-----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, QfjusoWlR/4KQVz36n1D3xIbXIxzptm9cZt7tm+s8Jgf+jkQb1gk1Xr9N6Ki/FRc Q8nu9yJ0MdkElbya/vF29w== 0001088127-03-000085.txt : 20031024 0001088127-03-000085.hdr.sgml : 20031024 20031024165602 ACCESSION NUMBER: 0001088127-03-000085 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031022 FILED AS OF DATE: 20031024 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SIEGEL DAVID CENTRAL INDEX KEY: 0001100698 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-17966 FILM NUMBER: 03956915 BUSINESS ADDRESS: STREET 1: 2488 HORACE COURT CITY: BELLMORE STATE: NY ZIP: 11710 MAIL ADDRESS: STREET 1: 2488 HORACE COURT CITY: BELLMORE STATE: NY ZIP: 11710 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MICRONETICS INC CENTRAL INDEX KEY: 0000820097 STANDARD INDUSTRIAL CLASSIFICATION: ELECTRONIC COMPONENTS, NEC [3679] IRS NUMBER: 222063614 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 BUSINESS ADDRESS: STREET 1: 26 HAMPSHIRE DR CITY: HUDSON STATE: NH ZIP: 03051 BUSINESS PHONE: 6038832900 MAIL ADDRESS: STREET 1: 26 HAMPSHIRE DRIVE CITY: HUDSON STATE: NH ZIP: 03051 FORMER COMPANY: FORMER CONFORMED NAME: MICRONETICS WIRELESS INC DATE OF NAME CHANGE: 19951201 FORMER COMPANY: FORMER CONFORMED NAME: MICRONETICS INC /DE/ DATE OF NAME CHANGE: 19920703 4 1 primary_doc.xml PRIMARY DOCUMENT X0201 4 2003-10-22 0 0000820097 MICRONETICS INC NOIZ 0001100698 SIEGEL DAVID C/O MICRONETICS, INC. 26 HAMPSHIRE DRIVE HUDSON NH 03051 1 0 0 0 Stock Option 7.12 2003-10-22 4 A 0 15000 7.12 A 2004-10-22 2008-10-22 Common Stock 15000 40000 D Whether or not presently exercisable. /s/David Siegel 2003-10-24 -----END PRIVACY-ENHANCED MESSAGE-----