Form 4

FORM 4

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

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    Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

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

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Filed By Romeo & Dye's Instant Form 4 Filer
www.section16.net

1. Name and Address of Reporting Person*

Bohuny, Bruce G.

2. Issuer Name and Ticker or Trading Symbol
Lakeland Bancorp, Inc. - LBAI

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)

c/o Lakeland Bancorp, Inc.
250 Oak Ridge Road

3. I.R.S. Identification Number
of Reporting Person,
if an entity (voluntary)

 

4. Statement for
Month/Day/Year
November 21, 2002

(Street)

Oak Ridge, NJ 07438

5. If Amendment,
Date of Original
(Month/Day/Year)
November 21, 2002		 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
(Month/ Day/
Year)

2A. Deemed
Execution
Date,
if any
(Month/Day/
Year)

3. Trans-
action Code
(Instr. 8)

4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 & 5)

5. Amount of
Securities
Beneficially
Owned Follow-
ing Reported Transactions(s)
(Instr. 3 & 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 Stock

11/21/02

11/21/02

S

 

2000

D

19.25

125,671(1)

D

 

Common Stock

 

 

 

 

 

 

 

19551(2)

I

By Spouse

Common Stock

 

 

 

 

 

1573(3)

I

Held by Zurich Group in which Mr. Bohuny is Managing Partner

Common Stock

 

 

 

 

 

 

 

1560(4)

I

Held by Brooks LTD in which Mr. Bohuny is President

Common Stock

 

 

 

 

 

1750(5)

I

Held by Mr. Bohuny as custodian for grandchildren
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 4(b)(v).

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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. Conver-
sion or
Exercise
Price of Derivative Security

3. Trans-
action Date

(Month/
Day/
Year)

3A. Deemed
Execution
Date,
if any
(Month/
Day/
Year)

4. Trans-
action
Code

(Instr. 8)

5. Number of Derivative Securities Acquired (A) or Disposed of (D)

(Instr. 3, 4 & 5)

6. Date Exercisable
and Expiration
Date
(Month/Day/
Year)

7. Title and Amount of Underlying Securities
(Instr. 3 & 4)

8. Price of Derivative Security
(Instr. 5)

9. Number of
Derivative
Securities
Beneficially
Owned
Following
Reported Transaction(s)
(Instr. 4)

10. Owner-
ship Form
of Deriv-
ative
Security:
Direct (D)
or Indirect (I)
(Instr. 4)

11. Nature of Indirect Beneficial Ownership
(Instr. 4)

Code

V

(A)

(D)

Date Exer-cisable

Expira-
tion
Date

Title

Amount or Number of
Shares

Explanation of Responses:

(1) Includes 6,079 shares acquired as part of a 5% stock dividend paid by the Company November 15, 2002 to stockholders of record October 31, 2002.
(2) Includes 931 shares acquired as part of a 5% stock dividend paid by the Company November 15, 2002 to stockholders of record October 31, 2002.
(3) Includes 74 shares acquired as part of a 5% stock dividend paid by the Company November 15, 2002 to stockholders of record October 31, 2002.
(4) Includes 74 shares acquired as part of a 5% stock dividend paid by the company November 15, 2002 to stockholders of record October 31, 2002 and 7 shares acquired upon the reinvestment of dividends under the Company's dividend reinvestment plan.
(5) Includes 83 shares acquired as part of a 5% stock dividend paid by the Company November 15, 2002 to stockholders of record October 31, 2002 and 8 shares acquired upon the reinvestment of dividends under the Company's Dividend Reinvestment Plan.
  By: /s/ Rita A. Myers, Power of Attorney
              
**Signature of Reporting Person		 11/25/02
Date

**Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

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