-----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, I5wouldOog5KZ+64dns63GIMtsc9fL99A1ZNKs/Y+BGjGWwfUX2XM7J14LaQiOvd qFzSIBNVRVf/6W4eF0z/1w== 0000899140-03-000918.txt : 20031105 0000899140-03-000918.hdr.sgml : 20031105 20031105095030 ACCESSION NUMBER: 0000899140-03-000918 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031103 FILED AS OF DATE: 20031105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WALLACH ANDREW W CENTRAL INDEX KEY: 0001266162 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14053 FILM NUMBER: 03977994 BUSINESS ADDRESS: STREET 1: CUMBER ASSOCIATES LLC STREET 2: 1114 AVENUE OF TYHE AMERICAS CITY: NEW YORK STATE: NY ZIP: 10036 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MILESTONE SCIENTIFIC INC/NJ CENTRAL INDEX KEY: 0000855683 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 133545623 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 220 S ORANGE AVE STREET 2: LIVINGSTON CORPORATE PARK CITY: LIVINGSTON STATE: NJ ZIP: 07039 BUSINESS PHONE: 2013793171 MAIL ADDRESS: STREET 1: 44 KEAN ROAD STREET 2: 220 SOUTH ORANGE AVE CITY: LIVINGSTON STATE: NJ ZIP: 07039 FORMER COMPANY: FORMER CONFORMED NAME: U S OPPORTUNITY SEARCH INC DATE OF NAME CHANGE: 19920703 4 1 wallach_milestone4-110503ex.xml X0201 4 2003-11-03 0 0000855683 MILESTONE SCIENTIFIC INC/NJ MS 0001266162 WALLACH ANDREW W 1114 AVENUE OF THE AMERICAS NEW YORK NY 10036 0 0 1 0 Common Stock, par value $.001 per share 2003-11-03 4 J 0 182308 A 1980775 I Indirect Nature Required Received from Milestone Scientific, Inc. (the "Issuer") as consideration for the agreement of Cumberland Associates LLC ("Cumberland") to a one-year extension of the term of certain promissory notes of the Issuer held by Cumberland. Consideration for the shares of Common Stock was Cumberland's agreement to a one-year extension of the term of certain promissory notes of the Issuer held by Cumberland. The reporting person is a member of Cumberland Associates LLC, a limited liability company organized under the laws of the State of New York which is engaged in the business of managing on a discretionary basis, various securities accounts. Cumberland Associates received these Securities on behalf of one or more of the accounts (the "Accounts"), and the reporting person disclaims beneficial membership of these Securities except to the extent of his share in Cumberland Associates' indirect pecuniary interest therein, which pecuniary interest, if any, is limited to incentive fees and/or allocations payable to Cumberland Associates based on a percentage of realized and/or unrealized gains with respect to these Securities held in the Accounts. /s/ 2003-11-05 -----END PRIVACY-ENHANCED MESSAGE-----