UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Placement Agent Warrants | 07/11/2012 | 07/11/2017 | Common Stock | 31,190 | $ 6.3 | I (3) | See Note (3) |
Stock Options (4) | 07/11/2011 | 07/01/2016 | Common Stock | 3,000 | $ 2.95 | D | Â |
Stock Options (4) | 09/10/2012 | 09/01/2017 | Common Stock | 3,000 | $ 6 | D | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
TAGLICH MICHAEL N 98 BAY STREET SAG HARBOR, NY 10174 |
 X |  |  |  |
/s/ Michael N. Taglich | 12/05/2012 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Represents shares owned by Taglich Brothers, Inc., of which the Reporting Person is Chairman and President. |
(2) | Owned by Tag/Kent Partners, of which Reporting Person is a General Partner. |
(3) | Reporting Person's portion of a total 118,585 Placement Agent Warrants received by Taglich Brothers, Inc., which acted as placement agent for the sale of Issuer's common stock in June and July of 2012. |
(4) | Options granted pursuant to Air Industries Group, Inc.'s 2010 Equity Incentive Plan. |