U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 3
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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(f) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
NBT Bancorp Inc.
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(Last) (First) (Middle)
52 South Broad Street
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(Street)
Norwich New York 13815
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(City) (State) (Zip)
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2. Date of Event Requiring Statement (Month/Day/Year)
April 19, 2000
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3. IRS Identification Number of Reporting Person, if an Entity (Voluntary)
16-1268674
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4. Issuer Name and Ticker or Trading Symbol
BSB Bancorp, Inc. (Nasdaq National Market: BSBN)
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5. Relationship of Reporting Person to Issuer
(Check all applicable)
[_] Director [X] 10% Owner
[_] Officer (give title below) [_] Other (specify below)
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6. If Amendment, Date of Original (Month/Day/Year)
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7. Individual or Joint/Group Filing (Check applicable line)
[_] Form Filed by One Reporting Person
[_] Form Filed by More than One Reporting Person
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Table I -- Non-Derivative Securities Beneficially Owned
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3. Ownership Form:
2. Amount of Securities Direct (D) or
1. Title of Security Beneficially Owned Indirect (I) 4. Nature of Indirect Beneficial Ownership
(Instr. 4) (Instr. 4) (Instr. 5) (Instr. 4)
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N/A
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* If the Form is filed by more than one Reporting Person, see Instruction
5(b)(v).
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
(Over)
(Form 3-07/99)
FORM 3 (continued)
Table II -- Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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5. Owner-
3. Title and Amount of Securities ship
Underlying Derivative Security Form of
2. Date Exercisable (Instr. 4) Derivative
and Expiration Date --------------------------------- 4. Conver- Security:
(Month/Day/Year) Amount sion or Direct 6. Nature of
---------------------- or Exercise (D) or Indirect
Date Expira- Number Price of Indirect Beneficial
1. Title of Derivative Exer- tion of Derivative (I) Ownership
Security (Instr. 4) cisable Date Title Shares Security (Instr. 5) (Instr. 5)
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Stock Option * * Common stock, 2,041,052 $18.50 D N/A
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par value $0.01
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per share
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Explanation of Responses:
* In connection with the Agreement and Plan of Merger (the "Merger
Agreement"), dated April 19, 2000 whereby BSB Bancorp, Inc. ("BSB")
will merge with NBT Bancorp Inc. ("NBT"), BSB has granted NBT an option
to purchase up to 19.9% of the total number of BSB shares of common
stock outstanding as of the first date that the Option becomes
exercisable. On March 31, 2000, BSB had a total of 10,256,545 Shares
issued and outstanding; had the Option been exercisable on that date,
2,041,052 shares of BSB's common stock would have been issuable under
the Option. The option is exercisable only in the event of certain
circumstances involving transactions with third parties, acts of third
parties, or break-up of the Merger Agreement. If the option were
exercised in full, NBT would own 16.6% of BSB's then outstanding common
stock. NBT disclaims beneficial ownership of these securities, and this
report shall not be deemed an admission that NBT is the beneficial
owner of such securities for purposes of Section 16 or for any other
purpose.
/s/ Daryl R. Forsythe April 27, 2000
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**Signature of Reporting Person Date
** 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.
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