-----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, S0WnDBIkK0/xfrZATo2kO09iTCLSxCw3VVgQhQnAcgqlvF5AJUCDguaAez7gDXOe jGh+rHQHD/UzmGgnc1Pgjw== 0001209191-10-010725.txt : 20100219 0001209191-10-010725.hdr.sgml : 20100219 20100219122556 ACCESSION NUMBER: 0001209191-10-010725 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20070124 FILED AS OF DATE: 20100219 DATE AS OF CHANGE: 20100219 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ANDERSEN K TUCKER CENTRAL INDEX KEY: 0001165282 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14053 FILM NUMBER: 10618800 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MILESTONE SCIENTIFIC INC. 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: 45 KNIGHTSBRIDGE ROAD CITY: PISCATAWAY STATE: NJ ZIP: 08854 BUSINESS PHONE: (973) 535-2717 MAIL ADDRESS: STREET 1: 45 KNIGHTSBRIDGE ROAD CITY: PISCATAWAY STATE: NJ ZIP: 08854 FORMER COMPANY: FORMER CONFORMED NAME: MILESTONE SCIENTIFIC INC/NJ DATE OF NAME CHANGE: 19970409 FORMER COMPANY: FORMER CONFORMED NAME: U S OPPORTUNITY SEARCH INC DATE OF NAME CHANGE: 19920703 5 1 c95048_5x0.xml MAIN DOCUMENT DESCRIPTION X0303 5 2007-01-24 0 0 0000855683 MILESTONE SCIENTIFIC INC. MLSS.OB 0001165282 ANDERSEN K TUCKER C/O CUMBERLAND ASSOCIATES LLC 1114 AVENUE OF THE AMERICAS NEW YORK NY 10036 0 0 1 0 Common Stock, $.001 par value 2009-09-21 5 J 0 100000 1.15 A 1588445 D Common Stock, $.001 par value 2009-12-28 5 J 0 822785 1.58 A 2411230 D Options to purchase common stock 1.51 2007-01-24 5 A 0 100000 A 2012-01-24 Common stock, par value $.001 100000 100000 D Warrants to purchase common stock 5.00 2007-09-05 5 A 0 20000 A 2007-09-05 2010-09-05 Common stock, par value $.001 20000 120000 D Warrants to purchase common stock 5.00 2007-09-12 5 A 0 20000 A 2007-09-12 2010-09-12 Common stock, par value $.001 20000 140000 D Warrants to purchase common stock 5.00 2007-10-09 5 A 0 40000 A 2007-10-09 2010-10-09 Common stock, par value $.001 40000 180000 D Warrants to purchase common stock 5.00 2007-10-30 5 A 0 20000 A 2007-10-30 2010-10-30 Common stock, par value $.001 20000 200000 D Warrants to purchase common stock 5.00 2008-04-18 5 A 0 12500 A 2008-04-18 2011-04-18 Common stock, par value $.001 12500 212500 D Warrants to purchase common stock 5.00 2008-05-14 5 A 0 17500 A 2008-05-14 2011-05-14 Common stock, par value $.001 17500 230000 D Warrants to purchase common stock 0.32 2008-12-27 5 A 0 45000 A 2008-12-27 2012-06-30 Common stock, par value $.001 45000 275000 D These shares were issued by the Company to the Reporting Person in payment for consulting services rendered. The shares were issued by the Company to the Reporting Person upon his conversion of a $1.3 million promissory note. Options vest as follows: One-half on July 24, 2008 and the balance on January 24, 2010. The options were granted by the Company to the Reporting Person pursuant to the Company's 2004 Stock Option Plan. The warrants were issued by the Company to the Reporting Person pursuant to a Revolving Line of Credit Promissory Note, dated June 28, 2007 and amended in April 2008, entered into by the Company for the benefit of the Reporting Person. The warrants were issued by the Company to the Reporting Person pursuant to a Promissory Note, dated December 27, 2008, entered into by the Company for the benefit of the Reporting Person. /s/ K. Tucker Andersen 2010-02-18 -----END PRIVACY-ENHANCED MESSAGE-----