-----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, PRFGfIur3u1ofHFyD/TV0S/pfQ1eg/n3Lqz4WfeHr8xt1oL7MWDML4uOXB5gx/79 q1eWwFLeeL0n8swNajQVuQ== 0001209191-07-004509.txt : 20070122 0001209191-07-004509.hdr.sgml : 20070122 20070122154802 ACCESSION NUMBER: 0001209191-07-004509 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20070119 FILED AS OF DATE: 20070122 DATE AS OF CHANGE: 20070122 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: 07543355 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 2007-01-19 0 0000870228 SYNERGY BRANDS INC SYBR 0000949119 MILLER LLOYD I III 4550 GORDON DRIVE NAPLES FL 34102 1 0 1 0 Common Stock 2007-01-19 4 A 0 537500 A 1139500 I By Milfam I L.P. Common Stock 2007-01-19 4 A 0 537500 A 805848 D Common Stock 20000 I By Lloyd I. Miller, III, Trust A-2 Common Stock 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 2007-01-19 4 D 0 31250 D 2002-12-30 2012-09-30 Common Stock 31250 0 I By Lloyd I. Miller, III, Trust A-4 Pursuant to that certain Securities Purchase Agreement (the "Purchase Agreement") by and among the Issuer, PHS Group Inc. ("PHS"), Milfam I L.P. ("Milfam") and the Reporting Person, Milfam purchased a $3,250,000 promissory note from PHS and 537,500 shares of common stock from the Issuer for a purchase price of $3,250,000. 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. Pursuant to the Purchase Agreement, the Reporting Person purchased a $3,250,000 promissory note from PHS and 537,500 shares of common stock from the Issuer for a purchase price of $3,250,000. Pursuant to the Purchase Agreement, the warrant was cancelled by mutual agreement of the Reporting Person and the Issuer. /s/ Paul N. Silverstein Attorney-in-fact 2007-01-22 -----END PRIVACY-ENHANCED MESSAGE-----