------- OMB APPROVAL -------
- ------ OMB Number: 3235-0362
FORM 5 Expires: September 30, 1998
- ------ Estimated average burden
hours per response .... 1.0
----------------------------
/ / Check box if no U.S. SECURITIES AND EXCHANGE COMMISSION
longer subject to WASHINGTON, DC 20549
Section 16. Form
4 or Form 5 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
obligations may
continue. See Filed pursuant to Section 16(a) of the Securities
Instruction 1(b) Exchange Act of 1934,
/ / Form 3 Holdings Section 17(a) of the Public Utility
Reported Holding Company Act of 1935 or Section 30(f) of
/ / Form 4 the Investment Company Act
Transactions of 1940
Reported
<TABLE>
- ------------------------------------------------------------------------------------------------------------------------------------
<C> <C> <C> <C>
1. Name and Address of Reporting Person 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person(s)
BERGAMO ANTHONY DIME COMMUNITY BANCORP, INC.("DIME") to Issuer (Check all applicable)
- --------------------------------------------------------------------------------------------- X Director 10% Owner
(Last) (First) (Middle) 3. IRS or Social Security 4. Statement for ---- ---
Number of Reporting Month/Year Officer (give Other (Specify
209 HAVEMEYER STREET Person (Voluntary) December 31, 1996 ---- title --- below)
- ------------------------------------------- ------------------- below)
(Street) 5. If Amendment,
Date of Original
BROOKLYN NEW YORK 11211 (Month/Year)
- ------------------------------------------------------------------------------------------------------------------------------------
(City) (State) (Zip)
- ------------------------------------------------------------------------------------------------------------------------------------
</TABLE>
<TABLE>
<CAPTION>
TABLE 1 -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
- ------------------------------------------------------------------------------------------------------------------------------------
<C> <C> <C> <C> <C> <C> <C>
1. Title of Security 2. Trans- 3. Transac- 4. Securities Acquired (A) 5. Amount of Se- 6. Owner- 7. Nature
(Instr. 3) action tion or Disposed of (D) curities Benefi- ship of In-
Date Code (Instr. 3, 4 and 5) cially Owned at Form: direct
(Instr. 8) End of Issuer's Direct Benefi-
(Month/ Fiscal Year (D) or cial
Day/ ---------------------------------------- (Instr. 3 and 4) Indirect Owner-
Year) Code V Amount (A) or Price (I) ship
(D) (Instr. 4) (Instr.4)
- ------------------------------------------------------------------------------------------------------------------------------------
COMMON STOCK 02/01/97 A 15,870<F1> A<F1> $18.64 15,870<F1> I By RRP Trust
- ------------------------------------------------------------------------------------------------------------------------------------
TOTAL 15,870 I
- ------------------------------------------------------------------------------------------------------------------------------------
TOTAL 15,000 D
- ------------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly. (Over)
</TABLE>
<TABLE>
<CAPTION>
FORM 5 (continued) TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
- ------------------------------------------------------------------------------------------------------------------------------------
<C> <C> <C> <C> <C> <C> <C> <C>
1. Title of Derivative 2. Conver- 3. Trans- 4. Trans- 5. Number of 6. Date Exer- 7. Title and Amount 8. Price
Security sion or action action Derivative cisable and of Underlying of
(Instr. 3) Exercise Date Code Securities Ac- Expiration Securities Deriv-
Price of (Month/ (Instr. 8) quired (A) or Date (Instr. 3 and 4) ative
Deriv- Day/ Disposed of (D) (Month/Day/ Secur-
ative Year) (Instr. 3, 4, Year) ity
Security and 5) (Instr. 5)
-------------------------------------------------------
(A) (D) Date Expira- Title Amount or
Exer- tion Number of
cisable Date Shares
- ------------------------------------------------------------------------------------------------------------------------------------
STOCK OPTIONS $14.50 12/26/96 A<F2> 39,675<F2> 12/26/97 12/26/06 COMMON STOCK 39,675 $14.50
<F3> <F2>
- ------------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------
</TABLE>
<TABLE>
<C> <C> <C> <C>
1. Title of Derivative 9. Number of 10. Ownership 11. Nature of
Security Derivative of Derivative Indirect
(Instr. 3) Securities Security: Beneficial
Beneficially Direct (D) Ownership
Owned at End or Indirect (I) (Instr. 4)
of Year (Instr. 4)
(Instr. 4)
- -------------------------------------------------------------------------------------------------------
STOCK OPTIONS 39,675<F2> I STOCK OPTION PLAN
- -------------------------------------------------------------------------------------------------------
- -------------------------------------------------------------------------------------------------------
- -------------------------------------------------------------------------------------------------------
- -------------------------------------------------------------------------------------------------------
- -------------------------------------------------------------------------------------------------------
- -------------------------------------------------------------------------------------------------------
</TABLE>
[FN]
<F1> Acquisition of shares pursuant to the Recognition and Retention Plan for
Outside Directors, Officers and Employees of Dime Community Bancorp, Inc.
<F2> Acquisition of shares pursuant to the Dime Community Bancorp, Inc.1996
Stock Option Plan for Outside Directors, Officers and Employees.
<F3> 7,935 shares become exercisable on December 26, 1997, 1998, 1999, 2000
and 2001, respectively.
/s/ MICHAEL P. DEVINE August 7, 1997
-------------------------------- ----------------
**Signature of Reporting Person Date
By: Michael P. Devine, as attorney-in-fact
For:Anthony Bergamo
**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 provided 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
SEC 2270 (7-96)
