-----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, Pa8oxmh9u3x2alm6M8J5SWnaa7n8tdl5cFbktyTEuTANpdUcCxydRXh1+g1LU7Rn cGWxn/+MedqwzYKNAYCr4A== 0001144204-09-031007.txt : 20090604 0001144204-09-031007.hdr.sgml : 20090604 20090604165919 ACCESSION NUMBER: 0001144204-09-031007 CONFORMED SUBMISSION TYPE: 144 PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20090604 DATE AS OF CHANGE: 20090604 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: GREEN REYNOLD K CENTRAL INDEX KEY: 0001193164 RELATIONSHIP: OFFICER FILING VALUES: FORM TYPE: 144 MAIL ADDRESS: STREET 1: 796 STORVIEW WAY CITY: BRIDGEWATER STATE: NJ ZIP: 08807 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MERRIMAC INDUSTRIES INC CENTRAL INDEX KEY: 0000706864 STANDARD INDUSTRIAL CLASSIFICATION: ELECTRONIC COMPONENTS, NEC [3679] IRS NUMBER: 221642321 STATE OF INCORPORATION: DE FISCAL YEAR END: 1230 FILING VALUES: FORM TYPE: 144 SEC ACT: 1933 Act SEC FILE NUMBER: 001-09970 FILM NUMBER: 09874658 BUSINESS ADDRESS: STREET 1: 41 FAIRFIELD PL CITY: W CALDWELL STATE: NJ ZIP: 07006-0986 BUSINESS PHONE: 9735751300 MAIL ADDRESS: STREET 1: 41 FAIRFIELD PLACE CITY: WEST CALDWELL STATE: NJ ZIP: 07007-0986 144 1 v151623_144.htm
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 
FORM 144
 
NOTICE OF PROPOSED SALE OF SECURITIES
PURSUANT TO RULE 144 UNDER THE SECURITIES ACT OF 1933
 
ATTENTION: Transmit for filing 3 copies of this form concurrently with either placing an order with a broker to execute sale or executing a sale directly with a market maker.
 
OMB APPROVAL
OMB Number:     3235-0101
Expires:    December 31, 2009
Estimated average burden
hours per response...........2.0
SEC USE ONLY
DOCUMENT SEQUENCE NO. 
 
CUSIP NUMBER 
 
(a) NAME OF ISSUER (Please type or print)
Merrimac Industries, Inc.
(b) I.R.S. IDENT. NO.
22-1642321
(c) S.E.C. FILE NO.
0-11201
WORK LOCATION 
 
(d) ADDRESS OF ISSUER                                    STREET                                           CITY                             STATE                       ZIP CODE
                        41 Fairfield Place                         West Caldwell                New Jersey                   07006
(e) TELEPHONE NO.
AREA CODE 
973
NUMBER 
575-1300
(a) PERSON FOR WHOSE ACCOUNT THE SECURITIES ARE TO BE SOLD
 
Reynold K. Green
 
(b) RELATIONSHIP TO
       ISSUER
Officer
(C) ADDRESS STREET               CITY            STATE        ZIP CODE
   
c/o Merrimac Industries, Inc. 41 Fairfield Place  West Caldwell  New Jersey  07006
INSTRUCTION: The person filing this notice should contact the issuer to obtain the I.R.S. Identification Number and the S.E.C. File Number
3(a)
Title of the
Class of
Securities
To Be Sold
(b)
Name and Address of Each Broker Through Whom the Securities are to be Offered to Each Market Maker who is Acquiring the Securities
SEC USE ONLY
(c)
Number of shares
or Other Units
To Be Sold
(See instr.3(c))
(d)
Aggregate
Market
Value
(See instr.3(d))
(e)
Number of Shares
or Other Units
Outstanding
(See instr.3(e))
(f)
Approximate
Date of Sale
(See instr.3(f))
(MO.  DAY  YR.)
(g)
Name of Each
Securities
Exchange
(See instr.3(g))
Broker-Dealer
File Number
Common Stock
UBS Financial Services
500 Campus Drive
Florham Park, NJ 07932
 
 
3,500
$36,435.00
2,952,324
6/5/2009
NYSE Amex
INSTRUCTIONS:
1
(a) 
Name of issuer.
3. 
(a) 
Title of the class of securities to be sold.
 
(b)
Issuer's IRS Identification Number.
 
(b)
Name and address of each broker through whom the securities are intended to be sold.
 
(c)
Issuer's SEC file number, if any.
 
(c)
Number of shares or other units to be sold (if debt securities, give the aggregate face amount).
 
(d)
Issuer's address, including zip code.
 
(d)
Aggregate market value of the securities to be sold as of a specified date within 10 days prior to the filing
 
(e)
Issuer's telephone number, including area code.
 
(e)
Number of shares or other units of the class outstanding, or if debt securities the face amount thereof outstanding, as shown by the most recent report or statement published by the issuer.
2.
(a)
Name of person for whose account the securities are to be sold.
 
(f)
Approximate date on which the securities are to be sold.
 
(b)
Such person's or I.R.S. Identification number, if such a person is an entity.
 
(g)
Name of each securities exchange, if any, on which the securities are intended to be sold.
 
(c)
Such person's relationship to the issuer (e.g., officer, director, 10 percent stockholder, or member of immediate family of any of the foregoing).
 
 
(d)
Such person's address, including zip code.
 
 
 
   
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 OMB control number.
 
SEC 1147 (02-08)

 
TABLE I--SECURITIES TO BE SOLD
Furnish the following information with respect to the acquisition of the securities to be sold
and with respect to the Payment of all or any part of the purchase price or other consideration therefor:
Title of
the Class
Date You Acquired
Nature of Acquisition Transaction
Name of Person From Whom Acquired
(If Gift, Also Give Date Donor Acquired)
Amount of Securities Acquired
Date of Payment
Nature of Payment
 
Common Stock
 
6/5/2009
Option Exercise
Merrimac Industries, Inc.
3,500
6/5/2009
Option Exercise
 
INSTRUCTIONS:
 
If the securities were purchased and full payment therefore was not made in cash at the time of purchase, explain in the table or in a note thereto the nature of the consideration given. If the consideration consisted of any note or other obligation, or if payment was made in installments describe the arrangement and state when the note or other obligation was discharged in full or the last installment paid.
TABLE II--SECURITIES SOLD DURING THE PAST THREE MONTHS
Furnish The Following Information as to All Securities of The Issuer Sold During The Past Three Months By The Person For Whose Account The Securities Are To Be Sold.
 
Name and Address of Seller
Title of Securities To Be Sold.
Date of Sale
Amount of
Securities Sold
Gross Proceeds
 
Reynold K. Green
c/o Merrimac Industries, Inc.
41 Fairfield Place
West Caldwell, New Jersey  07006
Common Stock
5/29/2009
2,225
$24,475.00
REMARKS:
 
 
INSTRUCTIONS: 
See the definition of “person” in paragraph (a) of Rule 144. Information is to be given not only as to the person for whose account the securities are to be sold but also as to all other persons included in that definition. In addition, information shall be given as to sales by all persons whose sales are required by paragraph (e) of Rule 144 to be aggregated with sales for the account of the person filing this notice.
 
ATTENTION: 
The person for whose account the securities to which this notice relates are to be sold hereby represents by signing this notice that he does not know any material adverse information in regard to the current and prospective operations of the Issuer of the securities to be sold which has not been publicly disclosed.
If such person has adopted a written trading plan or given trading instructions to satisfy Rule 10b5-1 under the Exchange Act, by signing the form and indicating the date that the plan was adopted or the instruction given, that person makes such representation as of the plan adoption or instruction date.
 
6/4/2009

DATE OF NOTICE
 
/s/ Reynold K. Green

(SIGNATURE)
 

DATE OF PLAN ADOPTION OR GIVING OF INSTRUCTION,
IF RELYING ON RULE 10B5-1
 
The notice shall be signed by the persons for whose account the securities are to be sold. At least one copy of the notice shall be manually signed. Any copies not manually signed shall bear typed or printed signatures.
 
ATTENTION: International misstatements or omission of facts constitute Federal Criminal Violations (See 18 U.S.C. 1001)
SEC 1147 (02-08)
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