3 1 file001.txt FORM 3 ------ -------------------------------------- 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 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 (Print or Type Responses) ------------------------------------------------------------------------------- 1. Name and Address of Reporting Person Buron Ronald E. ----------------------------------------------------------- (Last) (First) (Middle) 4 Ivory Ct. ----------------------------------------------------------- (Street) East Northport NY 11731 ----------------------------------------------------------- (City) (State) (Zip) ------------------------------------------------------------------------------- 2. Date of Event Requiring Statement (Month/Day/Year) December 3, 2001 ------------------------------------------------------------------------------- 3. IRS or Social Security Number of Reporting Person (Voluntary) ------------------------------------------------------------------------------- 4. Issuer Name and Ticker or Trading Symbol Langer, Inc. (GAIT) ------------------------------------------------------------------------------- 5. Relationship of Reporting Person to Issuer (check all applicable) [ ] Director [ ] 10% Owner [x] Officer (give title below) [ ] Other (specify below) Vice President - Sales -------------------------------------------------- ------------------------------------------------------------------------------- 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 2. Amount of Securities 3. Ownership 4. Nature of Indirect Beneficial Ownership (Instruction 4) Beneficially Owned Form: Direct (Instr. 5) (Instr. 4) (D) or Indirect (I) (Instr. 5) -------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------
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 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) ---------------------------------------------------------------------------------------------------------------------------------- 1. Title of Derivative 2. Date Exer- 3. Title and Amount of Securities 4. Conver- 5. Owner- 6. Nature of Security (Instr. 4) cisable and Underlying Derivative Security sion or ship Indirect Expiration (Instr. 4) Exercise Form of Beneficial Date ----------------------------------- Price of Deriv- Ownership (Month/Day/Year) Deriv- ative (Instr. 5) --------------------- Amount ative Security: or Security Direct Date Expira- Title Number (D) or Exer- tion of Indirect cisable Date Shares (I) (Instr. 5) ---------------------------------------------------------------------------------------------------------------------------------- Stock Options (Right to Buy) 12/3/04 12/3/11 Common Stock 75,000 $6.50 D ---------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------
/s/ Ronald E. Buron December 10, 2001 ---------------------------------------- ----------------- ** Signature of Reporting Person Date 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. 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. (Over) SEC 1473 (7/96)