SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
NIKOO EMILY

(Last) (First) (Middle)
BLONDER TONGUE LABORATORIES INC
ONE JAKE BROWN RD.

(Street)
OLD BRIDGE NJ 08857

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/03/2004
3. Issuer Name and Ticker or Trading Symbol
BLONDER TONGUE LABORATORIES INC [ BDR ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
VP-Marketing &Technical Srvcs
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock, $0.001 par value per share 188 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (Right to Buy) (1) 07/16/2007 Common Stock, $0.001 par value per share 4,000 $6.88 D
Employee Stock Option (Right to Buy) (2) 07/29/2006 Common Stock, $0.001 par value per share 1,500 $6.88 D
Employee Stock Option (Right to Buy) (3) 06/09/2007 Common Stock, $0.001 par value per share 6,000 $6.88 D
Employee Stock Option (Right to Buy) (4) 08/18/2009 Common Stock, $0.001 par value per share 3,000 $6.34 D
Employee Stock Option (Right to Buy) (5) 08/13/2010 Common Stock, $0.001 par value per share 10,000 $6.75 D
Employee Stock Option (Right to Buy) (6) 02/14/2011 Common Stock, $0.001 par value per share 10,000 $2.88 D
Employee Stock Option (Right to Buy) (7) 03/26/2012 Common Stock, $0.001 par value per share 17,500 $3.43 D
Employee Stock Option (Right to Buy) (8) 07/16/2007 Common Stock, $0.001 par value per share 5,000 $6.88 I By Spouse.
Employee Stock Option (Right to Buy) (9) 07/29/2006 Common Stock, $0.001 par value per share 3,000 $6.88 I By Spouse.
Employee Stock Option (Right to Buy) (10) 06/09/2007 Common Stock, $0.001 par value per share 5,000 $6.88 I By Spouse.
Employee Stock Option (Right to Buy) (11) 08/18/2009 Common Stock, $0.001 par value per share 2,000 $6.34 I By Spouse.
Employee Stock Option (Right to Buy) (12) 08/13/2010 Common Stock, $0.001 par value per share 20,000 $6.75 I By Spouse.
Employee Stock Option (Right to Buy) (13) 02/14/2011 Common Stock, $0.001 par value per share 10,000 $2.88 I By Spouse.
Employee Stock Option (Right to Buy) (14) 03/26/2012 Common Stock, $0.001 par value per share 17,500 $3.43 I By Spouse.
Explanation of Responses:
1. The option became exercisable as to 1,333 shares on September 17, 1998 and became exercisable as to the remaining 2,667 shares in two equal annual installments beginning on July 17, 1999.
2. The option became exercisable as to 1,000 shares on September 17, 1998 and became exercisable as to the remaining 500 shares on July 30, 1999.
3. The option is exercisable in three equal annual installments beginning on June 10, 1999.
4. The option is exercisable in three equal annual installments beginning on August 19, 2000.
5. The option is exercisable in three equal annual installments beginning on August 15, 2001.
6. The option is exercisable in three equal annual installments beginning on February 16, 2002.
7. The option is exercisable in three equal annual installments beginning on March 26, 2003.
8. The option became exercisable as to 1,667 shares on September 17, 1998 and became exercisable as to the remaining 3,333 shares in two equal annual installments beginning on July 17, 1999.
9. The option became exercisable as to 2,000 shares on September 17, 1998 and became exercisable as to the remaining 1,000 shares on July 30, 1999.
10. The option is exercisable in three equal annual installments beginning on June 10, 1999.
11. The option is exercisable in three equal annual installments beginning on August 19, 2000.
12. The option is exercisable in three equal annual installments beginning on August 15, 2001.
13. The option is exercisable in three equal annual installments beginning on February 16, 2002.
14. The option is exercisable in three equal annual installments beginning on March 26, 2003.
Emily Nikoo 02/13/2004
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.