-----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, OKjz/8/58ubQQhrgXNlwxARFSXyZCraX6IW/E3wFA7O8+0PqRyqFK6mkWUyO+BkQ XmEVwdyLeXtVNvwRMEs3cA== 0000891092-01-000295.txt : 20010226 0000891092-01-000295.hdr.sgml : 20010226 ACCESSION NUMBER: 0000891092-01-000295 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20010213 FILED AS OF DATE: 20010223 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: LANGER BIOMECHANICS GROUP INC CENTRAL INDEX KEY: 0000725460 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 112239561 STATE OF INCORPORATION: NY FISCAL YEAR END: 0228 FILING VALUES: FORM TYPE: 3 SEC ACT: SEC FILE NUMBER: 000-12991 FILM NUMBER: 1553496 BUSINESS ADDRESS: STREET 1: 450 COMMACK ROAD CITY: DEER PARK STATE: NY ZIP: 11729 BUSINESS PHONE: 6136671200 MAIL ADDRESS: STREET 1: 450 COMMACK ROAD CITY: DEER PARK STATE: NY ZIP: 11729 COMPANY DATA: COMPANY CONFORMED NAME: EHRLICH BURTT R CENTRAL INDEX KEY: 0001014013 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 20 BRYNWOOD LANE CITY: GREENWICH STATE: CT ZIP: 06831 MAIL ADDRESS: STREET 1: 20 BRYNWOOD LANE CITY: GREENWICH STATE: CT ZIP: 06831 3 1 0001.txt FORM 3 ------------------------------ OMB APPROVAL ------------------------------ OMB Number: 3235-0104 Expires: October 31, 2001 Estimated average burden hours per response ....... 0.5 ------------------------------ U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 3 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 ________________________________________________________________________________ 1. Name and Address of Reporting Person Ehrlich Burtt R. - -------------------------------------------------------------------------------- (Last) (First) (Middle) 20 Brynwood Lane - -------------------------------------------------------------------------------- (Street) Greenwich CT 06831 - -------------------------------------------------------------------------------- (City) (State) (Zip) ________________________________________________________________________________ 2. Date of Event Requiring Statement (Month/Day/Year) February 13, 2001 ________________________________________________________________________________ 3. IRS or Social Security Number of Reporting Person (Voluntary) -- ________________________________________________________________________________ 4. Issuer Name and Ticker or Trading Symbol The Langer Biomechanics Group, Inc. (GAIT) ________________________________________________________________________________ 5. Relationship of Reporting Person to Issuer (check all applicable) [X] Director [ ] 10% Owner [ ] Officer (give title below) [ ] Other (specify 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 ================================================================================
3. Ownership Form: 2. Amount of Securities Direct (D) or 1. Title of Security Beneficially Owned Indirect (I) 4. Nature of Indirect Beneficial Ownership (Instruction 4) (Instr. 4) (Instr. 5) (Instr. 5) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock, $0.02 par value per share 21,000 D - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock, $0.02 par value per share 31,500 I By trust f/b/o David Ehrlich (1) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock, $0.02 par value per share 13,500 I By trust f/b/o Julie Ehrlich (1) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock, $0.02 par value per share 11,000 I By UTMA trust f/b/o David Ehrlich (1) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock, $0.02 par value per share 18,000 I By UTMA trust f/b/o Julie Ehrlich (1) - ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
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 Instruction 5(b)(v). (Over) SEC 1473 (7/96) Form 3 (Continued) Table II -- Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) ================================================================================
5. Owner- 3. Title and Amount of Securities ship Underlying Derivative Security Form of 2. Date Exercisable (Instr. 4) Derivative and Expiration Date --------------------------------- 4. Conver- Security: (Month/Day/Year) Amount sion or Direct 6. Nature of ---------------------- or Exercise (D) or Indirect Date Expira- Number Price of Indirect Beneficial 1. Title of Derivative Exer- tion of Derivative (I) Ownership Security (Instr. 4) cisable Date Title Shares Security (Instr. 5) (Instr. 5) - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
(1) Presents part of 74,000 shares of the issuer's common stock held in trust for Burtt Ehrlich's children. The reporting person disclaims beneficial ownership of these securities in this report shall not be deemed an admission that the reporting person is the beneficial owner of these securities for the purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise. 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 Instruction 5(b)(v). ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, See Instruction 6 for procedure. Pontential 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 Number. /s/ Burtt Ehrlich 2/23/01 - ----------------------------------------------- ----------------------- **Signature of the Reporting Person Date (Over) SEC 1473 (7/96) -----END PRIVACY-ENHANCED MESSAGE-----