0001437749-16-043814.txt : 20161227 0001437749-16-043814.hdr.sgml : 20161226 20161227175529 ACCESSION NUMBER: 0001437749-16-043814 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161227 FILED AS OF DATE: 20161227 DATE AS OF CHANGE: 20161227 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: 220 SOUTH ORANGE AVENUE CITY: LIVINGSTON STATE: NJ ZIP: 07039 BUSINESS PHONE: (973) 535-2717 MAIL ADDRESS: STREET 1: 220 SOUTH ORANGE AVENUE CITY: LIVINGSTON STATE: NJ ZIP: 07039 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: D'Agostino Joseph CENTRAL INDEX KEY: 0001425478 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14053 FILM NUMBER: 162071175 MAIL ADDRESS: STREET 1: C/O MILESTONE SCIENTIFIC INC. STREET 2: 220 SOUTH ORANGE AVENUE CITY: LIVINGSTON STATE: NJ ZIP: 07039 4 1 rdgdoc.xml FORM 4 X0306 4 2016-12-27 0000855683 MILESTONE SCIENTIFIC INC. MLSS 0001425478 D'Agostino Joseph C/O MILESTONE SCIENTIFIC INC. 220 SOUTH ORANGE AVENUE LIVINGSTON NJ 07039 1 CFO & COO Common Stock 2016-12-27 4 M 0 277778 0.36 A 1210318 D Options to purchase common stock 0.36 2016-12-27 4 M 0 277778 D 2016-12-31 Common Stock, par value $.00 277778 0 D Options to purchase common stock 1.7200 2021-02-04 Common Stock, par value $.001 per share 133140 133140 D Options to purchase common stock 1.2800 2017-12-31 Common Stock, par value $.001 per share 78126 78126 D Options to purchase common stock 1.5000 2018-12-31 Common Stock, par value $.001 per share 66666 66666 D Options to purchase common stock 2.0900 2019-11-11 Common Stock, par value $.001 per share 150000 150000 D Options to purchase common stock 2.0300 2019-11-20 Common Stock, par value $.001 per share 49261 49261 D 166,201 of these shares are issuable to the reporting person at the termination of employment. Immediately. Not applicable. These options are exercisable as follows: (i) immediately for 44,380 shares on the date of grant (2-4-16); and (ii) for an additional 1/3 of the 88,760 remaining shares on each of the 1st through 3rd anniversaries of the date of grant. These options are exercisable as follows: (i) immediately for 116,667 shares; and (ii) for an additional 33,333 on the 3rd anniversary of the (11-11-14) date of grant. These options are exercisable as follows: (i) immediately for 38,315 shares; and (ii) for an additional 10,946 on the 3rd anniversary of the (11-20-14) date of grant. /s/ Joseph D'Agostino 2016-12-27