SEC Form 4 · accession 0000899243-15-010354
MILESTONE SCIENTIFIC INC. · MLSS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Joseph D'Agostino
Officer — CFO & COO
Period of report
Dec 20, 2015
Accepted (ET)
Dec 23, 2015 · 4:21 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000855683
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common stockF1 | Dec 20, 2015 | M | 200,000 | $1.00 | A | 865,970 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Options to purchase common stockF2,F3 | $1.00 | Dec 20, 2015 | M | 100,000 | D | — | Dec 20, 2015 | Common Stock, par value $.001 per share | 100,000 | 0 | D |
| Options to purchase common stockF2,F3 | $1.00 | Dec 20, 2015 | M | 100,000 | D | — | Dec 20, 2015 | Common Stock, par value $.001 per share | 100,000 | 0 | D |
| Options to purchase common stockF3 | $0.36 | holding | — | — | — | — | Dec 31, 2016 | Common Stock, par value $.001 per share | 277,778 | 277,778 | D |
| Options to purchase common stockF3 | $1.28 | holding | — | — | — | — | Dec 31, 2017 | Common Stock, par value $.001 per share | 78,126 | 78,126 | D |
| Options to purchase common stockF4 | $1.50 | holding | — | — | — | — | Dec 31, 2018 | Common Stock, par value $.001 per share | 66,666 | 66,666 | D |
| Options to purchase common stockF5 | $2.09 | holding | — | — | — | — | Nov 11, 2019 | Common Stock, par value $.001 per share | 150,000 | 150,000 | D |
| Options to purchase common stockF6 | $2.03 | holding | — | — | — | — | Nov 20, 2019 | Common Stock, par value $.001 per share | 49,261 | 49,261 | D |
Explanation of responses
- F1665,970 of these shares of common stock are issuable to the reporting person at the termination of employment.
- F2Not applicable.
- F3Immediately.
- F4These options are exercisable as follows: (i) immediately for 44,444 shares and (ii) for an additional 22,222 on the 12-31-15.
- F5These options are exercisable as follows: (i) immediately for 83,334 shares; and (ii) for an additional 33,333 on each of the 2nd and 3rd anniversaries of the (11-11-14) date of grant.
- F6These options are exercisable as follows: (i) immediately for 27,369 shares; and (ii) for an additional 10,946 on each of the 2nd and 3rd anniversaries of the (11-20-14) date of grant.