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
 
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1. Name and Address of Reporting Person*
TAGLICH ROBERT

(Last) (First) (Middle)
700 NEW YORK AVENUE, SUITE B

(Street)
HUNTINGTON NY 11743

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
11/30/2012
3. Issuer Name and Ticker or Trading Symbol
AIR INDUSTRIES GROUP, INC. [ AIRI.PK ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% 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)
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) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 369,998 D
Common Stock 666 I See Note(1)
Common Stock 30,070 I See Note(2)
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 Exercisable Expiration Date Title Amount or Number of Shares
Placement Agent Warrants 07/11/2012 07/11/2017 Common Stock 31,190 6.3 I(3) See Note(3)
Stock Options(4) 07/11/2011 07/01/2016 Common Stock 3,000 2.95 D
Stock Options(4) 09/10/2012 09/01/2017 Common Stock 3,000 6 D
Explanation of Responses:
1. Represents shares owned by Taglich Brothers, Inc., of which the Reporting Person is Managing Director.
2. Owned by Tag/Kent Partners, of which Reporting Person is a General Partner.
3. Reporting Person's portion of a total 118,585 Placement Agent Warrants received by Taglich Brothers, Inc., which acted as placement agent for the sale of Issuer's common stock in June and July of 2012.
4. Options granted pursuant to Air Industries Group, Inc.'s 2010 Equity Incentive Plan.
/s/ Robert F. Taglich 11/30/2012
** 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.
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