SEC FORM
3
SEC Form 3
| FORM 3 |
UNITED 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 |
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1. Name and Address of Reporting Person*
| C/O TELOS CORPORATION, |
| 19886 ASHBURN ROAD |
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year)
01/01/2000
|
3. Issuer Name and Ticker or Trading Symbol
TELOS CORP
[ TLSRP ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
Director |
|
10% Owner |
| X |
Officer (give title below) |
|
Other (specify below) |
| VP, New Business Development |
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5. If Amendment, Date of Original Filed
(Month/Day/Year)
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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 |
|
| Table I - Non-Derivative Securities Beneficially Owned |
|---|
| 1. Title of Security (Instr.
4)
|
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)
|
| Class A Common Stock |
14,700 |
D
|
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Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
|
|---|
| 1. Title of Derivative Security (Instr.
4)
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2. Date Exercisable and Expiration Date
(Month/Day/Year) |
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: Direct (D) or Indirect (I) (Instr.
5)
|
6. Nature of Indirect Beneficial Ownership (Instr.
5)
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| Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
| Stock options (right to buy) |
05/31/1996
|
05/31/2006 |
Class A Common Stock |
25,000 |
0.95 |
D |
|
| Stock options (right to buy) |
04/29/1997
|
04/29/2007 |
Class A Common Stock |
25,000 |
1.01 |
D |
|
| Stock options (right to buy) |
05/11/1998
|
05/11/2008 |
Class A Common Stock |
12,500 |
1.07 |
D |
|
| Stock options (right to buy) |
05/11/1998
|
05/11/2008 |
Class A Common Stock |
12,500 |
1.07 |
D |
|
| Explanation of Responses: |
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|
|
|
|
| Remarks: |
|
|
/s/ Michele Nakazawa |
03/28/2006 |
|
** 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
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. |
rrd98146_110199.html
POWER OF ATTORNEY
The undersigned hereby appoints Michele Nakazawa and Therese K. Hathaway
as his/her true and lawful attorneys-in-fact, each individually with the power
to:
(1) execute for and on behalf of the undersigned, in the
undersigned's capacity as an executive officer and/or director of Telos
Corporation (the "Company"), Forms 3, 4 and 5 in accordance with Section
16(a) of the Securities Exchange Act of 1934 and the rules thereunder;
and
(2) do and perform any and all acts for and on behalf of the
undersigned which may be necessary or desirable to complete and execute
any such Form 3, 4 or 5 and timely file such form with the United States
Securities and Exchange Commission, Nasdaq, New York Stock Exchange,
and/or similar authority.
The undersigned hereby grants to each such attorney-in-fact full power
and authority to do and perform any and every act and thing whatsoever
requisite, necessary, or proper to be done in the exercise of any of the rights
and powers herein granted, as fully as the undersigned could do if personally
present, with full power of substitution or revocation, hereby ratifying and
confirming all such attorneys-in-fact shall lawfully do or cause to be done by
virtue of this Power of Attorney. The undersigned acknowledges that the
foregoing attorneys-in-fact in acting in such capacities at the request of the
undersigned, are not assuming, nor is the Company assuming, any of the
undersigned's responsibilities to comply with Section 16(a) of the Securities
Exchange Act of 1934.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file statements or reports under Section
16(a) of the Act with respect to the undersigned's holdings of and transactions
in securities issued by the Company, unless earlier revoked by the undersigned
in a signed writing delivered to the foregoing attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to
be executed as of this 3rd day of March, 2006.
/s/ Ralph M. Buona
----------------------------------------
Name:
ACKNOWLEDGEMENT FOR POWER OF ATTORNEY
STATE OF Virginia )
)
CITY/COUNTY OF Loudoun )
The foregoing instrument was acknowledged before me this 3rd day of
March, 2006 by Ralph Buona.
Susan C. Berry
----------------------------------------
Notary Public
(SEAL)
My commission expires: November 30, 2008
