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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN 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(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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 control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Options to purchase common stock | $ 1 | (4) | 12/20/2015 | Common Stock, par value $.001 per share | 100,000 | 100,000 | D | ||||||||
Options to purchase common stock | $ 1 | (4) | 12/20/2015 | Common Stock, par value $.001 per share | 100,000 | 100,000 | D | ||||||||
Options to purchase common stock | $ 1.15 | (4) | 12/17/2014 | Common Stock, par value $.001 per share | 50,000 | 50,000 | D | ||||||||
Options to purchase common stock | $ 1.58 | (4) | 12/17/2014 | Common Stock, par value $.001 per share | 31,646 | 31,646 | D | ||||||||
Options to purchase common stock | $ 1.15 | (4) | 09/01/2014 | Common Stock, par value $.001 per share | 50,000 | 50,000 | D | ||||||||
Options to purchase common stock | $ 0.36 | (5) | 12/31/2016 | Common Stock, par value $.001 per share | 277,778 | 277,778 | D | ||||||||
Options to purchase common stock | $ 1.28 | (6) | 12/31/2017 | Common Stock, par value $.001 per share | 78,126 | 78,126 | D | ||||||||
Options to purchase common stock | $ 1.5 | 12/31/2013 | A | 66,666 | (6) | 12/31/2018 | Common Stock, par value $.001 per share | 66,666 | $ 0 (2) | 66,666 | D | ||||
Options to purchase common stock | $ 0.4 | 03/31/2014 | M | 60,000 | (4) | 03/31/2014 | Common Stock, par value $.001 per share | 60,000 | $ 0 (2) | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
D'Agostino Joseph C/O MILESTONE SCIENTIFIC INC. 220 SOUTH ORANGE AVENUE LIVINGSTON, NJ 07039 |
CFO & COO |
/s/ Joseph D'Agostino | 05/27/2014 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Shares to be issued at the termination of employment. |
(2) | Not applicable. |
(3) | 377,108 shares of common stock to be issued at the termination of employment. On May 9, 2014 all 377,108 of these shares of common stock were issued to the reporting person. |
(4) | Immediately. |
(5) | These options are exercisable as follows: (i) for 91,667 shares on the date of grant (12-31-11) and (ii) for an additional 1/3 of the 186,111 remaining shares on each of the 1st through 3rd anniversaries of the date of grant. |
(6) | These options are exercisable as follows: (i) for 1/3 on the date of grant (12-31-12); (ii) an additional 1/3 on the 1st anniversary of the date of grant; and (iii) an additional 1/3 on the second anniversary of the date of grant. |