-----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, DJwWEV+kN4IjkXKyjBZDFP4rjZyaUT3C/wQKgAQISNPcb28eViWLVQDIeoU8vGtA KvnlO6LvDTfCTKBakjoRvg== 0000914317-06-003134.txt : 20061201 0000914317-06-003134.hdr.sgml : 20061201 20061201144159 ACCESSION NUMBER: 0000914317-06-003134 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20070228 FILED AS OF DATE: 20061201 DATE AS OF CHANGE: 20061201 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: katevatis peter CENTRAL INDEX KEY: 0001299685 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-07405 FILM NUMBER: 061250813 BUSINESS ADDRESS: BUSINESS PHONE: 215 485 0362 MAIL ADDRESS: STREET 1: PO 598 CITY: CHERRY HILL STATE: NJ ZIP: 08003 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MEDISCIENCE TECHNOLOGY CORP CENTRAL INDEX KEY: 0000064647 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 221937826 STATE OF INCORPORATION: NJ FISCAL YEAR END: 0228 BUSINESS ADDRESS: STREET 1: 1235 FOLKESTONE WY CITY: CHERRY HILL STATE: NJ ZIP: 08034 BUSINESS PHONE: 6094287952 MAIL ADDRESS: STREET 1: 1235 FOLKESTONE WAY CITY: CHERRY HILL STATE: NJ ZIP: 08034 FORMER COMPANY: FORMER CONFORMED NAME: CARDIAC TECHNIQUES INC DATE OF NAME CHANGE: 19730920 5 1 form5-80195_pkex.xml X0202 5 2007-02-28 0 0 0 0000064647 MEDISCIENCE TECHNOLOGY CORP MDSC 0001299685 katevatis peter 1235 FOLKSTONE WAY CHERRY HILL NJ 08034 1 1 1 0 Chairman CEO Common Stock $.01 per share 2006-02-20 5 J 0 13600 0 A 10170849 D Common Stock $.01 per share 2006-03-04 5 J 0 85000 0 A 0 D Common Stock $.01 per share 2006-03-15 5 J 0 46240 0 A 0 D Common Stock $.01 per share 2006-04-14 5 J 0 15851 0 A 0 D Common Stock $.01 per share 2006-05-10 5 J 0 151554 0 A 0 D Common Stock $.01 per share 2006-05-16 5 J 0 17000 0 A 0 D Common Stock $.01 per share 2006-10-11 5 J 0 68000 0 A 0 D Common Stock $.01 per share 2006-10-11 5 J 0 113332 0 A 0 D Common Stock $.01 per share 2006-10-13 5 J 0 28334 0 A 0 D (1) Explanation of above responses: all code " J" Katevatis Anti-dilution transactions reflected in this December 1, 2006 FORM 4 Filing documented by Mediscience transfer Agent of record "Registrar and Transfer Co". Letter listing each JV transaction dated November 28, 2006 attached and made a part hereof Includes all 538,911 shares issued pursuant to a historical board and shareholder approved anti-dilution agreement (JV) between the issuer and the reporting person: reference: prior EDGAR filings 14C and SB-2 effective January 12, 2005 (see SB-2 SEC registration filing exhibits board minute resolution SB-2 shares held by Katevatis Alfano "RESOLVED, that the Corporation's agreement to issue, from time to time, additional shares of Common Stock to Katevatis such that the Katevatis Shares represent the Katevatis Anti-Dilution Percentage (17%) and the Alfano Shares represent the Alfano Anti-Dilution Percentage (4%) of the issued and outstanding shares of Common Stock, and is hereby unanimously ratified, confirmed and approved nunc pro tunc in all respects". SEE: Supporting Registrar and Transfer Letter dated November 28, 2006 attached as exhibit A /s/ Peter Katevatis 2006-12-01 EX-99 2 ex99.txt Registrar and Transfer Company 10 Commerce Drive, Cranford, New Jersey 07016-3572 www.rtco.com November 28, 2006 Tel: (908) 497-2300 Tel: (800) 866-1340 Fax: (908) 497-2310 Peter Katevatis Mediscience Technology Corp PO Box 598 Woodcrest Station Cherry Hill, NJ 08034 RE: Issuance of shares Dear Peter: Listed below is a list of all the certificates that were issued to Peter Katevatis of Mediscience Technology Corporation Common Stock in the year 2006. CERTIFICATE # ISSUANCE DATE SHARES NAME NU 12335 02/20/2006 13,600 WILLIAM ARMSTRONG NU12340 03/04/2006 85,000 ALFANIX TECHNOLOGY NU12344 03/15/2006 46,240 CHESTERBROOK PARTNERS NU12357 04/14/2006 15,851 STEPHANE LUBICZ MD NU12367 05/10/2006 151,554 WILL BAKER & MAURICE ALTSHULE NU12370 05/16/2006 17,000 CHESTERBROOK PARTNERS NU12412 10/11/2006 68,000 WILLIAM BAKER NU12415 10/11/2006 113,332 WILLIAM BAKER NU12421 11/13/2006 28,334 MARIE STEN If you have any questions regarding the above please feel free to call me at the number listed below. Sincerely, /s/ Henry Farrell Henry Farrell Senior Account Executive (800)866-1340X2619 Securities Transfer Services Since 1899 -----END PRIVACY-ENHANCED MESSAGE-----