SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
TERRANOVA CARL J

(Last) (First) (Middle)
P.O. DRAWER H

(Street)
VALLEY COTTAGE NY 10989

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/03/2001
3. Issuer Name and Ticker or Trading Symbol
NATURAL ALTERNATIVES INTERNATIONAL INC [ NAII ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 208,200 D(1)(2)
Common Stock 224,200 D(1)(3)
Common Stock 194,300 D(1)(4)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
1. Name and Address of Reporting Person*
TERRANOVA CARL J

(Last) (First) (Middle)
P.O. DRAWER H

(Street)
VALLEY COTTAGE NY 10989

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
TRUST UNDER THE WILL OF VINCENT TERRANOVA

(Last) (First) (Middle)
33 SOUTH PARK TERRACE

(Street)
CONGERS NY 10920

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
HANSEN THOMAS H

(Last) (First) (Middle)

(Street)

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. This Form 3 is being filed jointly by Carl J. Terranova, Trust U/W of Vincent Terranova and Thomas H. Hansen (the "Reporting Persons"). The Reporting Persons are making this joint filing because they collectively constitute a "group" for purposes of Section 13(d) of the Securities Exchange Act that beneficially owns greater than 10% of the issuer's common stock. The amounts shown in Column 2 of Table I reflect shares beneficially owned by the Reporting Persons as of the date indicated in Item 2 above. Each Reporting Person disclaims beneficial ownership over shares owned by any other Reporting Person hereunder.
2. These securities are owned by Carl J. Terranova.
3. These securities are owned by the Trust U/W of Vincent Terranova.
4. These securities are owned by Thomas H. Hansen.
Carl J. Terranova 03/08/2004
** Signature of Reporting Person Date
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 5 (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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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.