Pizzuti Schedule 13G/A
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
SCHEDULE 13G
(Amendment No. 5)
Under the Securities Exchange Act of 1934
ASTRO-MED, INC.
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(Name of Issuer)
Common Stock, $.05 par value
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(Title of Class of Securities)
04638F10
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(CUSIP Number)
December 31, 2003
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(Date of Event Which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule
is filed:
[ ] Rule 13d-1(b)
[ ] Rule 13d-1(c)
[x] Rule 13d-1(d)
* The remainder of this cover page shall be filled out for a reporting person's
initial filing on this form with respect to the subject class of securities, and
for any subsequent amendment containing information which would alter the
disclosures provided in a prior cover page.
The information required in the remainder of this cover page shall not be deemed
to be "filed" for the purpose of Section 18 of the Securities Exchange Act of
1934 ("Act") or otherwise subject to the liabilities of that section of the Act
but shall be subject to all other provisions of the Act (however, see the
Notes).
(A fee is not being paid with this statement.)
1) Name of Reporting Person. Everett V. Pizzuti
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2) Check the Appropriate box if a Member of a Group (See Instructions)
(a) [ ]
(b) [ ]
3) SEC Use Only......................................
4) Citizenship or Place of Organization. United States
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Number of (5) Sole Voting Power: 468,979*
Shares Bene- --------
ficially (6) Shared Voting Power: 3,064
Owned By ------
Each Report- (7) Sole Dispositive Power: 468,979*
ing Person --------
With (8) Shared Dispositive Power: 3,064
ing Person -----
With
9) Aggregate Amount Beneficially Owned by Each Reporting Person. 472,043
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10) Check if the Aggregate Amount in Row (9) Excludes Certain Shares
(See Instructions).
Not Applicable
11) Percent of Class Represented by Amount in Row 9. 9.4%
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12) Type of Reporting Person (See Instructions). IN
--
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* Includes 296,225 shares of common stock issuable upon exercise of currently
exercisable options.
Item 1(a). Name of Issuer.
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Astro-Med, Inc. (ALOT)
Item 1(b). Address of Issuer's Principal Executive Offices.
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600 East Greenwich Avenue, West Warwick, RI 02893
Item 2(a). Name of Person Filing.
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Everett V. Pizzuti
Item 2(b). Address of Principal Business Office.
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Astro-Med Industrial Park, 800 East Greenwich Avenue, West
Warwick, RI 02893
Item 2(c). Citizenship.
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United States
Item 2(d). Title of Class of Securities.
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Common Stock, $.05 par value
Item 2(e). CUSIP Number.
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04638F10
Item 3.
Not applicable
Item 4. Ownership.
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(a) Amount Beneficially Owned.
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172,754 shares are held directly
296,225 shares are held subject to exercisable options
3,064 shares are held indirectly under employee stock ownership plan
(b) Percent of Class. The shares of Common Stock beneficially
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owned by Mr. Pizzuti represent 9.4% of the issued and
outstanding common stock (assuming exercise of exercisable options).
(c) Number of shares of Common Stock as to which Mr. Pizzuti has:
(i) sole power to vote or to direct the vote: 468,979*
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(ii) shared power to vote or to direct the vote: 3,064
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(iii) sole power to dispose or to direct the disposition of: 468,979*
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(iv) shared power to dispose or to direct the disposition of: 3,064
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Item 5. Ownership of Five Percent or Less of a Class.
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Not applicable.
Item 6. Ownership of More than Five Percent on Behalf of Another Person.
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Not applicable.
Item 7. Identification and Classification of the Subsidiary Which Acquired
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the Security Being Reported on By the Parent Holding Company or Control Person.
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Not applicable.
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* Includes 296,225 shares of common stock issuable upon exercise of currently
exercisable options.
Item 8. Identification and Classification of Members of the Group.
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Not applicable.
Item 9. Notice of Dissolution of Group.
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Not applicable.
Item 10. Certification.
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Not applicable.
After reasonable inquiry and to the best of my knowledge and belief, I
certify that the information set forth in this statement is true, complete and
correct.
Date: February 3, 2004 /s/ Everett V. Pizzuti
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Everett V. Pizzuti