-----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, TUNCBMitt+ELG8IMeWaWKHgH5+QeKxUUCzrHNErOjC1j7n3I2Yrr+aNaFrSUauFd s1wkwXjJYnyHKEPfnAT1lw== 0001015402-01-001074.txt : 20010412 0001015402-01-001074.hdr.sgml : 20010412 ACCESSION NUMBER: 0001015402-01-001074 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20010403 FILED AS OF DATE: 20010411 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: NEW BRUNSWICK SCIENTIFIC CO INC CENTRAL INDEX KEY: 0000071241 STANDARD INDUSTRIAL CLASSIFICATION: LABORATORY APPARATUS & FURNITURE [3821] IRS NUMBER: 221630072 STATE OF INCORPORATION: NJ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: SEC FILE NUMBER: 000-06994 FILM NUMBER: 1600620 BUSINESS ADDRESS: STREET 1: 44 TALMADGE RD STREET 2: PO BOX 4005 CITY: EDISON STATE: NJ ZIP: 08818-4005 BUSINESS PHONE: 9082871200 MAIL ADDRESS: STREET 1: 44 TALMADGE ROAD STREET 2: PO BOX 4005 CITY: EDISON STATE: NJ ZIP: 08818-4005 COMPANY DATA: COMPANY CONFORMED NAME: VAN RIPER DANIEL S CENTRAL INDEX KEY: 0001138019 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: NEW BRUNSWICK SCIENTIFIC CO INC STREET 2: 44 TALMADGE RD P O BOX 4005 CITY: EDISON STATE: NJ ZIP: 40625 BUSINESS PHONE: 7322871200 MAIL ADDRESS: STREET 1: 57 FOREMUST MOUNTAIN ROAD CITY: MUNTVILLE STATE: NJ ZIP: 07045 3 1 0001.htm Form 3
Form 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES


Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the
Public Utility
Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940

OMB APPROVAL
OMB Number: 3235-0104
Expires: December 31, 2001
Estimated average burden
hours per response. . . 0.5
(Print or type responses)
1. Name and Address of Reporting Person*
Van Riper, Daniel S.
(Last)       (First)       (Middle)

57 Foremost Mountain Road
(street)

Montville, NJ 07045

(City)       (State)       (Zip)
2. Date of Event
Requiring Statement
(Month/Day/Year)
04/03/2001
4. Issuer Name and Ticker or Trading Symbol

New Brunswick Scientific Co., Inc.   (NBSC)
3. I.R.S. Identification
Number of Reporting
Person, if an entity
(voluntary)

###-##-####

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_X_ Director                    ___10% Owner
___ Officer (give             ___ Other (specify
          title below)                             below)


6. If Amendment, Date of
Original (Month/Day/Year)
7. 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 5000 D  

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 4)
2. Date Exer-
cisable and
Expiration
Date
(Month/Day/Year)

3. Title and Amount of Securities Underlying
Derivative Security
(Instr. 4)
4. Conver-
sion or
Exercise
Price of
Deri-
vative
Security
5. Owner-
ship
Form of
Deriv-
ative
Security:
Direct
(D) or
Indirect
(I)
(Instr. 5)
6. Nature of Indirect
Beneficial Ownership
(Instr. 5)
Date
Exer-cisable
Expira-
tion
Date
Title
Amount
or
Number
of
Shares
         
Explanation of Responses:



** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). /s/ Daniel S. Van Riper
**Signature of Reporting Person
04/11/2001 
Date
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
See Instruction 6 for procedure.
-----END PRIVACY-ENHANCED MESSAGE-----