-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, QWZZsbuP7PPZY3YWUoVsT0NA2a8qkZwJiZzJf7G189XlYuAvG9J7m/68T6X/81nz gOGFHxRujzFXG9coThQU7w== 0001009191-02-000014.txt : 20020612 0001009191-02-000014.hdr.sgml : 20020612 20020612115346 ACCESSION NUMBER: 0001009191-02-000014 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20020604 FILED AS OF DATE: 20020612 COMPANY DATA: COMPANY CONFORMED NAME: MANZI DAVID CENTRAL INDEX KEY: 0001175201 DIRECTOR FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: C/O SPECIAL OPTICS STREET 2: 315 RICHARD ROAD CITY: WHARTON STATE: NJ ZIP: 07885 BUSINESS PHONE: 8565968660 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: DYNASIL CORP OF AMERICA CENTRAL INDEX KEY: 0000030831 STANDARD INDUSTRIAL CLASSIFICATION: GLASS, GLASSWARE, PRESSED OR BLOWN [3220] IRS NUMBER: 221734088 STATE OF INCORPORATION: NJ FISCAL YEAR END: 0930 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27503 FILM NUMBER: 02677051 BUSINESS ADDRESS: STREET 1: 385 COOPER RD CITY: WEST BERLIN STATE: NJ ZIP: 08009 BUSINESS PHONE: 8567674600 MAIL ADDRESS: STREET 1: 385 COOPER RD CITY: WEST BERLIN STATE: NJ ZIP: 08091 3 1 manziform3.txt FORM 3
- ------------------ U.S. SECURITIES AND EXCHANGE COMMISSION ---------------------------| | F O R M 3 | Washington, D.C. 20549 | OMB APPROVAL | - ------------------ |--------------------------| INITIAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP |OMB Number 3235-0104| |Expires: December 31, 2001| Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, |Estimated avg. burden | Section 17(a) of the Public Utility Holding Company Act of 1935 or |hours per response.....0.5| Section 30(f) of the Investment Company Act 1940 ---------------------------- - ------------------------------------------------------------------------------------------------------------------------------------ |1.Name and Address of Reporting Person* |2.Date of Event |4.Issuer Name and Ticker or Trading Symbol | | | Requiring Statement | | | | (Month/Day/Year) | Dynasil Corporation of America (DYSL) | | Manzi David | | | |----------------------------------------| |-----------------------------------------------------------------| | (Last) (First) (MI)| 06/04/02 |5.Relationship of Reporting Person to |6.If Amendment, Date of | | | | Issuer (Check all Applicable) | Original (Mon/Day/Year)| | c/o Special Optics | | | | | |-----------------------| X Director 10% Owner | | | 315 Richard Mine Road |3.IRS Identification |--- --- |-------------------------| |----------------------------------------| Number of Reporting | |7.Individual or Joint/ | | (Street) | Person, if an entity | Officer (give Other | Group Filing | | | (voluntary) |--- title --- (specify | (Check Applicable Line)| | | | below) below) | X Form filed by One | | | | |--- Reporting Person | | | | | Form filed by More | | | | | than One Reporting | | Wharton New Jersey 07855 | | |--- Person | |----------------------------------------|-----------------------------------------------------------------------------------------| | (City) (State) (Zip) | | | | TABLE I - Non-Derivative Securities Beneficially Owned | |----------------------------------------------------------------------------------------------------------------------------------| |1.Title of Security (Instr. 4) |2.Amount of Securities |3.Ownership |4.Nature of Indirect Beneficial | | | Beneficially Owned | Form: | Ownership (Instr. 5) | | | (Instr. 4) | Direct (D) | | | | | or Indirect | | | | | (I)(Instr.5)| | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | |Common Stock | 0 | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | | | | | - ------------------------------------------------------------------------------------------------------------------------------------ Reminder: Report on a separate line for each class securities owned directly or indirectly. SEC 1473 (7-97) *If the form is filed by more than one reporting person, see Instruction 5(b)(v). PAGE: 1 OF 2
FORM 3 (continued) TABLE II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) - ------------------------------------------------------------------------------------------------------------------------------------ |1.Title of |2.Date Exercisable and |3.Title and Amount of Underlying |4.Conversion or |5. |6.Nature of | | Derivative | Expiration Date | Derivative Security (Instr. 4) | Exercise Price |Own. | Indirect | | Security | (Month/Day/Year) | | of Derivative |Form | Beneficial | | (Instr. 4) | | | Security |of | Ownership | | | | | |Deri.| (Instr. 5) | | | | | |Sec. | | | | | | |Dir. | | | | | | |(D) | | | |-----------------------------|--------------------------------------| |or | | | |Date |Expiration | |Amount or Number | |Ind. | | | |Exercisable |Date | Title |of Shares | |(I) | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| | | | | | | | | | |Options to purchase| n/a | n/a | | 0 | | | | |Common stock | | | | | | | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| | | | | | | | | | | | | | | | | | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| | | | | | | | | | | | | | | | | | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| | | | | | | | | | | | | | | | | | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| | | | | | | | | | | | | | | | | | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| | | | | | | | | | | | | | | | | | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| | | | | | | | | | | | | | | | | | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| | | | | | | | | | | | | | | | | | | |-------------------|--------------|--------------|-------------------|------------------|-------------------|-----|---------------| | | | | | | | | | | | | | | | | | | - ------------------------------------------------------------------------------------------------------------------------------------ Explanation of Responses: **Intentional misstatements or omissions of facts constitute Federal /s/ David Manzi June 11, 2002 Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). -------------------------------- ----------------- **Signature of Reporting Person Date Note: File three copies of this form, one of which must be manually signed. David Manzi If space provided is insufficient, see Instruction 6 for procedure. SEC 1473 (7-97) Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMD Number. PAGE: 2 OF 2
-----END PRIVACY-ENHANCED MESSAGE-----