-----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, E+yxRs4beyzVB76BHJpHaIMJuT6hjWfBg4eSw+bJTxaYv4NXu+zZabFQ2u5DLffL QdZA2ZtvROyIGY/uHutouQ== 0001140361-03-000572.txt : 20030220 0001140361-03-000572.hdr.sgml : 20030220 20030220171848 ACCESSION NUMBER: 0001140361-03-000572 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030220 FILED AS OF DATE: 20030220 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: 1934 Act SEC FILE NUMBER: 000-06994 FILM NUMBER: 03574813 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 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: IRWIN DOUGLAS CENTRAL INDEX KEY: 0001218098 RELATIONSHIP: OTHER FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: C/O NEW BRUNSWICK SCIENTIFIC INC STREET 2: 44 TALMIDGE RD BOX 4005 CITY: EDISON STATE: NJ ZIP: 08818-4005 BUSINESS PHONE: 7322871200 MAIL ADDRESS: STREET 1: 12 ORIOLE RD CITY: MIDDLETOWN STATE: NJ ZIP: 07748 3 1 doc1.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(h) of the Investment Company Act of 1940

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(Print or type responses)
1. Name and Address of Reporting Person*     

IRWIN, DOUGLAS
(Last)       (First)       (Middle)

44 TALMADGE RD
PO BOX 4005

(Street)

EDISON, NJ 08818-4005

(City)       (State)       (Zip)
2. Date of Event
Requiring Statement
(Month/Day/Year)

02/20/2003
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)
___ Director                          ___ 10% Owner
___ Officer (give title below)   _X_ Other (specify below)

CORPORATE CONTROLLER
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 19,972 D  
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 Instructions 5(b)(v).
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.

(Over)
SEC 1474 (7-02)

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 of
Derivative
Security:
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
NQ COMMON STOCK OPTION   A 10/16/2004 COMMON STOCK 11,712 3.54 D  
NQ COMMON STOCK OPTION 10/16/2003 10/16/2004 COMMON STOCK 2,929 3.54 D  
NQ COMMON STOCK OPTION   B 07/31/2006 COMMON STOCK 8,470 5.06 D  
NQ COMMON STOCK OPTION   C 01/02/2008 COMMON STOCK 5,500 4.94 D  
NQ COMMON STOCK OPTION   D 02/20/2009 COMMON STOCK 5,000 4.90 D  
Explanation of Responses:

A - CURRENTLY
B - CURRENTLY 40%; 07/31/03 - 20%; 07/31/04 - 20%; 07/31/05 - 20%
C - 01/02/04 - 40%; 01/02/05 - 20%; 01/02/06 - 20%; 01/02/07 - 20%
D - 02/20/05 - 40%; 02/20/06 - 20%; 02/20/07 - 20%; 02/20/08 - 20%


** Intentional misstatements || omissions of facts constitute Federal Criminal Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
/s/ DOUGLAS IRWIN
**Signature of Reporting Person
02/20/2003 
Date
Note: File three copies of this Form, one of which must be manually signed.
If space is insufficient,
See Instruction 6 for procedure.
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