-----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, VddCNbbmRJ/8xyT90VYnHX7oyPEPmfwg/ipWyQZZxWgvmxy7HQ5K0aLWskXUOZd3 SZ2T6LfI6htez8gMoG3rlg== 0000914260-04-000013.txt : 20040206 0000914260-04-000013.hdr.sgml : 20040206 20040206101123 ACCESSION NUMBER: 0000914260-04-000013 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20040206 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: ASTRO MED INC /NEW/ CENTRAL INDEX KEY: 0000008146 STANDARD INDUSTRIAL CLASSIFICATION: COMPUTER PERIPHERAL EQUIPMENT, NEC [3577] IRS NUMBER: 050318215 STATE OF INCORPORATION: RI FISCAL YEAR END: 0131 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-32751 FILM NUMBER: 04571994 BUSINESS ADDRESS: STREET 1: 600 E GREENWICH AVE CITY: WEST WARWICK STATE: RI ZIP: 02893 BUSINESS PHONE: 4018284000 MAIL ADDRESS: STREET 1: 600 E GREENWICH AVENUE CITY: WEST WARWICK STATE: RI ZIP: 02893 FORMER COMPANY: FORMER CONFORMED NAME: ATLAN TOL INDUSTRIES INC DATE OF NAME CHANGE: 19850220 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: PIZZUTI EVERETT V CENTRAL INDEX KEY: 0001055747 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: ASTROMED STREET 2: 600 E GREENWICH AVENUE CITY: WEST WARWICK STATE: RI ZIP: 02893 BUSINESS PHONE: 4018284000 MAIL ADDRESS: STREET 1: ADAMS J GWALTNEY STREET 2: 1500 FLEET CENTER CITY: PROVIDENCE STATE: RI ZIP: 029302393 SC 13G/A 1 pizzutischedule13g.htm PIZZUTI SCHEDULE 13G/A Pizzuti Schedule 13G/A
                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549


                                  SCHEDULE 13G
                                (Amendment No. 5)


                    Under the Securities Exchange Act of 1934


                                 ASTRO-MED, INC.
                                 ---------------
                                (Name of Issuer)


                          Common Stock, $.05 par value
                          ----------------------------
                         (Title of Class of Securities)


                                    04638F10
                                    --------
                                 (CUSIP Number)

                                December 31, 2003
- --------------------------------------------------------------------------------
             (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 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  (however,  see the
Notes).

                 (A fee is not being paid with this statement.)




         1)  Name of Reporting Person.          Everett V. Pizzuti
                                        -----------------------------------


         2)  Check the Appropriate box if a Member of a Group (See Instructions)

         (a) [ ]
         (b) [ ]


         3)  SEC Use Only......................................



         4)  Citizenship or Place of Organization.       United States
                                                       ------------------

Number of          (5)     Sole Voting Power:  468,979*
Shares Bene-                                   --------
ficially           (6)     Shared Voting Power: 3,064
Owned By                                        ------
Each Report-       (7)     Sole Dispositive Power:  468,979*
ing Person                                          --------
With               (8)     Shared Dispositive Power:  3,064
ing Person                                            -----
With


          9)   Aggregate Amount Beneficially Owned by Each Reporting Person.  472,043
                                                                              -------

         10)    Check if the Aggregate Amount in Row (9) Excludes Certain Shares
                (See Instructions).

                                Not Applicable

         11)      Percent of Class Represented by Amount in Row 9. 9.4%
                                                                   ----

         12)      Type of Reporting Person (See Instructions). IN
                                                               --



- --------

* Includes  296,225  shares of common stock  issuable upon exercise of currently
exercisable options.





Item 1(a).        Name of Issuer.
                  --------------
                  Astro-Med, Inc. (ALOT)

Item 1(b).        Address of Issuer's Principal Executive Offices.
                  -----------------------------------------------
                  600 East Greenwich Avenue, West Warwick, RI 02893

Item 2(a).        Name of Person Filing.
                  ---------------------
                  Everett V. Pizzuti

Item 2(b).        Address of Principal Business Office.
                  ------------------------------------

                  Astro-Med Industrial Park, 800 East Greenwich Avenue, West
                  Warwick, RI  02893

Item 2(c).        Citizenship.
                  -----------
                  United States

Item 2(d).        Title of Class of Securities.
                  ----------------------------
                  Common Stock, $.05 par value

Item 2(e).        CUSIP Number.
                  ------------
                  04638F10

Item 3.
                  Not applicable




Item 4.           Ownership.
                  ---------
                  (a)      Amount Beneficially Owned.
                           -------------------------
                           172,754 shares are held directly
                           296,225 shares are held subject to exercisable options
                           3,064 shares are held indirectly under employee stock ownership plan

                  (b)      Percent of Class.  The shares of Common Stock beneficially
                           ----------------
                           owned by Mr. Pizzuti represent 9.4% of the issued and
                           outstanding common stock (assuming exercise of exercisable options).

                  (c)      Number of shares of Common Stock as to which Mr. Pizzuti has:

                           (i)      sole power to vote or to direct the vote:  468,979*
                                                                               --------

                           (ii)     shared power to vote or to direct the vote: 3,064
                                                                                -----

                           (iii)    sole power to dispose or to direct the disposition of:  468,979*
                                                                                            --------

                           (iv)     shared power to dispose or to direct the disposition of:  3,064
                                                                                             ------

Item 5.           Ownership of Five Percent or Less of a Class.
                  --------------------------------------------
                  Not applicable.

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 or Control Person.
                  -------------------------------------------------------------------------------
                  Not applicable.

- -----------------

* Includes  296,225  shares of common stock  issuable upon exercise of currently
exercisable options.




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.





     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 3, 2004                         /s/ Everett V. Pizzuti
                                                  ----------------------
                                                      Everett V. Pizzuti


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