-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Kt+VBK+xvVlPmZVPZ51s2WK5jJfTWSLtwwHvo6bGTfzYZUxf7x9aM+ZOmZZeREx5 JEjLE7YoYf+wYUdOfuXgDg== 0000950144-04-003737.txt : 20040412 0000950144-04-003737.hdr.sgml : 20040412 20040412123234 ACCESSION NUMBER: 0000950144-04-003737 CONFORMED SUBMISSION TYPE: SC 13D PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20040412 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: SCOTT RICHARD L CENTRAL INDEX KEY: 0000915477 STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 0000 [0000] STATE OF INCORPORATION: KY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D BUSINESS ADDRESS: STREET 1: 201 WEST MAIN ST CITY: LOUISVILLE STATE: KY ZIP: 40202 BUSINESS PHONE: 5025722104 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MEDIA SCIENCES INTERNATIONAL INC CENTRAL INDEX KEY: 0001024022 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS CHEMICAL PRODUCTS [2890] IRS NUMBER: 840475073 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: SC 13D SEC ACT: 1934 Act SEC FILE NUMBER: 005-54247 FILM NUMBER: 04728014 BUSINESS ADDRESS: STREET 1: 40 BOROLINE ROAD CITY: ALLENDALE STATE: NJ ZIP: 07401 BUSINESS PHONE: 2012361100 MAIL ADDRESS: STREET 1: 40 BOROLINE ROAD CITY: ALLENDALE STATE: NJ ZIP: 07401 FORMER COMPANY: FORMER CONFORMED NAME: CADAPULT GRAPHIC SYSTEMS INC DATE OF NAME CHANGE: 19980902 FORMER COMPANY: FORMER CONFORMED NAME: SEAFOODS PLUS LTD DATE OF NAME CHANGE: 19961002 SC 13D 1 g88418sc13d.htm MEDIA SCIENCES INTERNATIONAL - FORM SC 13D MEDIA SCIENCES INTERNATIONAL - FORM SC 13D
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

SCHEDULE 13D

Under the Securities Exchange Act of 1934

MEDIA SCIENCES INTERNATIONAL, INC.

(Name of Issuer)

Common Stock, $.001 par value
(Title of Class of Securities)

58446X 10 7
(CUSIP Number)

Stephen T. Braun, Esq.
Boult Cummings Conners & Berry, PLC
414 Union Street, Suite 1600
Nashville, Tennessee 37219
(615) 252-2300
(Name, Address and Telephone Number of Person
Authorized to Receive Notices and Communications)

April 2, 2004
(Date of Event Which Requires Filing of this Statement)

If the filing person has previously filed a statement on Schedule 13G to report the acquisition that is the subject of this Schedule 13D, and is filing this schedule because of Rule 13d-1(e), 13d-1(f) or 13d-1(g), check the following box [  ].

NOTE: Schedules filed in paper format shall include a signed original and five copies of the schedule, including all exhibits. See Rule 13d-7(b) for other parties to whom copies are to be sent.

* The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

The information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act.

 


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Signature


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CUSIP No. 858603103
  SCHEDULE 13D
                         
1.   Names of Reporting Persons: Richard L. Scott
 
                       
    IRS Identification Nos. of above persons (entities only):
 
                       
2.   Check the Appropriate Box if a Member of a Group   (a)   [  ]
  N/A               (b)   [  ]
 
                       
3.   SEC USE ONLY
 
                       
4.   Source of Funds: PF
 
                       
5.   Check if Disclosure of Legal Proceedings is Required Pursuant to Items 2(d) or 2(e) [  ]
 
                       
6.   Citizenship or Place of Organization: United States
 
                       
  NUMBER OF SHARES     7.     Sole Voting Power: 733,750        
 
                       
  BENEFICIALLY OWNED     8.     Shared Voting Power: -0-        
 
                       
  BY EACH REPORTING     9.     Sole Dispositive Power: 733,750        
 
                       
  PERSON     10.     Shared Dispositive Power: -0-        
 
                       
11.   Aggregate Amount Beneficially Owned by Each Reporting Person: 733,750
 
                       
12.   Check if the Aggregate Amount in Row (11) Excludes Certain Shares: [  ]
 
                       
13.   Percent of Class Represented by Amount in Row (11): 8.5%
 
                       
14.   Type of Reporting Person: IN

 


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Item 1. Security and Issuer

Common Stock, $.001 par value (the “Common Stock”), of Media Sciences International, Inc., a Delaware corporation (the “Issuer”). The principal executive offices of the Issuer are located at 40 Boroline Road, Allendale, New Jersey 07401.

Item 2.  Identity and Background

This statement is filed by Richard L. Scott (the “Reporting Person”).

The business address of the Reporting Person is 1415 Panther Lane, Suite 322, Naples, Florida 34119.

The Reporting Person is a private investor.

The Reporting Person has not been convicted in any criminal proceedings during the five years preceding the filing of this report.

During the five years preceding the filing of this report, the Reporting Person has not been a party to any civil proceedings of a judicial or administrative body which has resulted in any judgment, decree or final order enjoining future violations of, or prohibiting or mandating activities subject to, federal or state securities laws or finding any violation with respect to such laws.

The Reporting Person is a United States citizen.

Item 3.  Source and Amount of Funds or Other Consideration

The Reporting Person has used personal funds of approximately $874,000 to acquire 733,750 shares of Common Stock in open market transactions. The Common Stock was purchased by three different entities controlled by the Reporting Person.

Item 4. Purpose of Transaction

The Reporting Person purchased the Common Stock in the open market for general investment purposes. Consistent with such purposes, the Reporting Person may seek to engage in future discussions with management of the Issuer and may make suggestions concerning the Issuer’s operations, prospects, business and financial strategies, assets and liabilities, business and financing alternatives and such other matters as the Reporting Person may deem relevant to his investment in the Issuer. In addition, the Reporting Person may from time to time, depending on prevailing market, economic and other conditions, acquire additional shares of the Common Stock of the Issuer or engage in discussions with the Issuer concerning further acquisitions of shares of the Common Stock of the Issuer or further investments in the Issuer. The Reporting Person intends to review his investment in the Issuer on a continuing basis and, depending upon the price and availability of

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shares of the Common Stock, subsequent developments affecting the Issuer, the Issuer’s business and prospects, other investment and business opportunities available to the Reporting Person, general stock market and economic conditions, tax considerations and other factors considered relevant, may decide at any time to increase or to decrease the size of his investment in the Issuer.

Except as set forth above, the Reporting Person does not have any plans or proposals which relate to or would result in (a) the acquisition of additional securities of the Issuer or the disposition of securities of the Issuer, (b) an extraordinary corporate transaction, such as a merger, reorganization or liquidation involving the Issuer or any of its subsidiaries, (c) a sale or transfer of a material amount of assets of the Issuer or any of its subsidiaries, (d) any change in the present board of directors or management of the Issuer, including any plans or proposals to change the number or term of directors or to fill any existing vacancies on the board of directors of the Issuer, (e) any material change in the present capitalization or dividend policy of the Issuer, (f) any other material change in the business or corporate structure of the Issuer, (g) changes in the Issuer’s charter, bylaws or instruments corresponding thereto or other actions which may impede the acquisition of control of the Issuer, (h) the delisting from a national securities exchange or termination of quotations in an inter-dealer quotation system of a registered national securities association for any class of capital stock of the Issuer, (i) a class of equity securities of the Issuer becoming eligible for termination of registration pursuant to Section 12(g)(4) of the Securities Exchange Act of 1934 Common Stock, or (j) or any action similar to the foregoing actions listed. The Reporting Person will continue to evaluate the Issuer and his investment therein and may later determine to propose or support any one or more of such actions in the future, to purchase additional shares of the Common Stock or to sell part or all of his holdings of the Common Stock of the Issuer.

Item 5. Interest in Securities of the Issuer

The 733,750 shares of the Common Stock owned by the Reporting Person constitute 8.5% of the outstanding shares of Common Stock of the Issuer. Such percentage of ownership is based on 8,602,210 outstanding shares of Common Stock, the number of outstanding shares of Common Stock of the Issuer as reported in the Issuer’s Quarterly Report on Form 10-QSB for the quarter ended December 31, 2003.

The Reporting Person has sole voting and dispositive power with respect to the Common Stock.

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The Reporting Person purchased the following shares of the Common Stock of the Issuer in open market transactions during the past 60 days:

                         
Purchase   Number of   Price   Aggregate
Date
  Shares
  Per Share
  Consideration
03/17/04
    16,500     $ 1.12     $ 18,495  
03/18/04
    36,700       1.10       40,359  
03/19/04
    3,500       1.07       3,760  
03/22/04
    11,400       1.07       12,213  
03/23/04
    21,900       1.12       24,574  
03/24/04
    5,000       1.11       5,555  
03/25/04
    14,500       1.12       16,255  
03/31/04
    10,000       1.16       11,625  
04/01/04
    80,500       1.22       97,943  
04/02/04
    528,750       1.21       637,144  
04/08/04
    5,000       1.22       6,115  
 
   
 
             
 
 
 
    733,750             $ 874,038  
 
   
 
             
 
 

The Common Stock was purchased by three different entities controlled by the Reporting Person, including 51,700 shares purchased by the Frances Annette Scott Revocable Trust, of which the Reporting Person’s spouse is the trustee.

Item 6. Contracts, Arrangements, Understandings or Relationships with Respect to Securities of the Issuer

The Reporting Person does not have any contracts, arrangements, understandings or relationships (legal or otherwise) with any person with respect to any securities of the Issuer, including but not limited to transfer or voting of any of the securities, finder’s fees, joint ventures, loan or option arrangements, puts or calls, guarantees of profits, division of profits or loss, or the giving or withholding of proxies.

Item 7. Material to be Filed As Exhibits

Not applicable.

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Signature

     After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.

     
DATED: April 12, 2004
  /s/ Richard L. Scott

Richard L. Scott

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