4 1 file001.txt FORM 4 FORM 4 _________________________________ | OMB APPROVAL | [ ] Check this box if no longer subject _________________________________ to Section 16. Form 4 or Form 5 | OMB Number: 3235-0287 | obligations may continue. See | Expires: December 31, 2001 | Instruction (b). | Estimated average burden | | hours per response.......0.5 | _________________________________ UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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. Issuer Name and Ticker or Trading Symbol Langer, Inc. (GAIT) f/k/a The Langer Biomechanics Group, Inc. ------------------------------------------------------------------------------- 3. IRS or Social Security Number of Reporting Person (Voluntary) ------------------------------------------------------------------------------- 4. Statement for Month/Year September, 2001 ------------------------------------------------------------------------------- 5. If Amendment, Date of Original (Month/Year) ------------------------------------------------------------------------------- 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) [X] Director [ ] 10% Owner [ ] Officer (give title below) [ ] Other (specify below) ------------------------------------------------------------------------------- 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 ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED ----------------------------------------------------------------------------------------------------------------------------------- 5. Amount of 2. Trans- 3. Trans- Securities action action 4. Securities Acquired (A) Beneficially 6. Ownership 7. Nature of Date Code or Disposed of (D) Owned at End Form: (D) Indirect 1. Title of Security (Month/ (Instr. 8) -------------------------- of Month Direct or Beneficial (Instr. 3) Day/ ---------- Amount (A) or Price (Instr. 3 (I) Indirect Ownership Year) Code V (D) and 4) (Instr. 4) (Instr. 4) ----------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------- Common Stock, par 9/17/01 P 4,900 A $5.257 91,474 D value $0.02 per share ----------------------------------------------------------------------------------------------------------------------------------- Common Stock, par 31,500 I By trust f/b/o value $0.02 per share David Ehrlich (1) ----------------------------------------------------------------------------------------------------------------------------------- Common Stock, par 13,500 I By trust f/b/o value $0.02 per share Julie Ehrlich (1) ----------------------------------------------------------------------------------------------------------------------------------- Common Stock, par 9/21/01 P 2,200 A $5.00 15,100 I By David Ehrlich (1) value $0.02 per share ----------------------------------------------------------------------------------------------------------------------------------- Common Stock, par 19,900 I By Julie Ehrlich (1) value $0.02 per share -----------------------------------------------------------------------------------------------------------------------------------
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 1474 (7/96) FORM 4 (CONTINUED)
TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (E.G, PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) ----------------------------------------------------------------------------------------------------------------------------------- 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. ----------------------------------------------------------------------------------------------------------------------------------- Title and Ownership Number of Date Exer- Amount of Form of Derivative cisable and Underlying Number of Deriv- Securities Expiration Securities Price Derivative ative Conver- Trans- Acquired (A) Date (Month/ (Instr. 3 of Securities Security: sion or Trans- action or Disposed Day/Year) and 4) Deriv- Benefi- Direct Exercise action Code of (D) -------------- -------------- ative cially (D) or Nature of Title of Price of Date (Instr. (Instr. 3, Date Amount Secur- Owned at Indirect Indirect Derivative Deriv- (Month/ 8) 4, and 5) Exer- Expir- or Num- ity End of (I) Beneficial Security ative Day/ -------- ---------- cis- ation ber of (Instr. Month (Instr. Ownership (Instr. 3) Security Year) Code V (A) (D) able Date Title Shares 5) (Instr. 4) 4) (Instr. 4) ----------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------- Stock Options $1.525 (2) 2/13/11 Common 30,000 30,000 D (Right to Buy) Stock ----------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------- -----------------------------------------------------------------------------------------------------------------------------------
(1) Represents part of 80,000 shares of the issuer's common stock held in trust or in a custodial account for Burtt Ehrlich's children. The reporting person disclaims beneficial ownership of these securities and 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. (2) Presently exercisable. 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 is insufficient, See Instruction 6 for procedure. 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 Number. /s/ Burtt R. Ehrlich October 9, 2001 ---------------------------------------- -------------------- ** Signature of Reporting Person Date (Over) SEC 1474 (7/96)