1
================================================================================
/------------------------------/
/ OMB APPROVAL /
/------------------------------/
/ OMB Number: 3235-0362 /
/ Expires: January 31, 2005 /
/ Estimated average burden /
/ hours per response...... 1.0 /
/------------------------------/
+--------+
| FORM 5 | U.S. SECURITIES AND EXCHANGE COMMISSION
+--------+ WASHINGTON, D.C. 20549
[_] Check box if
no longer subject ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
to Section 16.
Form 4 or Form 5 Filed pursuant to Section 16(a) of the Securities
obligations may Exchange Act of 1934, Section 17(a) of the
continue. See Public Utility Holding Company Act of 1935 or
Instruction 1(b). Section 30(h) of the Investment Company Act of 1940
[_] Form 3 Holdings Reported
[_] Form 4 Transactions Reported
(Print or Type Responses)
--------------------------------------------------------------------------------
1. Name and Address of Reporting Person*
Farrell Robert S.
--------------------------------------------------------------------------------
(Last) (First) (Middle)
615 Merrick Avenue
--------------------------------------------------------------------------------
(Street)
Westbury NY 11590
--------------------------------------------------------------------------------
(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol New York Community Bancorp, Inc.
-----------------------------------
(NYB)
--------------------------------------------------------------------------------
3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary)
--------------------------------------------------------------------------------
4. Statement for Month/Year December 2002
---------------------------------------------------
5. If Amendment, Date of Original (Month/Year)
--------------------------------
6. Relationship of Reporting Person(s) to Issuer (Check all applicable)
X Director Officer ___ 10% Owner ___ Other
----- ----- (give title below) (specify below)
----------------------------------------------------------------------------
7. 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 ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
------------------------------------------------------------------------------------------------------------------------------------
1. Title 2. Trans- 2A. 3. Trans- 4. Securities Acquired (A) 5. Amount of 6.Owner- 7. Nature
of action Deemed action or Disposed of (D) Securities ship of In-
Security Date Execution Code (Instr. 3, 4 and 5) Beneficially Form: direct
(Instr. 3) (mm/dd/ Date, if (Instr. 8) Owned at the Direct Bene-
yy) any ----------------------------------------------- End of Issuer's (D)or ficial
(mm/dd/yy) Fiscal Year Indirect Owner-
Code Amount (A) or Price (Instr. 3 and 4) (I) ship
(D) (Instr. 4) (Instr. 4)
------------------------------------------------------------------------------------------------------------------------------------
Common Stock 46,206 D
------------------------------------------------------------------------------------------------------------------------------------
Common Stock 6,885 I By IRA
------------------------------------------------------------------------------------------------------------------------------------
Common Stock 22,032 I By Spouse
------------------------------------------------------------------------------------------------------------------------------------
Common Stock 1,597 I By Spouse's
IRA
------------------------------------------------------------------------------------------------------------------------------------
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).
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.
(Over)
SEC 2270(9-02)
Page 1
2
FORM 5 (continued)
--------------------------------------------------------------------------------------------------------------------------
TABLE II--DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
--------------------------------------------------------------------------------------------------------------------------
1. Title of Derivative 2. Conver- 3. Trans- 4. Transac- 5. Number of Deriv-
Security (Instr. 3) sion or action tion Code ative Securities
Exercise Date (Instr. 8) Acquired (A) or
Price of (Month/ Disposed of (D)
Deriv- Day/ (Instr. 3, 4, and 5)
ative Year)
Security
----------------------------
(A) (D)
--------------------------------------------------------------------------------------------------------------------------
Option to Purchase $9.31
Common Stock (1)
--------------------------------------------------------------------------------------------------------------------------
Option to Purchase $24.61 7/24/02 A 25,000
Common Stock (2)
--------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------
TABLE II--DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
--------------------------------------------------------------------------------------------------------------------------
6. Date Exer- 7. Title and Amount of 8. Price 9. Number of 10. Owner- 11. Na-
cisable and Underlying Securities of Deriv- ship ture
Expiration (Instr. 3 and 4) Deriv- ative of De- of In-
Date ative Secur- rivative direct
(Month/Day/ Secur- ities Security: Bene-
Year) ity Bene- Direct ficial
(Instr. ficially (D) or Owner-
----------------------------------------------- 5) Owned Indirect (I) ship
Date Expira- Amount or At End (Instr. 4) (Instr. 4)
Exer- tion Title Number of of Year
cisable Date Shares (Instr. 4)
--------------------------------------------------------------------------------------------------------------------------
7/31/01 10/20/08 Common 202,140 202,140 D
Stock
--------------------------------------------------------------------------------------------------------------------------
7/24/03 7/24/12 Common 25,500 25,500 D
Stock
--------------------------------------------------------------------------------------------------------------------------
Explanation of Responses:
(1) In connection with the merger of Richmond County Financial Corp. ("Richmond
County") with and into New York Community Bancorp, Inc. ("NYCB") on July
31, 2001, each option to purchase 1 share of Richmond County common stock
held by the reporting person was converted to an option to purchase 1.02
shares of NYCB common stock. The exercise price per share for each
converted NYCB option was determined by dividing the exercise price of such
option by the 1.02 ratio, with such quotient to be rounded to the nearest
whole cent.
(2) Options granted under the NYCB 1997 Stock Option Plan that vest in three
equal annual installments beginning on July 24, 2003.
/s/ Ilene A. Angarola February 14, 2003
-------------------------------- --------------------
**Signature of Reporting Person Date
By: Ilene A. Angarola, Power of Attorney
For: Robert S. Farrell
** Intentional misstatements or ommissions 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