0001437749-24-017448.txt : 20240517 0001437749-24-017448.hdr.sgml : 20240517 20240517145926 ACCESSION NUMBER: 0001437749-24-017448 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240515 FILED AS OF DATE: 20240517 DATE AS OF CHANGE: 20240517 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: NICHOLSON ROBERT K III CENTRAL INDEX KEY: 0001272011 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-17820 FILM NUMBER: 24959134 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: LAKELAND BANCORP INC CENTRAL INDEX KEY: 0000846901 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] ORGANIZATION NAME: 02 Finance IRS NUMBER: 222953275 STATE OF INCORPORATION: NJ FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 250 OAK RIDGE RD CITY: OAK RIDGE STATE: NJ ZIP: 07438 BUSINESS PHONE: 9736972000 MAIL ADDRESS: STREET 1: 250 OAK RIDGE RD CITY: OAKRIDGE STATE: NJ ZIP: 07438 4 1 rdgdoc.xml FORM 4 X0508 4 2024-05-15 1 0000846901 LAKELAND BANCORP INC LBAI 0001272011 NICHOLSON ROBERT K III 250 OAK RIDGE RD OAK RIDGE NJ 07438 1 0 Common Stock 2024-05-15 4 D 0 208977 D 0 D Pursuant to a merger agreement between the Issuer and Provident Financial Services, Inc., each issued and outstanding share of Issuer common stock was converted into the right to receive 0.8319 shares of Provident Financial Services, Inc. common stock (subject to the payment of cash in lieu of fractional shares). Adjusted for shares earned during 2024 in the Company's Dividend Reinvestment Plan. /s/ Marc Levy, pursuant to power of attorney 2024-05-17