-----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, HapMafCVXx15ofVSisbKDhCboi5XrvC2Jr/XoccYL2TSKrG26YiUrGznxXXGTlD/ XwLki6ij59noTivAxdzSkg== 0001209191-06-016468.txt : 20060309 0001209191-06-016468.hdr.sgml : 20060309 20060309120012 ACCESSION NUMBER: 0001209191-06-016468 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20060307 FILED AS OF DATE: 20060309 DATE AS OF CHANGE: 20060309 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: 223 UNDERHILL BLVD CITY: SYOSSET STATE: NY ZIP: 11791 BUSINESS PHONE: 5167148200 MAIL ADDRESS: STREET 1: 223 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 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: 06675189 BUSINESS ADDRESS: STREET 1: 4650 GORDON DRIVE CITY: NAPLES STATE: FL ZIP: 33940 BUSINESS PHONE: 9412628577 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2006-03-07 0 0000870228 SYNERGY BRANDS INC SYBR 0000949119 MILLER LLOYD I III 4550 GORDON DRIVE NAPLES FL 34102 1 0 1 0 Common Stock 2006-03-07 4 J 0 10000 A 253698 D Common Stock 2006-03-07 4 J 0 10000 A 436000 I By Milfam I L.P. Common Stock 2006-03-07 4 J 0 5000 A 20000 I By Lloyd I. Miller, III, Trust A-2 Common Stock 2006-03-07 4 J 0 5000 A 20000 I By Lloyd I. Miller, III, Trust A-3 Common Stock 404272 I By Lloyd I. Miller, III, Trust A-4 Common Stock 15952 I By Lloyd I. Miller, III, Trust C Common Stock 45900 I Milfam II LP Common Stock Warrants (right to buy) 5.00 2001-09-24 2006-09-24 Common Stock 5000 5000 D Common Stock Warrants (right to buy) 5.00 2001-09-24 2006-09-24 Common Stock 15000 15000 I By Milfam I LP Common Stock Warrants (right to buy) 5.00 2002-12-30 2012-09-30 Common Stock 31250 31250 I By Lloyd I. Miller, III, Trust A-4 Each of the reporting person, Milfam I LP, Trust A-2 and Trust A-3 (collectively, the "Investors") is party to a Subscription Agreement dated as of March 31, 2003 with the Issuer (the "Agreements") pursuant to which the Investors subscribed to shares of Series A Class B Preferred Stock and Common Stock of the Issuer (as reported in that certain Form 4 filed by the reporting person on April 2, 2003). The Agreements were filed as Exhibits 99.6 - 99.9 to Amendment No. 4 to the Schedule 13D filed by the reporting person on April 2, 2003. The shares reported herein were issued to the Investors pursuant to Section 15 of the Agreements. No additional consideration for the reported shares was paid by the Investors. Due to a clerical error, the reporting person stated on the Form 4 filed on January 23, 2006 that the reporting person received 4,167 shares on January 19, 2006 as compensation for director fees, when in fact the correct number of shares received was 4,166. 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/ Paul N. Silverstein Attorney-in-fact 2006-03-09 -----END PRIVACY-ENHANCED MESSAGE-----