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* Manzulli Michael F. -------------------------------------------------------------------------------- (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 X Officer ___ 10% Owner ___ Other ----- ----- (give title below) (specify below) Chairman of the Board ---------------------------------------------------------------------------- 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 327,681 D ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 1,718 I By NYCB ESOP (1) ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 61,595 I By NYCB 401(k)(2) ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 47,659 I By LDM&P Pension Trust(3) ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 15,300 I By Spouse ------------------------------------------------------------------------------------------------------------------------------------ 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 (4) -------------------------------------------------------------------------------------------------------------------------- Option to Purchase $9.31 Common Stock (4) -------------------------------------------------------------------------------------------------------------------------- Option to Purchase $28.54 Common Stock (5) -------------------------------------------------------------------------------------------------------------------------- Option to Purchase $24.61 7/24/02 A 150,000 Common Stock (6) -------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------- 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) -------------------------------------------------------------------------------------------------------------------------- 10/20/01 10/20/08 Common 32,208 32,208 D Stock -------------------------------------------------------------------------------------------------------------------------- 10/20/01 10/20/08 Common 574,212 574,212 D Stock -------------------------------------------------------------------------------------------------------------------------- 1/21/04 1/21/13 Common 210,000 210,000 D Stock -------------------------------------------------------------------------------------------------------------------------- 7/24/03 7/24/12 Common 150,000 150,000 D Stock -------------------------------------------------------------------------------------------------------------------------- Explanation of Responses: (1) This form reflects increases in beneficial ownership resulting from exempt acquisitions under an Employee Stock Ownership Plan ("ESOP") pursuant to Rule 16b-3(c). (2) Includes shares rolled over from the Richmond County Savings Bank ESOP to the New York Community Bank 401(k) Plan. Also includes increases in beneficial ownership resulting from exempt acquisitions under the 401(k) Plan pursuant to Rule 16b-3(c). For purposes of this report, units in the 401(k) plan have been converted into an approximate number of shares of New York Community Bancorp, Inc. ("NYCB") common stock. The actual number of shares held by the reporting person in this account may vary when such units are actually converted into shares upon distribution of the units to the reporting person. (3) The reporting person is the co-trustee of Lahr, Dillon, Manzulli, Kelley & Penett pension trust that holds the reported securities. The reporting person shares voting and investment authority over the reported shares. The reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein. (4) In connection with the merger of Richmond County with and into 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. Options vest in three equal annual installments beginning on October 20, 2001. (5) Options granted pursuant to the NYCB 1997 Stock Option Plan that vest in three equal annual installments beginning on January 21, 2004. (6) Options granted pursuant to 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: Michael F. Manzulli ** 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