-----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, EDrqhdUTDi24LLJhOPgBNJqwLdmH0PHQoz+Q+j6HP+sk1WOVURWS/nW3ONzTA7F6 3ce58taOcszz4N0yhGrPqQ== 0001356204-08-000001.txt : 20080723 0001356204-08-000001.hdr.sgml : 20080723 20080723170234 ACCESSION NUMBER: 0001356204-08-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20080708 FILED AS OF DATE: 20080723 DATE AS OF CHANGE: 20080723 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bloomgren Kevan D CENTRAL INDEX KEY: 0001356204 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-16053 FILM NUMBER: 08966293 BUSINESS ADDRESS: BUSINESS PHONE: 9737293064 MAIL ADDRESS: STREET 1: 51 ALPINE TRAIL CITY: SPARTA STATE: NJ ZIP: 07871 ISSUER: 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 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 4 1 primary_doc.xml PRIMARY DOCUMENT X0303 4 2008-07-08 0 0001024022 MEDIA SCIENCES INTERNATIONAL INC MSII 0001356204 Bloomgren Kevan D 8 ALLERMAN ROAD OAKLAND NJ 07436 0 1 0 0 Chief Financial Officer Common Stock 2008-07-08 4 A 0 32000 0 A 122000 D The grant, subject to finalization of the terms, was initially approved on 7/8/2008, and was finalized on 7/22/2008. The grant to the employee vests in equal installments over 2 years from grant date. Includes shares that remain subject to vesting. /s/ Kevan D. Bloomgren 2008-07-23 -----END PRIVACY-ENHANCED MESSAGE-----