Form 5 Teltronics Inc

5 - Annual statement of changes in beneficial ownership of securities

Published: 2010-02-16 10:38:22
Submitted: 2010-02-16
Period Ending In: 2009-05-21
doc1.html FORM 5


SEC FORM 5

SEC Form 5
FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0362
Estimated average burden
hours per response: 1.0
  
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
  
Form 3 Holdings Reported.
  
Form 4 Transactions Reported.
1. Name and Address of Reporting Person*
Marvin Angela L

(Last) (First) (Middle)
2511 CORPORATE WAY

(Street)
PALMETTO FL 34221

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
TELTRONICS INC [ TELT ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
VP Finance & CFO
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
05/21/2009
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Amount (A) or (D) Price
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
(A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Options (right to buy)(1) $0.15 05/21/2009 A 100,000(1) 06/01/2010(2) 05/21/2020 Common Stock 100,000 $0.15 100,000 D
Explanation of Responses:
1. Stock Options acquired through Teltronics, Inc. 2005 Incentive Stock Option Plan
2. Stock Options are exercisable in five equal annual installments beginning on June 1, 2010
Remarks:
Angela L. Marvin 02/15/2010
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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 Number.
1
doc1.xml FORM 5
Schema Version:
X0303
Document Type:
5
Period Of Report:
2009-05-21
Not Subject To Section16:
0
Form3 Holdings Reported:
0
Form4 Transactions Reported:
0

Issuer

Issuer Cik
0000097052
Issuer Name
TELTRONICS INC
Issuer Trading Symbol
TELT

Reporting Owner

Reporting Owner Id

Rpt Owner Cik
0001454653
Rpt Owner Name
Marvin Angela L

Reporting Owner Address

Rpt Owner Street1
2511 CORPORATE WAY
Rpt Owner City
PALMETTO
Rpt Owner State
FL
Rpt Owner Zip Code
34221

Reporting Owner Relationship

Is Director
0
Is Officer
1
Is Ten Percent Owner
0
Is Other
0
Officer Title
VP Finance & CFO

Derivative Transaction

Security Title

Value
Stock Options (right to buy)
@attributes Id
F1
Conversion Or Exercise Price
.15
Transaction Date
2009-05-21

Transaction Coding

Transaction Form Type
5
Transaction Code
A
Equity Swap Involved
0

Transaction Amounts

Transaction Shares

Value
100000
@attributes Id
F1
Transaction Price Per Share
.15
Transaction Acquired Disposed Code
A

Exercise Date

Value
2010-06-01
@attributes Id
F2
Expiration Date
2020-05-21

Underlying Security

Underlying Security Title
Common Stock
Underlying Security Shares
100000
Shares Owned Following Transaction
100000
Direct Or Indirect Ownership
D

Footnote

0
Stock Options acquired through Teltronics, Inc. 2005 Incentive Stock Option Plan
1
Stock Options are exercisable in five equal annual installments beginning on June 1, 2010

Owner Signature

Signature Name
Angela L. Marvin
Signature Date
2010-02-15
Additional Files
FileSequenceDescriptionTypeSize
0001140361-10-006348.txt   Complete submission text file   6016
$TELT

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