-----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, BQTu6/xA5C8kXhdpXt6NAE4n9XXlEmcuuq59Xi7YhC7BxbKw1xJGJdYi6GDJtQs1 /mTcKBgTgtJOP6waMLy0Bg== 0001013762-06-000035.txt : 20060110 0001013762-06-000035.hdr.sgml : 20060110 20060110124748 ACCESSION NUMBER: 0001013762-06-000035 CONFORMED SUBMISSION TYPE: SC 13D PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20060110 DATE AS OF CHANGE: 20060110 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Silverman Donna CENTRAL INDEX KEY: 0001349085 FILING VALUES: FORM TYPE: SC 13D BUSINESS ADDRESS: BUSINESS PHONE: (973) 726-5240 MAIL ADDRESS: STREET 1: 36 ISLAND TRAIL CITY: SPARTA STATE: NJ ZIP: 07871 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: TECH LABORATORIES INC CENTRAL INDEX KEY: 0000096664 STANDARD INDUSTRIAL CLASSIFICATION: ELECTRONIC COMPONENTS, NEC [3679] IRS NUMBER: 221436279 STATE OF INCORPORATION: NJ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D SEC ACT: 1934 Act SEC FILE NUMBER: 005-58503 FILM NUMBER: 06521566 BUSINESS ADDRESS: STREET 1: 955 BELMONT AVE CITY: NORTH HALEDON STATE: NJ ZIP: 07508 BUSINESS PHONE: 9734275333 MAIL ADDRESS: STREET 1: TECH LABORATORIES INC STREET 2: 955 BELMONT AVE CITY: NORTH HALEDON STATE: NJ ZIP: 07508 SC 13D 1 jan9200613d.txt SECURITIES AND EXCHANGE COMMISSION SCHEDULE 13D UNDER THE SECURITIES EXCHANGE ACT OF 1934 TECH LABORATORIES, INC. COMMON STOCK CUSIP NUMBER c/o Anslow & Jaclin, LLP 195 Route 9 South, Suite 204 Manalapan, NJ 07726 (732) 409-1212 December 19, 2005 --------------------------------------------- (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 which is the subject of this Schedule 13D, and is filing this schedule because of Rule 13d-1(e), (f) or (g), check the following box / /. - -------------------------------------------------------------------------------- (1) Names of Reporting Persons. S.S. or I.R.S. Identification Nos. of Above Persons (entities only): Donna Silverman (2) Check the Appropriate Box if a Member of a Group (See Instructions) (a) (b) (3) SEC Use Only (4) Source of Funds (See Instructions): SC (5) Check if Disclosure of Legal Proceedings is Required Pursuant to Items 2(d) or 2(e) (6) Citizenship or Place of Organization: USA Number of Shares Beneficially Owned by Each Reporting Person With (7) Sole Voting Power: 9,135,500 (8) Shared Voting Power: 0 (9) Sole Dispositive Power: 9,135,500 (10) Shared Dispositive Power: 0 (11) Aggregate Amount Beneficially Owned by Each Reporting Person: 9,135,500 (12) Check if the Aggregate Amount in Row (11) Excludes Certain Shares [ ] (13) Percent of Class Represented by Amount in Row (11): 9.9% - -------------------------------------------------------------------------------- (14) Type of Reporting Person: IN ITEM 1. SECURITY AND ISSUER. The security upon which this report is based is the common stock of: Tech Laboratories, Inc. C/o Anslow & Jaclin, LLP 195 Route 9 South, Suite 204 Manalapan, NJ 07726 Common Stock, par value $.01 ITEM 2. IDENTITY AND BACKGROUND. (a) Name: Donna Silverman (b) Address: 36 Island Trail Sparta, NJ 07871 (c) President of Tech Laboratories, Inc. (d) - (e) During the past five years, the Reporting Person has not been convicted in a criminal proceeding (excluding traffic violations or similar misdemeanors). In addition, the Reporting Person has not been a party to a civil proceeding of a judicial or administrative body of competent jurisdiction during the last five years which would make it subject to a judgment, decree or final order enjoining future violations of, or prohibiting or mandating activities subject to, federal or state securities laws or finding any violations with respect to such laws. (f) Citizenship: USA ITEM 3. SOURCE AND AMOUNT OF FUNDS OR OTHER CONSIDERATION. The Reporting Person, Donna Silverman, acquired the 9,135,500 shares of the Issuer for services rendered as the Issuer's President, Chief Executive Officer, Chief Financial Officer, and Director. ITEM 4. PURPOSE OF TRANSACTION. The Reporting Person, Donna Silverman, acquired the 9,135,500 shares of the Issuer for services rendered as the Issuer's President, Chief Executive Officer, Chief Financial Officer, and Director. ITEM 5. INTEREST IN SECURITIES OF THE ISSUER. Donna Silverman acquired 9,135,500 of the issued and outstanding common shares of the Issuer. Such amount represented 9.9% of the total issued and outstanding common shares of the Issuer. Ms. Silverman has the sole power to vote such shares. ITEM 6. CONTRACTS, ARRANGEMENTS, UNDERSTANDINGS OR RELATIONSHIPS WITH RESPECT TO SECURITIES OF THE ISSUER. Other than as described in this Schedule 13D, the Reporting Person has no contracts, arrangements, understandings or relationships with any other person with respect to any securities of the Issuer. ITEM 7. MATERIAL TO BE FILED AS EXHIBITS. None. 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. Signature: Dated: January 9, 2006 /s/ Donna Silverman ------------------- Donna Silverman -----END PRIVACY-ENHANCED MESSAGE-----