mediasciencesscheduleto
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
SCHEDULE TO
TENDER OFFER STATEMENT
UNDER SECTION 14(d)(1) OR 13(e)(1) OF THE
SECURITIES EXCHANGE ACT OF 1934
(Amendment No. 5)
MEDIA SCIENCES INTERNATIONAL, INC.
(Name of Subject Company (Issuer))
MEDIA SCIENCES INTERNATIONAL, INC.
(Names of Filing Persons (identifying status as offeror, issuer or other person))
PREFERRED STOCK, PAR VALUE $0.001 PER SHARE
(Title of Class of Securities)
58446X107
(CUSIP Number of Class of Securities)
(Underlying Common Stock)
MICHAEL W. LEVIN, PRESIDENT
MEDIA SCIENCES INTERNATIONAL, INC.
40 BOROLINE ROAD
ALLENDALE, NEW JERSEY 07401
201-236-1100
(Name, address, and telephone number of person
authorized to receive notices and communications on
behalf of filing persons)
Copies to:
Dan Brecher, Esq.
Law Offices of Dan Brecher
99 Park Avenue, 16th Floor
New York, New York 10016
212-286-0747
CALCULATION OF FILING FEE
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TRANSACTION VALUATION: AMOUNT OF FILING FEE:
$6,159,375 (a) $498.30 (b)
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(a) Estimated for the purposes of calculating the amount of the filing fee in
accordance with Rule 0-11 under the Securities Exchange Act of 1934, as
amended, based upon (a) 547,500 shares of Series A Preferred Stock
outstanding as of October 24, 2003, (b) the exchange ratio of 10 shares of
Common Stock, par value $.001 each, for each share of Preferred Stock
pursuant to the Exchange Offer, and (c) the market value per share of
Common Stock of $1.125, as established by the average of the high and low
prices reported as of October 28, 2003, on the American Stock Exchange.
(b) Previously paid.
[x] Check the box if any part of the fee is offset as provided by Rule
0-11(a)(2) and identify the filing with which the offsetting fee was
previously paid. Identify the previous filing by registration statement
number, or the Form or Schedule and the date of its filing.
AMOUNT PREVIOUSLY PAID: $498.30
FORM OR REGISTRATION NO.: Schedule TO
FILING PARTY: Media Sciences International Inc.
DATE FILED: November 4, 2003
[ ] Check the box if the filing relates solely to preliminary
communications made before the commencement of a tender offer.
Check the appropriate boxes below to designate any transactions to which the
statement relates:
[ ] third-party tender offer subject to Rule 14d-1.
[X] issuer tender offer subject to Rule 13e-4.
[ ] going-private transaction subject to Rule 13e3.
[ ] amendment to Schedule 13D under Rule 13d-2.
Check the following box if the filing is a final amendment reporting the results
of the tender offer: [ ]
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Media Sciences International, Inc., a Delaware corporation (the "Company"),
hereby amends the Tender Offer Statement on Schedule TO, originally filed on
November 4, 2003, as amended by Amendment No. 1 filed on November 5, 2003,
Amendment No. 2 filed on November 13, 2003, Amendment No. 3 filed on November
25, 2003, and Amendment No. 4 filed on December 1, 2003 (the "Schedule TO"), to
add a new exhibit, a letter to preferred shareholders, dated December 16, 2003,
filed as Exhibit (a)(1)(L) to this Schedule TO.
Item 12 of Schedule TO is hereby amended and supplemented to add Exhibits
(a)(1)(K), and Item 12 as restated reads as follows.
(a) Exhibit (a)(1)(A)* Offer of Conversion and Consent Statement, dated
November 3, 2003
Exhibit (a)(1)(B)* Letter to Preferred Shareholders dated November 3, 2003
Exhibit (a)(1)(C)* Preferred Shareholder Election Form
Exhibit (a)(1)(D)* Letter to Preferred Shareholders dated November 4, 2003
Exhibit (a)(1)(E)* Letter to Preferred Shareholders dated November 12, 2003
Exhibit (a)(1)(F)* Media Sciences International, Inc. Form 10-KSB for its
year ended June 30, 2003, incorporated herein by
reference.
Exhibit (a)(1)(G)* Media Sciences International, Inc. Form 10-QSB for its
quarterly period ended September 30, 2003,
incorporated herein by reference.
Exhibit (a)(1)(H)* Offer of Conversion and Consent Statement, as amended
and supplement as of November 24, 2003
Exhibit (a)(1)(I)* Letter to Preferred Shareholders dated November 24, 2003
Exhibit (a)(1)(J)* Summary of Modifications, dated November 24, 2003
Exhibit (a)(1)(K)* Supplement to the Offer of Conversion and Consent
Statement, dated December 1, 2003
Exhibit (a)(1)(L) Letter to Preferred Shareholders dated December 16, 2003
(d) Exhibit (d)* Form of Restated Certificate of Designation
(g) Not applicable.
(h) Not applicable.
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* Previously filed.
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SIGNATURE
After due 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.
MEDIA SCIENCES INTERNATIONAL, INC.
By: /s/ Michael W. Levin
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Michael W. Levin
President
Dated: December 16, 2003
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Index to Exhibits
Exhibit 99.1* Exhibit (a)(1)(A) Offer of Conversion and Consent Statement,
dated November 3, 2003
Exhibit 99.2* Exhibit (a)(1)(B) Letter to Preferred Shareholders dated
November 3, 2003
Exhibit 99.3* Exhibit (a)(1)(C) Preferred Shareholder Election Form
Exhibit 99.4* Exhibit (d) Form of Restated Certificate of Designation
Exhibit 99.5* Exhibit (a)(1)(D) Letter to Preferred Shareholders dated
November 4, 2003
Exhibit 99.6* Exhibit (a)(1)(E) Letter to Preferred Shareholders dated
November 12, 2003
Exhibit 99.7* Exhibit (a)(1)(F) Media Sciences International, Inc. Form
10-KSB for its year ended June 30, 2003,
incorporated herein by reference.
Exhibit 99.8* Exhibit (a)(1)(G) Media Sciences International, Inc.
Form 10-QSB for its quarterly period ended
September 30, 2003, incorporated herein by
reference.
Exhibit 99.9* Exhibit (a)(1)(H) Offer of Conversion and Consent Statement,
as amended and supplement as of
November 24, 2003
Exhibit 99.10* Exhibit (a)(1)(I) Letter to Preferred Shareholders dated
November 24, 2003
Exhibit 99.11* Exhibit (a)(1)(J) Summary of Modifications, dated November 24,
2003
Exhibit 99.12* Exhibit (a)(1)(K) Supplement to the Offer of Conversion
and Consent Statement, dated December 1, 2003
Exhibit 99.13 Exhibit (a)(1)(L) Letter to Preferred Shareholders dated
December 16, 2003
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* Previously filed.
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