0001567619-19-008412.txt : 20190404 0001567619-19-008412.hdr.sgml : 20190404 20190404155638 ACCESSION NUMBER: 0001567619-19-008412 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190403 FILED AS OF DATE: 20190404 DATE AS OF CHANGE: 20190404 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Smith Jeffrey W CENTRAL INDEX KEY: 0001519818 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14120 FILM NUMBER: 19732221 MAIL ADDRESS: STREET 1: C/O BLONDER TONGUE LABORATORIES, INC. STREET 2: ONE JAKE BROWN ROAD CITY: OLD BRIDGE STATE: NJ ZIP: 08857 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BLONDER TONGUE LABORATORIES INC CENTRAL INDEX KEY: 0001000683 STANDARD INDUSTRIAL CLASSIFICATION: RADIO & TV BROADCASTING & COMMUNICATIONS EQUIPMENT [3663] IRS NUMBER: 521611421 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: ONE JAKE BROWN RD STREET 2: PO BOX 1000 CITY: OLD BRIDGE STATE: NJ ZIP: 08857 BUSINESS PHONE: 9086794000 MAIL ADDRESS: STREET 1: ONE JAKE BROWN ROAD CITY: OLD BRIDGE STATE: NJ ZIP: 08857 4 1 doc1.xml FORM 4 X0306 4 2019-04-03 0 0001000683 BLONDER TONGUE LABORATORIES INC BDR 0001519818 Smith Jeffrey W C/O BLONDER TONGUE LABORATORIES ONE JAKE BROWN ROAD OLD BRIDGE NJ 08857 0 1 0 0 Vice President - Sales Employee Stock Option (right to buy) 1.095 2019-04-03 4 A 0 20000 0 A 2029-04-03 Common Stock par value $0.001 20000 20000 D The stock option was granted under the 2016 Employee Equity Incentive Plan. The exercise price equals the fair market value (equal to the average of the high and low selling prices as reported on the NYSE American) of the common stock on the grant date. The stock option vests in three equal installments of one-third each on the first, second and third anniversary of the date of grant. /s/ Jeffrey Smith by Eric Skolnik Under Power of Attorney 2019-04-04