-----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, TD5787RWhFRX7+EEFkAMQWUbdyO1s1D9r6sPAfYE90H/QSfS+mEqWZW8B9QVan/W iBMs5J7UunmsdmEn0wozRg== 0001088127-00-000023.txt : 20000210 0001088127-00-000023.hdr.sgml : 20000210 ACCESSION NUMBER: 0001088127-00-000023 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19991222 FILED AS OF DATE: 20000209 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: PENTECH INTERNATIONAL INC CENTRAL INDEX KEY: 0000760461 STANDARD INDUSTRIAL CLASSIFICATION: PENS, PENCILS & OTHER ARTISTS' MATERIALS [3950] IRS NUMBER: 232259391 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 000-15374 FILM NUMBER: 528479 BUSINESS ADDRESS: STREET 1: 195 CARTER DRIVE CITY: EDISON STATE: NJ ZIP: 08817 BUSINESS PHONE: 9082876640 MAIL ADDRESS: STREET 2: 195 CARTER DR CITY: EDISON STATE: NJ ZIP: 08817 COMPANY DATA: COMPANY CONFORMED NAME: MELNICK DAVID CENTRAL INDEX KEY: 0001088130 STANDARD INDUSTRIAL CLASSIFICATION: [] OFFICER FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 195 CARTER DRIVE CITY: EDISON STATE: NJ ZIP: 08817 MAIL ADDRESS: STREET 1: 195 CARTER DRIVE CITY: EDISON STATE: NJ ZIP: 08817 4 1 FORM 4 U.S. 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 1. Name and Address of Reporting Person: Melnick David (Last) (First) 195 Carter Drive Edison NJ 08817 (Street) (City) (State) (Zip) 2. Issuer Name and Ticker or Trading Symbol: Pentech International Inc./PNTK 3. IRS or Social Security Number of Reporting Person (Voluntary): 4. Statement for Month/Year: December 1999 5. If Amendment, Date of Original (Month/Year): 6. Relationship of Reporting Person to Issuer (Check all applicable): X Director X 10% Owner X Officer (give title below) Other (Specified below) President and Chief Executive Officer Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned: 1. Title of Security: Common Stock Common Stock Common Stock Common Stock Common Stock 2. Transaction Date (Month/Day/Year): 12/29/99 12/27/99 12/27/99 12/23/99 12/22/99 3. Transaction Code: Code V P P P P P 4. Securities Acquired (A) or Disposed of (D): Amount (A) or (D) Price 3,000 A .8125 600 A .8125 2,400 A .84375 3,000 A .84375 3,000 A .78125 5. Amount of Securities Beneficially Owned at End of Month: 2,034,998* 6. Ownership Form-Direct (D) or Indirect (I): D D D D D 7. Nature of Indirect Beneficial Ownership: Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities): 1. Title of Security: 2. Conversion or Exercise Price of Derivative Security: 3. Transaction Date (Month/Day/Year): 4. Transaction Code: Code V 5. Number of Derivative Securities Acquired (A) or Disposed of (D): 6. Date Exercisable and Expiration Date (Month/Day/Year): (Date Exercisable) (Expiration Date) 7. Title and Amount of Underlying Securities: (Title) (Amount of Number of Shares) 8. Price of Derivative Security: 9. Number of Derivative Securities Beneficially Owned at End of Month: 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I): 11. Nature of Indirect Beneficial Ownership: Explanation of Responses: * Includes 843,228 shares of Pentech International Inc. Common Stock (the "Common Shares") owned by his wife, 251,450 Common Shares owned by his minor children and options to purchase 80,000 Common Shares which are presently exercisable. s/David Melnick 2/9/00 Signature of Reporting Person Date N:\ANNE\PTK\FORM-4.DM5 -----END PRIVACY-ENHANCED MESSAGE-----