0001213900-19-019513.txt : 20191002 0001213900-19-019513.hdr.sgml : 20191002 20191002162340 ACCESSION NUMBER: 0001213900-19-019513 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190927 FILED AS OF DATE: 20191002 DATE AS OF CHANGE: 20191002 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Staley Allan Richard CENTRAL INDEX KEY: 0001789273 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10986 FILM NUMBER: 191132542 MAIL ADDRESS: STREET 1: C/O SOLSYS MEDICAL, LLC STREET 2: 600 THIMBLE SHOALS BLVD., SUITE 200 CITY: NEWPORT NEWS STATE: VA ZIP: 23606 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MISONIX INC CENTRAL INDEX KEY: 0000880432 STANDARD INDUSTRIAL CLASSIFICATION: LABORATORY APPARATUS & FURNITURE [3821] IRS NUMBER: 112148932 STATE OF INCORPORATION: NY FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 1938 NEW HIGHWAY CITY: FARMINGDALE STATE: NY ZIP: 11735 BUSINESS PHONE: (631) 694-9555 MAIL ADDRESS: STREET 1: 1938 NEW HIGHWAY CITY: FARMINGDALE STATE: NY ZIP: 11735 FORMER COMPANY: FORMER CONFORMED NAME: MEDSONIC INC DATE OF NAME CHANGE: 19930328 3 1 ownership.xml OWNERSHIP DOCUMENT X0206 3 2019-09-27 0 0000880432 MISONIX INC MSON 0001789273 Staley Allan Richard C/O MISONIX, INC. 1938 NEW HIGHWAY FARMINGDALE NY 11735 0 1 0 0 PRESIDENT Common Stock 214311 D Common Stock 22540 I By Solsys NN, LLC 42,750 and 2,311 of the shares of Common Stock issued to Mr. Staley and Solsys NN, LLC, respectively, are being held in escrow and are subject to forfeiture during the 15-month period following the effective date of the merger, pursuant to the Agreement and Plan of Merger between Misonix, Inc., New Misonix, Inc., Motor Reincorp. Sub One, Inc., Surge Sub Two, LLC, Solsys Medical, LLC, and Greg Madden solely in his capacity as representative, to satisfy any post-closing purchase price adjustments and indemnification claims. /s/ Allan Staley 2019-10-01