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ModusLink Securities Corp., et al. – ‘3’ for 11/10/14 re: Medifast Inc.

On:  Friday, 3/13/15, at 3:51pm ET   ·   For:  11/10/14   ·   Accession #:  902664-15-1752   ·   File #:  1-31573

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  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 3/13/15  ModusLink Securities Corp.        3                      1:6K   Medifast Inc.                     Schulte Roth & Z… LLP/FA
          ModusLink Global Solutions Inc.

Initial Statement of Beneficial Ownership of Securities by an Insider   —   Form 3   —   SEA’34
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 3           Ownership Document -- p15-0904form3.xml/2.6         HTML      3K 




        

This ‘3’ Document is an XML Data File that may be rendered in various formats:

  Form 3    –   Plain Text   –  SEC Website  –  EDGAR System  –    XML Data    –  <?xml?> File
 

 
SEC Info rendering:  Ownership Document — p15-0904form3.xml/2.6
 
FORM 3UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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:3235-0104
Estimated average burden
hours per response:0.5
1. Name and Address of Reporting Person*
ModusLink Global Solutions Inc

(Last)(First)(Middle)
1601 TRAPELO ROAD
SUITE 170

(Street)
WALTHAMMA02451

(City)(State)(Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
11/10/14
3. Issuer Name and Ticker or Trading Symbol
MEDIFAST INC [ MED ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
DirectorX10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
XForm filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock, par value $0.001 per share (Common Stock)1,265,375ISee footnote (1)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date ExercisableExpiration DateTitleAmount or Number of Shares
1. Name and Address of Reporting Person*
ModusLink Global Solutions Inc

(Last)(First)(Middle)
1601 TRAPELO ROAD
SUITE 170

(Street)
WALTHAMMA02451

(City)(State)(Zip)
1. Name and Address of Reporting Person*
ModusLink Securities Corp

(Last)(First)(Middle)
C/O MODUSLINK GLOBAL SOLUTIONS, INC.
1601 TRAPELO RD., SUITE 170

(Street)
WALTHAMMA02451

(City)(State)(Zip)
Explanation of Responses:
(1)  The shares of Common Stock reported on this line may be deemed to be directly beneficially owned by ModusLink Securities Corp. ("ModusLink Securities"), a wholly-owned subsidiary of ModusLink Global Solutions, Inc. ("ModusLink"). ModusLink may be deemed to be the indirect beneficial owner of such shares by virtue of its control and ownership of ModusLink Securities. Each of the Reporting Persons expressly disclaims beneficial ownership of the securities reported herein except to the extent of its pecuniary interest therein.
MODUSLINK GLOBAL SOLUTIONS, INC., /s/ Alan Cormier, Alan Cormier, Senior Vice President and General Counsel 3/13/15
MODUSLINK SECURITIES CORP., /s/ Alan Cormier,Alan Cormier, Executive Vice President and Secretary 3/13/15
** Signature of Reporting PersonDate
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 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).
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.

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