-----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, VeLc8gG//gCUB9a7bxK+TONLLFxu+plsrBVnfdYm85cdX01sW448kN6RNFcjcNkt CKaQ2EpWWpritdxlyyQBag== 0000950144-07-001724.txt : 20070228 0000950144-07-001724.hdr.sgml : 20070228 20070228163645 ACCESSION NUMBER: 0000950144-07-001724 CONFORMED SUBMISSION TYPE: SC 13D/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20070228 DATE AS OF CHANGE: 20070228 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/A 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: 870475073 FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: SC 13D/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-54247 FILM NUMBER: 07658370 BUSINESS ADDRESS: STREET 1: 8 ALLERMAN ROAD CITY: OAKLAND STATE: NJ ZIP: 07436 BUSINESS PHONE: 2016779311 MAIL ADDRESS: STREET 1: 8 ALLERMAN ROAD CITY: OAKLAND STATE: NJ ZIP: 07436 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/A 1 g05782a5sc13dza.htm MEDIA SCIENCES INTERNATIONAL, INC. - FORM SC 13D/A RICHARD L. SCOTT MEDIA SCIENCES
 

     
 
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

SCHEDULE 13D

Under the Securities Exchange Act of 1934
(Amendment No. 5 )*

MEDIA SCIENCES INTERNATIONAL, INC.
(Name of Issuer)
Common Stock, $.001 par value
(Title of Class of Securities)
58446X 10 7
(CUSIP Number)
Jeffrey S. Buschmann, Esq.
Boult Cummings Conners & Berry, PLC
1600 Division Street, Suite 700
Nashville, Tennessee 37203
(615) 252-2388
(Name, Address and Telephone Number of Person Authorized to
Receive Notices and Communications)
February 21, 2007
(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 §§240.13d-1(e), 240.13d-1(f) or 240.13d-1(g), check the following box. o

Note: Schedules filed in paper format shall include a signed original and five copies of the schedule, including all exhibits. See §240.13d-7 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 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).

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.

 
 


 

                     
CUSIP No.
 
58446X 10 7 

 

           
1   NAMES OF REPORTING PERSONS:

Richard L. Scott
   
  I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY):
 
   
     
2   CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS):

  (a)   o 
  (b)   o 
     
3   SEC USE ONLY:
   
   
     
4   SOURCE OF FUNDS (SEE INSTRUCTIONS):
   
  PF
     
5   CHECK IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e):
   
  o
     
6   CITIZENSHIP OR PLACE OF ORGANIZATION:
   
  United States
       
  7   SOLE VOTING POWER:
     
NUMBER OF   1,036,050
       
SHARES 8   SHARED VOTING POWER:
BENEFICIALLY    
OWNED BY   -0-
       
EACH 9   SOLE DISPOSITIVE POWER:
REPORTING    
PERSON   1,036,050
       
WITH 10   SHARED DISPOSITIVE POWER:
     
    -0-
     
11   AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON:
   
  1,036,050
     
12   CHECK IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS):
   
  o
     
13   PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11):
   
  9.2%
     
14   TYPE OF REPORTING PERSON (SEE INSTRUCTIONS):
   
  IN


 

This Amendment No. 5 amends the Schedule 13D filed by Richard L. Scott (the “Reporting Person”) on April 12, 2004 (the “Schedule 13D”), as amended on May 27, 2004, July 6, 2004, November 21, 2006, and January 10, 2007 with respect to shares of Common Stock, $.001 par value (“Common Stock”), of Media Sciences International, Inc., a Delaware corporation (the “Issuer”). Capitalized terms used but not defined herein shall have the same meanings ascribed to such terms in the Schedule 13D.
The following Items are hereby amended as follows:
Item 5. Interest in Securities of the Issuer
(a)   The 1,036,050 shares of the Common Stock owned by the Reporting Person constitute 9.2% of the outstanding Common Stock of the Issuer based on the outstanding shares of Common Stock set forth in the Issuer’s most recent Form 10-QSB.
 
(b)   The Reporting Person has sole voting and dispositive power with respect to the Common Stock.
 
(c)   The Reporting Person sold the following shares of the Common Stock of the Issuer in open market transactions pursuant to a 10b5-1 plan entered into by GFX Investments, LLC and effective as of November 17, 2006:
                         
Sale Date   Number of Shares   Price Per Share   Aggregate Consideration
1/10/2007
    4,000     $ 6.75580     $ 27,023.20  
1/11/2007
    4,000     $ 6.83560     $ 27,342.40  
1/12/2007
    4,000     $ 6.57650     $ 26,306.00  
1/16/2007
    4,000     $ 6.32600     $ 25,304.00  
1/17/2007
    4,000     $ 6.39250     $ 25,570.00  
1/18/2007
    4,000     $ 6.54720     $ 26,188.80  
1/19/2007
    4,000     $ 6.36700     $ 25,468.00  
1/22/2007
    4,000     $ 6.09530     $ 24,381.20  
1/23/2007
    4,000     $ 6.11000     $ 24,440.00  
1/24/2007
    4,000     $ 6.22260     $ 24,890.40  
1/25/2007
    4,000     $ 6.25250     $ 25,010.00  
1/26/2007
    4,000     $ 6.25590     $ 25,023.60  
1/29/2007
    4,000     $ 6.21480     $ 24,859.20  
1/30/2007
    4,000     $ 6.09940     $ 24,397.60  
1/31/2007
    4,000     $ 6.12380     $ 24,495.20  
2/1/2007
    4,000     $ 6.12180     $ 24,487.20  
2/2/2007
    4,000     $ 6.08910     $ 24,356.40  
2/5/2007
    4,000     $ 6.19770     $ 24,790.80  
2/6/2007
    4,000     $ 6.29600     $ 25,184.00  
2/7/2007
    4,000     $ 6.08810     $ 24,352.40  
2/8/2007
    4,000     $ 6.10750     $ 24,430.00  
2/9/2007
    4,000     $ 6.13800     $ 24,552.00  

3


 

                         
Sale Date   Number of Shares   Price Per Share   Aggregate Consideration
2/12/2007
    4,000     $ 6.11410     $ 24,456.40  
2/13/2007
    4,000     $ 5.98540     $ 23,941.60  
2/14/2007
    4,000     $ 5.80970     $ 23,238.80  
2/15/2007
    4,000     $ 5.64860     $ 22,594.40  
2/16/2007
    4,000     $ 5.54370     $ 22,174.80  
2/20/2007
    4,000     $ 5.63600     $ 22,544.00  
2/21/2007
    4,000     $ 5.62200     $ 22,488.00  
2/22/2007
    4,000     $ 5.63230     $ 22,529.20  
2/23/2007
    4,000     $ 5.62050     $ 22,482.00  
2/26/2007
    4,000     $ 5.67050     $ 22,682.00  
2/27/2007
    4,000     $ 5.63780     $ 22,551.20  
All shares were sold pursuant to an effective registration statement on Form S-3 (Registration No. 333-122400).
(d)   The Common Stock was sold by GFX Investments, LLC, a member managed limited liability company of which Reporting Person is the controlling member.
(e)   The Reporting Person has not purchased or sold any other shares of Common Stock of the Issuer since the Reporting Person’s most recent filing on Schedule 13D on January 10, 2007.

4


 

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: February 28, 2007  /s/ Richard L. Scott    
  Richard L. Scott   
     
 

5

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