- Initial Statement of Beneficial Ownership (3)
May 23 2011 - 10:19AM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
Expires:
February 28, 2011
Estimated average burden
hours per response...
0.5
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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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1. Name and Address of Reporting Person
*
Smith Jeffrey W
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2. Date of Event Requiring Statement (MM/DD/YYYY)
5/18/2011
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3. Issuer Name
and
Ticker or Trading Symbol
BLONDER TONGUE LABORATORIES INC [BDR]
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(Last)
(First)
(Middle)
C/O BLONDER TONGUE LABORATORIES, ONE JAKE BROWN ROAD
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
_____ 10% Owner
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X
___ Officer (give title below)
_____ Other (specify below)
Vice President - Sales /
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(Street)
OLD BRIDGE, NJ 08857
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Employee Stock Option (right to buy)
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(1)
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8/9/2016
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Common Stock par value $0.001
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3000
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$1.795
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D
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Employee Stock Option (right to buy)
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(2)
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4/2/2017
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Common Stock par value $0.001
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12000
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$1.98
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D
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Employee Stock Option (right to buy)
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(3)
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11/16/2018
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Common Stock par value $0.001
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8000
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$.775
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D
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Employee Stock Option (right to buy)
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(4)
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3/22/2021
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Common Stock par value $0.001
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10000
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$1.925
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D
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Explanation of Responses:
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(
1)
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The stock option vested in three equal installments of one-third each on each of August 10, 2007, 2008 and 2009
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(
2)
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The stock option vested in three equal installments of one-third each on each of April 3, 2008, 2009 and 2010.
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(
3)
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The stock option vested and will vest in three equal installments of one-thrid each on each of November 17, 2009, 2010 and 2011.
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(
4)
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The stock option will vest in three equal installemnts of one-third each on each of March 23, 2012, 2013 and 2014.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Smith Jeffrey W
C/O BLONDER TONGUE LABORATORIES
ONE JAKE BROWN ROAD
OLD BRIDGE, NJ 08857
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Vice President - Sales
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Signatures
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/s/ Jeffrey W. Smith
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5/23/2011
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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.
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