-----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, B532pllXzg4xgX8Sb7txQEq8UUImL5QZT4X7ZtXF7aD4k2jPSNhpF/B0amH7/PCc K0sjG6Q3216YaV9yCMBnjQ== 0001209191-03-035641.txt : 20031217 0001209191-03-035641.hdr.sgml : 20031217 20031217181058 ACCESSION NUMBER: 0001209191-03-035641 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031215 FILED AS OF DATE: 20031217 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MILLER LLOYD I III CENTRAL INDEX KEY: 0000949119 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19409 FILM NUMBER: 031060868 BUSINESS ADDRESS: STREET 1: 4650 GORDON DRIVE CITY: NAPLES STATE: FL ZIP: 33940 BUSINESS PHONE: 9412628577 ISSUER: 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 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 doc4.xml FORM 4 SUBMISSION X0201 42003-12-1500000870228SYNERGY BRANDS INC SYBR0000949119MILLER LLOYD I III4550 GORDON DRIVENAPLESFL341020010Common Stock2003-12-154P0500.00003.5000A380008.0000IBy Lloyd I. Miller, III, Trust A-4Common Stock2003-12-164P0423.00003.5000A380431.0000IBy Lloyd I. Miller, III, Trust A-4< /nonDerivativeTransaction>Common Stock80000.0000IBy Milfam I, L.P.Common Stock45900.0000IBy Milfam II, L.P.Common Stock35500.0000IBy Dail MillerCommon Stock10000.0000IBy Lloyd I. Miller, III, Trust A-2Common Stock10000.0000IBy Lloyd I. Miller, III, Trust A-3Common Stock154282.0000DCommon Stock15952.0000IBy Lloyd I. Miller, III, Trust CCommon Stock Warrants (right to buy)5.00002001-09-242006-09-24Common Stock5000.00005000.0000IBy Dail MillerCommon Stock Warrants (right to buy)5.00002001-09-242006-09-24Common Stock15000.000015000.0000IBy Milfam I, L.P.Common Stock Warrants (right to buy)5.00002001-09-242006-09-24 Common Stock5000.00005000.0000DCommon Stock Warrants (right to buy)5.00002002-12-302012-09-30Common Stock31250.000031250.0000IBy Lloyd I. Miller, III, Trust A-4The 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.The reporting person inadvertently did not report the derivative securities listed on Table II (the "Derivative Securities") in the prior Form 4 filing. The Derivative Securities were first reported on a Form 3 on September 26, 2001. There have been no changes with respect to the Derivative Securities since the September 26, 2001 filing (other than pursuant to a reverse stock split which occured on February 20, 2003). The reporting person inadvertently did not report the derivative securities listed on Table II (the "Derivative Securities") in the prior Form 4 filing. The Derivative Securities were first reported on a Form 4 on January 2, 2003. There have been no changes with respect to the Derivative Securities since the January 2, 2003 filing (other than pursuant to a reverse stock split which occured on February 20, 2003). /s/ Lloyd I. Miller, III2003-12-17 -----END PRIVACY-ENHANCED MESSAGE-----