4 1 bakerform4oct01eandahtml.htm FORM 4 FORM 4

FORM 4

Check this box if no longer

subject to Section 16. Form 4 or

Form 5 obligations may

continue. See Instruction 1(b)

(Print or Type Responses)

UNITED STATES SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940

 

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1. Name and Address of Reporting Person*

 

Baker Francis E.

2. Issuer Name and Ticker or Trading Symbol

 

Andersen Group, Inc. (ANDR)

6. Relationship of Reporting Person(s) to Issuer

(Check all applicable)

X Director 10% Owner

Officer (give Other (specify

(Last) (First) (Middle)

8356 Sego Lane

3. IRS Identification

Number of Reporting

Person, if an entity

(Voluntary)

4. Statement for

Month/Year

10/2001

title below) below)

 



(Street)

Vero Beach FL 32963

5. If Amendment,

Date of Original

(Month/Year)

7. Individual or Joint/Group Filing (Check Applicable Line)

X Form filed by One Reporting Person

Form filed by More than One Reporting Person

(City) (State) (Zip)

Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1. Title of Security

(Inst. 3)

2. Trans-action Date

3. Trans-

action

Code

(Instr. 8)

4. Securities Acquired (A)

or Disposed of (D)

(Instr. 3, 4 and 5)

5. Amount of Securities Beneficially Owned at

6. Owner-ship Form:

Direct

7. Nature of In-direct Bene-

 

(Month/

Day/

       

End of Month

(D) or Indirect

ficial Owner-

 

Year)

Code

V

Amount

(A) or (D)

Price

(Instr. 3 and 4)

(I)

(Instr. 4)

ship

(Instr. 4)

Common Stock

10/17/01

G

V

20,000

D

   

D

 

Common Stock

10/19/01

G

V

20,000

D

 

44,401

D

 
                   
                   
                   
                   

 

FORM 4 (Continued)

Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned

(e.g., puts, calls, warrants, options, convertible securities)

1. Title of Derivative Security (Instr. 3)

2. Conver-sion or Exercise Price of Deriv-

ative Security

3. Trans-

action

Date

(Month/

Day/

Year)

4. Trans-

action

Code

(Instr. 8)

5. Number of Derivative Securities Ac-quired (A) or Disposed of (D)

(Instr. 3, 4 and 5)

6. Date Exercisable and Expiration Date (Month/Day/

Year)

7. Title and Amount of Underlying Securities (Instr. 3 and 4)

8. Price

of Deriv-ative Secu-

rity (Instr. 5)

9. Number of Deriv-ative

Secur-

ities

Bene-ficially Owned

at End

10. Owner-ship

Form of

Deriv-

ative

Security:

Direct

(D) or

Indirect

11. Nature

of

Indirect

Benefi-

cial

Owner-

ship

(Instr. 4)

     

Code

V

(A)

(D)

Date Exer-

Expir-ation

Title

Amount or Number of

 

of

Month

(I)

(Instr. 4)

 
             

cisable

Date

 

Shares

 

(Instr. 4)

   
                             
                             
                             
                             
                             

Explanation of Responses:

 

 

_/s/ Francis E. Baker November 9, 2001

**Intentional misstatements or omissions of facts constitute Federal Criminal Violations. **Signature of Reporting Person Date

See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).