SEC Form 5 · accession 0001437749-17-000556
MILESTONE SCIENTIFIC INC. · MLSS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Leonard Osser
Officer — CEO · Director · 10% Owner
Period of report
Dec 31, 2016
Accepted (ET)
Jan 11, 2017 · 6:02 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 StockF2 | Dec 23, 2016 | M | 50,000 | $0.75 | A | 2,987,235 | 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 StockF3 | $0.75 | Dec 23, 2016 | M | 50,000 | D | Jan 9, 2012 | Jan 9, 2017 | Common Stock | 50,000 | 83,334 | D |
Explanation of responses
- F1The reporting person is amending the Form 4 filed on December 27, 2016 for the purpose of reflecting an option exercise for 50,000 shares rather than a stock award of 66,667 shares.
- F2776,862 shares are issuable to the reporting at the termination of employment.
- F3Not applicable.