030120 20030117173304 ACCESSION NUMBER: 0000846617-03-000016 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030115 FILED AS OF DATE: 20030121 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: BRIDGE BANCORP INC CENTRAL INDEX KEY: 0000846617 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 112934195 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18546 FILM NUMBER: 03518454 BUSINESS ADDRESS: STREET 1: 2200 MONTAUK HGWAY CITY: BRIDGEHAMPTON STATE: NY ZIP: 11932 BUSINESS PHONE: 5165371000 MAIL ADDRESS: STREET 1: PO BOX 3005 CITY: BRIDGEHAMPTON STATE: NY ZIP: 11932 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: HALSEY THOMAS CENTRAL INDEX KEY: 0001064491 RELATIONSHIP: DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 513 DEERFIELD RD CITY: WATER MILL STATE: NY ZIP: 11976 BUSINESS PHONE: 5165371000 MAIL ADDRESS: STREET 1: THOMAS HALSEY STREET 2: 513 DEERFIELD RD CITY: WATER MILL STATE: NY ZIP: 11976 4 1 halsey.htm FORM 4 T. HALSEY Form 4
FORM 4

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility
Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940

OMB APPROVAL
OMB Number:                          3235-0287
Expires:                          January 31, 2005
[_] Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

(Print or Type Respones)
Estimated average burden
hours per esponse.                               0.5
1. Name and Address of Reporting Person*
Halsey, Thomas
2. Issuer Name and Ticker or Trading Symbol
Bridge Bancorp, Inc. BDGE

6. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
[X]    Director                                   [_]   10% Owner
[_]    Officer (give title below)    [_]   Other (specify below)
                                    


(Last)             (First)            (Middle)

513 Deerfield Road
3. I.R.S. Identification Number of Reporting Person, if an entity
(voluntary)
###-##-####
4. Statement for Month/Day/Year
01/15/03
(Street)
Watermill, NY 11976
5. If Amendment, Date of Original (Month/Day/Year)
7. Individual or Joint/Group Filing
(Check Applicable Line)
[X]  Form filed by One Reporting Person
[_] Form filed by More than One Reporting Person
(City)             (State)             (Zip) Table I — Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security
(Instr. 3)

2. Trans-
action
Date
(mm/dd/yy)

2A.
Deemed
Execution
Date, if
any
(mm/dd/yy)
3. Transaction
Code (Instr. 8)
4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction
(Instr. 3 and 4)
6. Owner-
ship Form:
Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A)
or
(D)
Price
Common               24,822 D  
Common               17,198 I Wife
Common               135 D IRA Self
Common               135 I IRA Wife
                     
                     

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 Instructions 4(b)(v).

 
Persons who respond to the collection of information contained
in this form are not required to respond unless the form displays
a currently vaild OMB control Number.
(Over)
SEC 1474 (9-02)



FORM 4 (continued)
Table II —Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
 
1.Title of Derivative Security
(Instr.3)
2.  Conversion
or Exercise
Price of
Derivative
Security
3.  Transaction
Date
(Month/
Day/
Year)
3A.
Deemed
Execution
Date if
any
(Month/
Day/
Year)
4. Transaction Code  Instr. 8) 5. Number of Derivative
Securities  Acquired (A) or
Disposed of  (D)  (Instr. 3, 4 and 5)
6. Date Exercisable
and Expiration Date
(Month/Day/Year)
7. Title and Amount of Underlying
Securities
(Instr. 3 and 4)
8. Price of
Derivative
Security
(Instr. 5)

9.Number of
Deriv-
ative
Secur-
ities
Bene-
ficially
Owned
Follow-
ing
Reported
Trans-
action(s)

(Instr. 4)

10. Owner-
ship
Form of
Deriv-
ative
Security:
Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of
Indirect
Benefi-
cial
Owner-
ship
(Instr. 4)
Code V (A) (D) Date
Exercisable
Expiration
Date
Title Amount or
Number
of Shares
Stock Options   01/16/02 (#)   A V 400   1/16/02 01/16/12 Common 400 $18.80 400 D  
Stock Options   01/15/03   A   400   1/15/03 01/15/13 Common 400 $23.20 800 D  
                               
                               

# Grant of option predates effective date of change of option reporting to Form 4.


Explanation of Responses:
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
/s/ 
**Signature of Reporting Person
01/17/03  
Date
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
see Instruction 6 for procedure.
Potential persons who are to respond to the collection of information contained in this form are not
required to respond unless the form displays a currently valid OMB Number.
Page 2


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