-----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, GVdMnt5Qfjf6ukfjYd6WoAO90718eGhbIyFhaC45wHaFiCMUV0UAG5CnF7W5egFb xQVz5CY8LA2NhHP8zxabAw== 0000908737-08-000074.txt : 20080214 0000908737-08-000074.hdr.sgml : 20080214 20080214153442 ACCESSION NUMBER: 0000908737-08-000074 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 2 FILED AS OF DATE: 20080214 DATE AS OF CHANGE: 20080214 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: GlenRose Instruments Inc. CENTRAL INDEX KEY: 0001340095 STANDARD INDUSTRIAL CLASSIFICATION: HAZARDOUS WASTE MANAGEMENT [4955] IRS NUMBER: 203521719 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-83792 FILM NUMBER: 08614648 BUSINESS ADDRESS: BUSINESS PHONE: 781.622.1120 MAIL ADDRESS: STREET 1: 45 FIRST AVENUE CITY: WALTHAM STATE: MA ZIP: 02451 FORMER COMPANY: FORMER CONFORMED NAME: Glenrose Instruments Inc. DATE OF NAME CHANGE: 20050928 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: SMITH ARVIN H CENTRAL INDEX KEY: 0001391328 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: BUSINESS PHONE: 781-622-1120 MAIL ADDRESS: STREET 1: C/O GLENROSE INSTRUMENTS INC. STREET 2: 45 FIRST AVENUE CITY: WALTHAM STATE: MA ZIP: 02451 SC 13G 1 smith_13g.htm SC 13G smith_13g.htm

SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 
SCHEDULE 13G
(Rule 13d-102)
 
INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES 13d-1(b), (c) AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO RULE 13d-2(b)
(Amendment No.  )*
 
GlenRose Instruments Inc.
(Name of Issuer)
 
Common Stock, par value $.01 per share
(Title of Class of Securities)
 
Not Applicable
(CUSIP Number)
 
January 16, 2007
(Date of Event which Requires Filing of this Statement)
 
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
 

   
Rule 13d-1(b)
     
   
Rule 13d-1(c)
     
 
X
Rule 13d-1(d)












____________________
* 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 on 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 (however, see the Notes).
 

 
CUSIP No. N/A
13G
Page 2 of 5 Pages
 

1.
NAME OF REPORTING PERSON
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
 
 
Arvin H. Smith
 
2.
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
 
 
(a) ¨
(b) ¨
3.
SEC USE ONLY
 
 
 
4.
CITIZENSHIP OR PLACE OF ORGANIZATION
 
United States of America
 
 
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
5.
SOLE VOTING POWER
 
513,954
 
6.
SHARED VOTING POWER
 
0
 
7.
SOLE DISPOSITIVE POWER
 
513,954
 
8.
SHARED DISPOSITIVE POWER
 
0
 
9.
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
 
513,954
 
10.
CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES
 
¨
11.
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
 
16.6%
 
12.
TYPE OF REPORTING PERSON*
 
IN
 
* SEE INSTRUCTIONS BEFORE FILLING OUT
 

 
CUSIP No. N/A
13G
Page 3 of 5 Pages

 Item 1(a).
Name of issuer:
 
GlenRose Instruments Inc.
 
Item 1(b).
Address of Issuer’s Principal Executive Offices:
 
45 First Avenue, Waltham, MA 02451
 
Item 2(a).
Name of Person Filing:
 
Arvin H. Smith

Item 2(b).
Address of Principal Offices or, if None, Residence:
 
c/o GlenRose Instruments, Inc.
First Avenue, Waltham, MA 02451

Item 2(c).
Citizenship:
 
United States of America

Item 2(d).
Title of Class of Securities:
 
Common Stock, par value $.01 per share
 
Item 2(e).
CUSIP Number:
 
N/A
 
Item 3.
If the Statement is being filed pursuant to Rule 13d-1(b) or 13d-2(b) or (c), check whether the filing person is a:

(a)
 
Broker or dealer registered under section 15 of the Act.
     
(b)
 
Bank as defined in section 3(a)(6) of the Act.
     
(c)
 
Insurance company as defined in section 3(a)(19) of the Act.
     
(d)
 
Investment company registered under section 8 of the Investment Company Act of 1940.
     
(e)
 
An investment adviser in accordance with Rule 13d-1(b)(1)(ii)(E);
     
(f)
 
An employee benefit plan or endowment fund in accordance with Rule 13d-1(b)(1)(ii)(F);
     
(g)
 
A parent holding company or control person in accordance with Rule 13d-1(b)(1)(ii)(G);
     
(h)
 
A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act;
     
(i)
 
A church plan that is excluded from the definition of an investment company under Section
   
3(c)(14) of the Investment Company Act;
     
(j)
 
Group, in accordance with Rule 13d-1(b)(1)(ii)(J).
     
 

 
CUSIP No. N/A
13G
Page 4 of 5 Pages

Item 4.
Ownership.
 
The holdings reported herein are stated as of February 14, 2008.
 
(a)
Amount beneficially owned: 513,954
 
(b)
Percent of class:
16.6%
 
(c)
Number of shares as to which such person has:
 
 
(i)
Sole power to vote or direct the vote:
513,954
 
 
(ii)
Shared power to vote or direct the vote:
0
 
 
(iii)
Sole power to dispose or to direct the disposition of:
513,954
 
 
(iv)
Shared power to dispose or to direct the disposition of:
0
 
Item 5.
Ownership of Five Percent or Less of a Class.
 
If this statement is being filed to report the fact that as of the date hereof the reporting person had ceased to be the beneficial owner of more than five percent of the class of securities, check the following [   ].
 
Item 6.
Ownership of More than Five Percent on Behalf of Another Person.
 
Not applicable
 
Item 7.
Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company.
 
Not applicable.
 
Item 8.
Identification and Classification of Members of the Group.
 
Not applicable
 
Item 9.
Notice of Dissolution of Group.
 
Not applicable.
 
Item 10.
Certification.
 
Not applicable.
 

 
CUSIP No. N/A
13G
Page 5 of 5 Pages

 
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.
 

 
(Date) February 14, 2008
 
 
/s/ Arvin H. Smith        
(Signature)
 
 
Arvin H. Smith
(Name/Title)


 

Attention. Intentional misstatements or omissions of fact constitute Federal criminal violations (See 18 U.S.C. 1001)
 

 

 
 
 
 
 
 

EX-1 2 ex1.htm EXHIBIT 1 - POWER OF ATTORNEY ex1.htm
Exhibit 1
POWER OF ATTORNEY

 
KNOW ALL MEN BY THESE PRESENTS, that each person whose signature appears below hereby constitutes and appoints Anthony S. Loumidis, and each of them, with full power to act without the others, his true and lawful attorney-in-fact, with full power of substitution, to sign any and all instruments, certificates and documents that may be necessary, desirable or appropriate to be executed on behalf of himself as an individual, pursuant to Section 13 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), and any and all regulations promulgated thereunder, and to file the same, with all exhibits thereto, and any other documents in connection therewith, with the Securities and Exchange Commission, and with any other entity when and if such is mandated by the Exchange Act or by the By-laws of the National Association of Securities Dealers, Inc., granting unto said attorney-in-fact full power and authority to do and perform each and every act and thing necessary, desirable or appropriate, fully to all intents and purposes as he might or could do in person, thereby ratifying and confirming all that said attorney-in-fact, or his substitutes, may lawfully do or cause to be done by virtue hereof.
 
IN WITNESS WHEREOF, this Power of Attorney has been signed as of the 14th day of February, 2008.
 
 

 
(Date) February 14, 2008
 
 
/s/ Arvin H. Smith        
(Signature)
 
 
Arvin H. Smith
(Name/Title)

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

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