-----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, LaGbdzpMj1OigKxvycDfIjeXczKvSrtjOeCBG1wDabxL7dYBhYPXRN0hvuWnyr8b 3XDunINatwi4tHCRhSPMPw== 0000950123-02-003470.txt : 20020415 0000950123-02-003470.hdr.sgml : 20020415 ACCESSION NUMBER: 0000950123-02-003470 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20020331 FILED AS OF DATE: 20020405 COMPANY DATA: COMPANY CONFORMED NAME: MILLER LLOYD I III CENTRAL INDEX KEY: 0000949119 OWNER FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 4650 GORDON DRIVE CITY: NAPLES STATE: FL ZIP: 33940 BUSINESS PHONE: 9412628577 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: SYNERGY BRANDS INC CENTRAL INDEX KEY: 0000870228 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-GROCERIES & GENERAL LINE [5141] IRS NUMBER: 222993066 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19409 FILM NUMBER: 02603337 BUSINESS ADDRESS: STREET 1: 40 UNDERHILL BLVD CITY: SYOSSET STATE: NY ZIP: 11791 BUSINESS PHONE: 5166821980 MAIL ADDRESS: STREET 1: 40 UNDERHILL BLVD CITY: SYOSSET STATE: NY ZIP: 11791 FORMER COMPANY: FORMER CONFORMED NAME: KRANTOR CORP DATE OF NAME CHANGE: 19930328 FORMER COMPANY: FORMER CONFORMED NAME: DELTA VENTURES INC DATE OF NAME CHANGE: 19600201 4 1 y58717sbe4.txt FORM 4 FOR MARCH 2002 REPORTING PERIOD U.S. SECURITIES AND EXCHANGE COMMISSION OMB APPROVAL Washington, DC 20549 --------------------------- OMB Number 3235-0287 FORM 4 Expires September 30, 1998 Estimated average burden hours per response ... 0.5 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 [_] Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). - -------------------------------------------------------------------------------- 1. Name and Address of Reporting Person* Miller, III Lloyd I. - -------------------------------------------------------------------------------- (Last) (First) (Middle) 4550 Gordon Drive - -------------------------------------------------------------------------------- (Street) Naples FL 34102 - -------------------------------------------------------------------------------- (City) (State) (Zip) - -------------------------------------------------------------------------------- 2. Issuer Name and Ticker or Trading Symbol Synergy Brands Inc. - SYBR - -------------------------------------------------------------------------------- 3. IRS Identification Number of Reporting Person, if an Entity (Voluntary) ###-##-#### - -------------------------------------------------------------------------------- 4. Statement for Month/Year March 2002 - -------------------------------------------------------------------------------- 5. If Amendment, Date of Original (Month/Year) - -------------------------------------------------------------------------------- 6. Relationship of Reporting Person to Issuer (Check all applicable) [_] Director [X] 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 ================================================================================
6. 4. 5. Owner- Securities Acquired (A) or Amount of ship 3. Disposed of (D) Securities Form: 7. Transaction (Instr. 3, 4 and 5) Beneficially Direct Nature of 2. Code ------------------------------- Owned at End (D) or Indirect 1. Transaction (Instr. 8) (A) of Month Indirect Beneficial Title of Security Date ------------ Amount or Price (Instr. 3 (I) Ownership (Instr. 3) (mm/dd/yy) Code V (D) and 4) (Instr.4) (Instr. 4) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 3/13/02 P 5,000 A $1.14 I By Lloyd I. Miller, III, Trust A-4 - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 3/26/02 P 35,738 A $1.00 303,886(1) I By Lloyd I. Miller, III, Trust A-4 - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 3/14/02 P 1,900 A $1.14632 I By Milfam II, L.P. - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 3/27/02 P 44,500 A $1.00 129,800(1) I By Milfam II, L.P. - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 3/26/02 P 36,000 A $1.00 D - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 3/27/02 P 67,778 A $1.00 D - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 3/28/02 P 15,000 A $1.00 300,730 D - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 3/27/02 P 60,000 A $1.00 142,000(1) I By Dail Miller ====================================================================================================================================
* If the Form is filed by more than one Reporting Person, see Instruction 4(b)(v). Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. Page 1 of 3 FORM 4 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) ================================================================================
10. 9. Owner- Number ship of Form 2. Deriv- of Conver- 5. 7. ative Deriv- 11. sion Number of Title and Amount Secur- ative Nature or Derivative 6. of Underlying 8. ities Secur- of Exer- 4. Securities Date Securities Price Bene- ity: In- cise 3. Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of ficially Direct direct Price Trans- action or Disposed Expiration Date ---------------- Deriv- Owned (D) or Bene- 1. of action Code of(D) (Month/Day/Year) Amount ative at End In- ficial Title of Deriv- Date (Instr. (Instr. 3, ---------------- or Secur- of direct Owner- Derivative ative (Month/ 8) 4 and 5) Date Expira- Number ity Month (I) ship Security Secur- Day/ ------ ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr. (Instr. 3) ity Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stocks Warrants $1.25 9/24/01 A V 20,000 Immed. 9/24/06 Common 20,000 20,000(1) I By Dail (right to buy) Stock Miller - ------------------------------------------------------------------------------------------------------------------------------------ Common Stocks Warrants $1.25 9/24/01 A V 60,000 Immed. 9/24/06 Common 60,000 60,000(1) I By Milfam (right to buy) Stock I, L.P. - ------------------------------------------------------------------------------------------------------------------------------------ Common Stocks Warrants $1.25 9/24/01 A V 20,000 Immed. 9/24/06 Common 20,000 20,000 D (right to buy) Stock - ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
Explanation of Responses: (1) The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. This filing shall not be deemed an admission that the reporting person is, for purposes of Section 16 of the Act or otherwise, the beneficial owner of any equity securities covered by this filing. /s/ Lloyd I. Miller, III 4/5/02 ------------------------------- ------ **Signature of Reporting Person Date ** 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. Page 2 of 3 - -------------------------------------------------------------------------------- 1. Name and Address of Reporting Person* Miller, III Lloyd I. - -------------------------------------------------------------------------------- 2. Issuer Name and Ticker or Trading Symbol Synergy Brands Inc. - SYBR - -------------------------------------------------------------------------------- 4. Statement for Month/Year March 2002 - -------------------------------------------------------------------------------- ================================================================================ TABLE I -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, (CONTINUED) OR BENEFICIALLY OWNED ================================================================================
6. 4. 5. Owner- Securities Acquired (A) or Amount of ship 3. Disposed of (D) Securities Form: 7. Transaction (Instr. 3, 4 and 5) Beneficially Direct Nature of 2. Code ------------------------------- Owned at End (D) or Indirect 1. Transaction (Instr. 8) (A) of Month Indirect Beneficial Title of Security Date ------------ Amount or Price (Instr. 3 (I) Ownership (Instr. 3) (mm/dd/yy) Code V (D) and 4) (Instr.4) (Instr. 4) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 47,008(1) I By Lloyd I. Miller, III, Trust C - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 240,00(1) I By Milfam I, L.P. ====================================================================================================================================
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