ADVANCED LIGHTING TECHNOLOGIES INC
SC 13D/A, 1997-08-06
ELECTRIC LIGHTING & WIRING EQUIPMENT
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<PAGE>   1
                                  UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549

                                  SCHEDULE 13D

                    UNDER THE SECURITIES EXCHANGE ACT OF 1934
                                (AMENDMENT NO. 4)

                      ADVANCED LIGHTING TECHNOLOGIES, INC.
                  ---------------------------------------------
                                (Name of Issuer)

                          COMMON STOCK, $.001 par value
                     -------------------------------------
                         (Title of Class of Securities)

                                   00753C 10 2
                             ---------------------
                                 (CUSIP Number)

                  Gerald W. Cowden, Esq., 1414 Terminal Tower,
                     Cleveland, Ohio 44113; (216) 241-2880
            --------------------------------------------------------
            (Name, Address and Telephone Number of Person Authorized
                     to Receive Notices and Communications)

                                 July 22 , 1997
             -------------------------------------------------------
             (Date of Event which Requires Filing of this Statement)

If the filing person has previously filed a statement on Schedule 13G to report
the acquisition which is the subject of this Schedule 13D, and is filing this
schedule because of Rule 13d-1(b)(3) or (4), check the following box. [ ]


<PAGE>   2




                                  SCHEDULE 13D

- ---------------------------------                 ------------------------------
  CUSIP  NO.   00753C 10 2                            PAGE  2   OF  29
- ---------------------------------                 ------------------------------

<TABLE>
<CAPTION>
                                (AMENDMENT NO. 4)

<S>          <C>
- ------------ -----------------------------------------------------------------------------------------------------------------------
    1        NAME OF REPORTING PERSON S.S. OR I.R.S IDENTIFICATION NO. OF ABOVE PERSON
             Wayne R. Hellman
- ------------ -----------------------------------------------------------------------------------------------------------------------

    2        CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP                                                    (a)   [x]
                                                                                                                 (b)   [ ]
             Mr. Hellman affirms himself to be a member of a group only to the extent that the is the Voting Trustee under a Voting
             Trust dated October 10, 1995, as amended.  Additionally, Mr. Hellman is the holder of the Proxies (defined herein
             below).


- ------------ -----------------------------------------------------------------------------------------------------------------------

    3        SEC USE ONLY

- ------------ -----------------------------------------------------------------------------------------------------------------------

    4        SOURCE OF FUNDS
             Not Applicable - a disposition
- ------------ -----------------------------------------------------------------------------------------------------------------------

    5        CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e)    [ ]


- ------------ -----------------------------------------------------------------------------------------------------------------------

    6        CITIZENSHIP OR PLACE OF ORGANIZATION

             United States
- ----------------------------------------------- --------- --------------------------------------------------------------------------

                                                    7     SOLE VOTING POWER
                  NUMBER OF                                4,896,545
                   SHARES                       --------- --------------------------------------------------------------------------
          BENEFICIALLY OWNED BY EACH                                                                                               
                 REPORTING                          8     SHARED VOTING POWER                                                       
                   PERSON                                   0                                                               
                    WITH                        --------- --------------------------------------------------------------------------
                                                                                                                                    
                                                    9     SOLE DISPOSITIVE POWER                                                    
                                                           2,023,070                                                                
                                                --------- --------------------------------------------------------------------------
                                                                                                                                    
                                                   10     SHARED DISPOSITIVE POWER                                                  
                                                            0                                                                       
- ------------ -----------------------------------------------------------------------------------------------------------------------
   11        AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
             4,896,545

- ------------ -----------------------------------------------------------------------------------------------------------------------

   12        CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES                           [X]
             Mr. Hellman disclaims beneficial ownership of 50,000 shares which are owned by Hellman Foundation, of which Mr.
             Hellman is the trustee.  Mr. Hellman also disclaims beneficial ownership of 125,000 shares which are owned by Hellman,
             Ltd., an Ohio limited liability company, of which Mr. Hellman is the manager.

- ------------ -----------------------------------------------------------------------------------------------------------------------

   13        PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
             29.8%
- ------------ -----------------------------------------------------------------------------------------------------------------------

   14        TYPE OF REPORTING PERSON
              IN
- ------------ -----------------------------------------------------------------------------------------------------------------------
</TABLE>


<PAGE>   3

                                  SCHEDULE 13D

- ---------------------------------                 ------------------------------
  CUSIP  NO.   00753C 10 2                            PAGE  3   OF  29
- ---------------------------------                 ------------------------------


<TABLE>
<CAPTION>
                                (AMENDMENT NO. 4)

<S>          <C>
- ------------ -----------------------------------------------------------------------------------------------------------------------
    1        NAME OF REPORTING PERSON S.S. OR I.R.S IDENTIFICATION NO. OF ABOVE PERSON
             David L. Jennings (as a member of the Voting Trust Group)
- ------------ -----------------------------------------------------------------------------------------------------------------------

    2        CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP                                                    (a)   [x]
                                                                                                                 (b)   [ ]


- ------------ -----------------------------------------------------------------------------------------------------------------------

    3        SEC USE ONLY

- ------------ -----------------------------------------------------------------------------------------------------------------------

    4        SOURCE OF FUNDS
             Not Applicable - a disposition
- ------------ -----------------------------------------------------------------------------------------------------------------------

    5        CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e)    [ ]

             Not Applicable
- ------------ -----------------------------------------------------------------------------------------------------------------------

    6        CITIZENSHIP OR PLACE OF ORGANIZATION

             United States
- ----------------------------------------------- --------- --------------------------------------------------------------------------

                                                    7     SOLE VOTING POWER
                  NUMBER OF                                 0
                   SHARES                       --------- --------------------------------------------------------------------------
          BENEFICIALLY OWNED BY EACH                                                                                               
                 REPORTING                          8     SHARED VOTING POWER                                                       
                   PERSON                                   0                                                               
                    WITH                        --------- --------------------------------------------------------------------------
                                                                                                                                    
                                                    9     SOLE DISPOSITIVE POWER                                                    
                                                           659,639                                                                
                                                --------- --------------------------------------------------------------------------
                                                                                                                                    
                                                   10     SHARED DISPOSITIVE POWER                                                  
                                                            0                                                                       
- ------------ -----------------------------------------------------------------------------------------------------------------------
   11        AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

             661,444

- ------------ -----------------------------------------------------------------------------------------------------------------------

   12        CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES                           [X]
             Mr. Jennings disclaims beneficial ownership ow 1,805 shares owned by his wife.


- ------------ -----------------------------------------------------------------------------------------------------------------------

   13        PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
             4.0%
- ------------ -----------------------------------------------------------------------------------------------------------------------

   14        TYPE OF REPORTING PERSON
              IN
- ------------ -----------------------------------------------------------------------------------------------------------------------
</TABLE>


<PAGE>   4

                                  SCHEDULE 13D

- ---------------------------------                 ------------------------------
  CUSIP  NO.   00753C 10 2                            PAGE  4   OF  29
- ---------------------------------                 ------------------------------


<TABLE>
<CAPTION>
                                (AMENDMENT NO. 4)

<S>          <C>
- ------------ -----------------------------------------------------------------------------------------------------------------------
    1        NAME OF REPORTING PERSON S.S. OR I.R.S IDENTIFICATION NO. OF ABOVE PERSON

             Louis S. Fisi (as a member of the Voting Trust Group)
- ------------ -----------------------------------------------------------------------------------------------------------------------

    2        CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP                                                    (a)   [x]
                                                                                                                 (b)   [ ]


- ------------ -----------------------------------------------------------------------------------------------------------------------

    3        SEC USE ONLY

- ------------ -----------------------------------------------------------------------------------------------------------------------

    4        SOURCE OF FUNDS
             Not Applicable - a disposition
- ------------ -----------------------------------------------------------------------------------------------------------------------

    5        CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e)    [ ]

             Not Applicable
- ------------ -----------------------------------------------------------------------------------------------------------------------

    6        CITIZENSHIP OR PLACE OF ORGANIZATION

             United States
- ----------------------------------------------- --------- --------------------------------------------------------------------------

                                                    7     SOLE VOTING POWER
                  NUMBER OF                                 0
                   SHARES                       --------- --------------------------------------------------------------------------
          BENEFICIALLY OWNED BY EACH                                                                                               
                 REPORTING                          8     SHARED VOTING POWER                                                       
                   PERSON                                   0                                                               
                    WITH                        --------- --------------------------------------------------------------------------
                                                                                                                                    
                                                    9     SOLE DISPOSITIVE POWER                                                    
                                                           496,917                                                                
                                                --------- --------------------------------------------------------------------------
                                                                                                                                    
                                                   10     SHARED DISPOSITIVE POWER                                                  
                                                            0                                                                       
- ------------ -----------------------------------------------------------------------------------------------------------------------
   11        AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

             496,917

- ------------ -----------------------------------------------------------------------------------------------------------------------

   12        CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES                           [ ]

             Mr. Fisi disclaims beneficial ownership of 80,000 shares owned by his adult children and
             step-children.

- ------------ -----------------------------------------------------------------------------------------------------------------------

   13        PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
             3.0%
- ------------ -----------------------------------------------------------------------------------------------------------------------

   14        TYPE OF REPORTING PERSON
              IN
- ------------ -----------------------------------------------------------------------------------------------------------------------
</TABLE>


<PAGE>   5

                                  SCHEDULE 13D

- ---------------------------------                 ------------------------------
  CUSIP  NO.   00753C 10 2                            PAGE  5   OF  29
- ---------------------------------                 ------------------------------


<TABLE>
<CAPTION>
                                (AMENDMENT NO. 4)

<S>          <C>
- ------------ -----------------------------------------------------------------------------------------------------------------------
    1        NAME OF REPORTING PERSON S.S. OR I.R.S IDENTIFICATION NO. OF ABOVE PERSON

             Robert S. Roller (as a member of the Voting Trust Group)
- ------------ -----------------------------------------------------------------------------------------------------------------------

    2        CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP                                                    (a)   [x]
                                                                                                                 (b)   [ ]


- ------------ -----------------------------------------------------------------------------------------------------------------------

    3        SEC USE ONLY

- ------------ -----------------------------------------------------------------------------------------------------------------------

    4        SOURCE OF FUNDS
             Not Applicable - a disposition
- ------------ -----------------------------------------------------------------------------------------------------------------------

    5        CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e)    [ ]

             Not Applicable
- ------------ -----------------------------------------------------------------------------------------------------------------------

    6        CITIZENSHIP OR PLACE OF ORGANIZATION

             United States
- ----------------------------------------------- --------- --------------------------------------------------------------------------

                                                    7     SOLE VOTING POWER
                  NUMBER OF                                 6,000
                   SHARES                       --------- --------------------------------------------------------------------------
          BENEFICIALLY OWNED BY EACH                                                                                               
                 REPORTING                          8     SHARED VOTING POWER                                                       
                   PERSON                                   0                                                               
                    WITH                        --------- --------------------------------------------------------------------------
                                                                                                                                    
                                                    9     SOLE DISPOSITIVE POWER                                                    
                                                           390,812                                                         
                                                --------- --------------------------------------------------------------------------
                                                                                                                                    
                                                   10     SHARED DISPOSITIVE POWER                                                  
                                                            0                                                                       
- ------------ -----------------------------------------------------------------------------------------------------------------------
   11        AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

             390,812

- ------------ -----------------------------------------------------------------------------------------------------------------------

   12        CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES                           [ ]

             Mr. Roller disclaims beneficial ownership of 80,414 shares owned by six trusts for the benefit of
             his children.

- ------------ -----------------------------------------------------------------------------------------------------------------------

   13        PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
             2.4%
- ------------ -----------------------------------------------------------------------------------------------------------------------

   14        TYPE OF REPORTING PERSON
              IN
- ------------ -----------------------------------------------------------------------------------------------------------------------
</TABLE>


<PAGE>   6

                                  SCHEDULE 13D

- ---------------------------------                 ------------------------------
  CUSIP  NO.   00753C 10 2                            PAGE  6   OF  29
- ---------------------------------                 ------------------------------


<TABLE>
<CAPTION>
                                (AMENDMENT NO. 4)

<S>          <C>
- ------------ -----------------------------------------------------------------------------------------------------------------------
    1        NAME OF REPORTING PERSON S.S. OR I.R.S IDENTIFICATION NO. OF ABOVE PERSON

             Juris Sulcs (as a member of the Voting Trust Group)
- ------------ -----------------------------------------------------------------------------------------------------------------------

    2        CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP                                                    (a)   [x]
                                                                                                                 (b)   [ ]


- ------------ -----------------------------------------------------------------------------------------------------------------------

    3        SEC USE ONLY

- ------------ -----------------------------------------------------------------------------------------------------------------------

    4        SOURCE OF FUNDS

             Not Applicable - a disposition
- ------------ -----------------------------------------------------------------------------------------------------------------------

    5        CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e)    [ ]

             Not Applicable
- ------------ -----------------------------------------------------------------------------------------------------------------------

    6        CITIZENSHIP OR PLACE OF ORGANIZATION

             United States
- ----------------------------------------------- --------- --------------------------------------------------------------------------

                                                    7     SOLE VOTING POWER
                  NUMBER OF                                 0
                   SHARES                       --------- --------------------------------------------------------------------------
          BENEFICIALLY OWNED BY EACH                                                                                               
                 REPORTING                          8     SHARED VOTING POWER                                                       
                   PERSON                                   0                                                               
                    WITH                        --------- --------------------------------------------------------------------------
                                                                                                                                    
                                                    9     SOLE DISPOSITIVE POWER                                                    
                                                           340,312                                                         
                                                --------- --------------------------------------------------------------------------
                                                                                                                                    
                                                   10     SHARED DISPOSITIVE POWER                                                  
                                                            0                                                                       
- ------------ -----------------------------------------------------------------------------------------------------------------------
   11        AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
             340,312

- ------------ -----------------------------------------------------------------------------------------------------------------------

   12        CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES                           [ ]


- ------------ -----------------------------------------------------------------------------------------------------------------------

   13        PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
             2.0%
- ------------ -----------------------------------------------------------------------------------------------------------------------

   14        TYPE OF REPORTING PERSON
              IN
- ------------ -----------------------------------------------------------------------------------------------------------------------
</TABLE>



<PAGE>   7

                                  SCHEDULE 13D

- ---------------------------------                 ------------------------------
  CUSIP  NO.   00753C 10 2                            PAGE  7   OF  29
- ---------------------------------                 ------------------------------


<TABLE>
<CAPTION>
                                (AMENDMENT NO. 4)

<S>          <C>
- ------------ -----------------------------------------------------------------------------------------------------------------------
    1        NAME OF REPORTING PERSON S.S. OR I.R.S IDENTIFICATION NO. OF ABOVE PERSON

             The Estate of James F. Sarver (as a member of the Voting Trust Group)
- ------------ -----------------------------------------------------------------------------------------------------------------------

    2        CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP                                                    (a)   [x]
                                                                                                                 (b)   [ ]


- ------------ -----------------------------------------------------------------------------------------------------------------------

    3        SEC USE ONLY

- ------------ -----------------------------------------------------------------------------------------------------------------------

    4        SOURCE OF FUNDS
             Not Applicable
- ------------ -----------------------------------------------------------------------------------------------------------------------

    5        CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e)    [ ]

             Not Applicable
- ------------ -----------------------------------------------------------------------------------------------------------------------

    6        CITIZENSHIP OR PLACE OF ORGANIZATION

             United States
- ----------------------------------------------- --------- --------------------------------------------------------------------------

                                                    7     SOLE VOTING POWER
                  NUMBER OF                                 0
                   SHARES                       --------- --------------------------------------------------------------------------
          BENEFICIALLY OWNED BY EACH                                                                                               
                 REPORTING                          8     SHARED VOTING POWER                                                       
                   PERSON                                   0                                                               
                    WITH                        --------- --------------------------------------------------------------------------
                                                                                                                                    
                                                    9     SOLE DISPOSITIVE POWER                                                    
                                                           333,917                                                         
                                                --------- --------------------------------------------------------------------------
                                                                                                                                    
                                                   10     SHARED DISPOSITIVE POWER                                                  
                                                            0                                                                       
- ------------ -----------------------------------------------------------------------------------------------------------------------
   11        AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

             333,917

- ------------ -----------------------------------------------------------------------------------------------------------------------

   12        CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES                           [ ]


- ------------ -----------------------------------------------------------------------------------------------------------------------

   13        PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)

             2.0%
- ------------ -----------------------------------------------------------------------------------------------------------------------

   14        TYPE OF REPORTING PERSON
              IN
- ------------ -----------------------------------------------------------------------------------------------------------------------
</TABLE>



<PAGE>   8

                                  SCHEDULE 13D

- ---------------------------------                 ------------------------------
  CUSIP  NO.   00753C 10 2                            PAGE  8   OF  29
- ---------------------------------                 ------------------------------


<TABLE>
<CAPTION>
                                (AMENDMENT NO. 4)

<S>          <C>
- ------------ -----------------------------------------------------------------------------------------------------------------------
    1        NAME OF REPORTING PERSON S.S. OR I.R.S IDENTIFICATION NO. OF ABOVE PERSON

             Christine Hellman (as a member of the Voting Trust Group)
- ------------ -----------------------------------------------------------------------------------------------------------------------

    2        CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP                                                    (a)   [x]
                                                                                                                 (b)   [ ]


- ------------ -----------------------------------------------------------------------------------------------------------------------

    3        SEC USE ONLY

- ------------ -----------------------------------------------------------------------------------------------------------------------

    4        SOURCE OF FUNDS

             Not Applicable- a disposition
- ------------ -----------------------------------------------------------------------------------------------------------------------

    5        CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e)    [ ]

             Not Applicable
- ------------ -----------------------------------------------------------------------------------------------------------------------

    6        CITIZENSHIP OR PLACE OF ORGANIZATION

             United States
- ----------------------------------------------- --------- --------------------------------------------------------------------------

                                                    7     SOLE VOTING POWER
                  NUMBER OF                                 0
                   SHARES                       --------- --------------------------------------------------------------------------
          BENEFICIALLY OWNED BY EACH                                                                                               
                 REPORTING                          8     SHARED VOTING POWER                                                       
                   PERSON                                   0                                                               
                    WITH                        --------- --------------------------------------------------------------------------
                                                                                                                                    
                                                    9     SOLE DISPOSITIVE POWER                                                    

                                                           306,377                                                         
                                                --------- --------------------------------------------------------------------------
                                                                                                                                    
                                                   10     SHARED DISPOSITIVE POWER                                                  
                                                            0                                                                       
- ------------ -----------------------------------------------------------------------------------------------------------------------
   11        AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

             306,377
- ------------ -----------------------------------------------------------------------------------------------------------------------

   12        CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES                           [ ]


- ------------ -----------------------------------------------------------------------------------------------------------------------

   13        PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
             1.9%
- ------------ -----------------------------------------------------------------------------------------------------------------------

   14        TYPE OF REPORTING PERSON
              IN
- ------------ -----------------------------------------------------------------------------------------------------------------------
</TABLE>

<PAGE>   9

                                  SCHEDULE 13D

- ---------------------------------                 ------------------------------
  CUSIP  NO.   00753C 10 2                            PAGE  9   OF  29
- ---------------------------------                 ------------------------------


<TABLE>
<CAPTION>
                                (AMENDMENT NO. 4)

<S>          <C>
- ------------ -----------------------------------------------------------------------------------------------------------------------
    1        NAME OF REPORTING PERSON S.S. OR I.R.S IDENTIFICATION NO. OF ABOVE PERSON

             Brian A. Hellman (as a member of the Voting Trust Group)
- ------------ -----------------------------------------------------------------------------------------------------------------------

    2        CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP                                                    (a)   [x]
                                                                                                                 (b)   [ ]


- ------------ -----------------------------------------------------------------------------------------------------------------------

    3        SEC USE ONLY

- ------------ -----------------------------------------------------------------------------------------------------------------------

    4        SOURCE OF FUNDS

             Not Applicable
- ------------ -----------------------------------------------------------------------------------------------------------------------

    5        CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e)    [ ]

             Not Applicable
- ------------ -----------------------------------------------------------------------------------------------------------------------

    6        CITIZENSHIP OR PLACE OF ORGANIZATION

             United States
- ----------------------------------------------- --------- --------------------------------------------------------------------------

                                                    7     SOLE VOTING POWER
                  NUMBER OF                                 0
                   SHARES                       --------- --------------------------------------------------------------------------
          BENEFICIALLY OWNED BY EACH                                                                                               
                 REPORTING                          8     SHARED VOTING POWER                                                       
                   PERSON                                   0                                                               
                    WITH                        --------- --------------------------------------------------------------------------
                                                                                                                                    
                                                    9     SOLE DISPOSITIVE POWER                                                    
                                                           155,262                                                         
                                                --------- --------------------------------------------------------------------------
                                                                                                                                    
                                                   10     SHARED DISPOSITIVE POWER                                                  
                                                            0                                                                       
- ------------ -----------------------------------------------------------------------------------------------------------------------
   11        AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

             155,262

- ------------ -----------------------------------------------------------------------------------------------------------------------

   12        CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES                           [ ]


- ------------ -----------------------------------------------------------------------------------------------------------------------

   13        PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)

             1.2%
- ------------ -----------------------------------------------------------------------------------------------------------------------

   14        TYPE OF REPORTING PERSON
              IN
- ------------ -----------------------------------------------------------------------------------------------------------------------
</TABLE>




<PAGE>   10

                                  SCHEDULE 13D

- ---------------------------------                 ------------------------------
  CUSIP  NO.   00753C 10 2                            PAGE  10  OF  29
- ---------------------------------                 ------------------------------


<TABLE>
<CAPTION>
                                (AMENDMENT NO. 4)

<S>          <C>
- ------------ -----------------------------------------------------------------------------------------------------------------------
    1        NAME OF REPORTING PERSON S.S. OR I.R.S IDENTIFICATION NO. OF ABOVE PERSON

             Lisa B. Hellman (as a member of the Voting Trust Group)
- ------------ -----------------------------------------------------------------------------------------------------------------------

    2        CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP                                                    (a)   [x]
                                                                                                                 (b)   [ ]


- ------------ -----------------------------------------------------------------------------------------------------------------------

    3        SEC USE ONLY

- ------------ -----------------------------------------------------------------------------------------------------------------------

    4        SOURCE OF FUNDS

             Not Applicable
- ------------ -----------------------------------------------------------------------------------------------------------------------

    5        CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e)    [ ]

             Not Applicable
- ------------ -----------------------------------------------------------------------------------------------------------------------

    6        CITIZENSHIP OR PLACE OF ORGANIZATION

             United States
- ----------------------------------------------- --------- --------------------------------------------------------------------------

                                                    7     SOLE VOTING POWER
                  NUMBER OF                                 0
                   SHARES                       --------- --------------------------------------------------------------------------
          BENEFICIALLY OWNED BY EACH                                                                                               
                 REPORTING                          8     SHARED VOTING POWER                                                       
                   PERSON                                   0                                                               
                    WITH                        --------- --------------------------------------------------------------------------
                                                                                                                                    
                                                    9     SOLE DISPOSITIVE POWER                                                    
                                                           146,239
                                                --------- --------------------------------------------------------------------------
                                                                                                                                    
                                                   10     SHARED DISPOSITIVE POWER                                                  
                                                            0                                                                       
- ------------ -----------------------------------------------------------------------------------------------------------------------
   11        AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

             146,239

- ------------ -----------------------------------------------------------------------------------------------------------------------

   12        CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES                           [ ]


- ------------ -----------------------------------------------------------------------------------------------------------------------

   13        PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)

             1.1%
- ------------ -----------------------------------------------------------------------------------------------------------------------

   14        TYPE OF REPORTING PERSON
              IN
- ------------ -----------------------------------------------------------------------------------------------------------------------
</TABLE>



<PAGE>   11

                                  SCHEDULE 13D

- ---------------------------------                 ------------------------------
  CUSIP  NO.   00753C 10 2                            PAGE  11  OF  29
- ---------------------------------                 ------------------------------


<TABLE>
<CAPTION>
                                (AMENDMENT NO. 4)

<S>          <C>
- ------------ -----------------------------------------------------------------------------------------------------------------------
    1        NAME OF REPORTING PERSON S.S. OR I.R.S IDENTIFICATION NO. OF ABOVE PERSON

             Robert S. Roller and Patricia M. Roller, Co-Trustees of the Lisa Marie Roller Trust dated August 24, 1995 (as a member
             of the Voting Trust Group)

- ------------ -----------------------------------------------------------------------------------------------------------------------

    2        CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP                                                    (a)   [x]
                                                                                                                 (b)   [ ]


- ------------ -----------------------------------------------------------------------------------------------------------------------

    3        SEC USE ONLY

- ------------ -----------------------------------------------------------------------------------------------------------------------

    4        SOURCE OF FUNDS

             Not Applicable
- ------------ -----------------------------------------------------------------------------------------------------------------------

    5        CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e)    [ ]

             Not Applicable
- ------------ -----------------------------------------------------------------------------------------------------------------------

    6        CITIZENSHIP OR PLACE OF ORGANIZATION

             United States
- ----------------------------------------------- --------- --------------------------------------------------------------------------

                                                    7     SOLE VOTING POWER
                  NUMBER OF                                 0
                   SHARES                       --------- --------------------------------------------------------------------------
          BENEFICIALLY OWNED BY EACH                                                                                               
                 REPORTING                          8     SHARED VOTING POWER                                                       
                   PERSON                                   0                                                               
                    WITH                        --------- --------------------------------------------------------------------------
                                                                                                                                    
                                                    9     SOLE DISPOSITIVE POWER                                                    
                                                           9,708
                                                --------- --------------------------------------------------------------------------
                                                                                                                                    
                                                   10     SHARED DISPOSITIVE POWER                                                  
                                                            0                                                                       
- ------------ -----------------------------------------------------------------------------------------------------------------------
   11        AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

             9,708

- ------------ -----------------------------------------------------------------------------------------------------------------------

   12        CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES                           [ ]


- ------------ -----------------------------------------------------------------------------------------------------------------------

   13        PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
             0.07%
- ------------ -----------------------------------------------------------------------------------------------------------------------

   14        TYPE OF REPORTING PERSON
              OO
- ------------ -----------------------------------------------------------------------------------------------------------------------
</TABLE>



<PAGE>   12

                                  SCHEDULE 13D

- ---------------------------------                 ------------------------------
  CUSIP  NO.   00753C 10 2                            PAGE  12  OF  29
- ---------------------------------                 ------------------------------


<TABLE>
<CAPTION>
                                (AMENDMENT NO. 4)

<S>          <C>
- ------------ -----------------------------------------------------------------------------------------------------------------------
    1        NAME OF REPORTING PERSON S.S. OR I.R.S IDENTIFICATION NO. OF ABOVE PERSON

             Robert S. Roller and Patricia M. Roller, Co-Trustees of the Jennifer Lynn Jarrett Trust dated August 24, 1995 (as a
             member of the Voting Trust Group)

- ------------ -----------------------------------------------------------------------------------------------------------------------

    2        CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP                                                    (a)   [x]
                                                                                                                 (b)   [ ]


- ------------ -----------------------------------------------------------------------------------------------------------------------

    3        SEC USE ONLY

- ------------ -----------------------------------------------------------------------------------------------------------------------

    4        SOURCE OF FUNDS

             Not Applicable
- ------------ -----------------------------------------------------------------------------------------------------------------------

    5        CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e)    [ ]

             Not Applicable
- ------------ -----------------------------------------------------------------------------------------------------------------------

    6        CITIZENSHIP OR PLACE OF ORGANIZATION

             United States
- ----------------------------------------------- --------- --------------------------------------------------------------------------

                                                    7     SOLE VOTING POWER
                  NUMBER OF                                 0
                   SHARES                       --------- --------------------------------------------------------------------------
          BENEFICIALLY OWNED BY EACH                                                                                               
                 REPORTING                          8     SHARED VOTING POWER                                                       
                   PERSON                                   0                                                               
                    WITH                        --------- --------------------------------------------------------------------------
                                                                                                                                    
                                                    9     SOLE DISPOSITIVE POWER                                                    
                                                           9,208
                                                --------- --------------------------------------------------------------------------
                                                                                                                                    
                                                   10     SHARED DISPOSITIVE POWER                                                  
                                                            0                                                                       
- ------------ -----------------------------------------------------------------------------------------------------------------------
   11        AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

             9,208

- ------------ -----------------------------------------------------------------------------------------------------------------------

   12        CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES                           [ ]


- ------------ -----------------------------------------------------------------------------------------------------------------------

   13        PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
             0.07%
- ------------ -----------------------------------------------------------------------------------------------------------------------

   14        TYPE OF REPORTING PERSON
              OO
- ------------ -----------------------------------------------------------------------------------------------------------------------
</TABLE>



<PAGE>   13

                                 SCHEDULE 13D

- ---------------------------------                 ------------------------------
  CUSIP  NO.   00753C 10 2                            PAGE  13  OF  29
- ---------------------------------                 ------------------------------


<TABLE>
<CAPTION>
                                (AMENDMENT NO. 4)

<S>          <C>
- ------------ -----------------------------------------------------------------------------------------------------------------------
    1        NAME OF REPORTING PERSON S.S. OR I.R.S IDENTIFICATION NO. OF ABOVE PERSON

             Robert S. Roller and Patricia M. Roller, Co-Trustees of the Kimberly Joy Roller Trust dated August 24, 1995 (as a
             member of the Voting Trust Group)

- ------------ -----------------------------------------------------------------------------------------------------------------------

    2        CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP                                                    (a)   [x]
                                                                                                                 (b)   [ ]


- ------------ -----------------------------------------------------------------------------------------------------------------------

    3        SEC USE ONLY

- ------------ -----------------------------------------------------------------------------------------------------------------------

    4        SOURCE OF FUNDS

             Not Applicable
- ------------ -----------------------------------------------------------------------------------------------------------------------

    5        CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e)    [ ]

             Not Applicable
- ------------ -----------------------------------------------------------------------------------------------------------------------

    6        CITIZENSHIP OR PLACE OF ORGANIZATION

             United States
- ----------------------------------------------- --------- --------------------------------------------------------------------------

                                                    7     SOLE VOTING POWER
                  NUMBER OF                                 0
                   SHARES                       --------- --------------------------------------------------------------------------
          BENEFICIALLY OWNED BY EACH                                                                                               
                 REPORTING                          8     SHARED VOTING POWER                                                       
                   PERSON                                   0                                                               
                    WITH                        --------- --------------------------------------------------------------------------
                                                                                                                                    
                                                    9     SOLE DISPOSITIVE POWER                                                    
                                                           9,708
                                                --------- --------------------------------------------------------------------------
                                                                                                                                    
                                                   10     SHARED DISPOSITIVE POWER                                                  
                                                            0                                                                       
- ------------ -----------------------------------------------------------------------------------------------------------------------
   11        AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

             9,708

- ------------ -----------------------------------------------------------------------------------------------------------------------

   12        CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES                           [ ]


- ------------ -----------------------------------------------------------------------------------------------------------------------

   13        PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)

             0.07%
- ------------ -----------------------------------------------------------------------------------------------------------------------

   14        TYPE OF REPORTING PERSON
              OO
- ------------ -----------------------------------------------------------------------------------------------------------------------
</TABLE>



<PAGE>   14

                                 SCHEDULE 13D

- ---------------------------------                 ------------------------------
  CUSIP  NO.   00753C 10 2                            PAGE  14  OF  29
- ---------------------------------                 ------------------------------


<TABLE>
<CAPTION>
                                (AMENDMENT NO. 4)

<S>          <C>
- ------------ -----------------------------------------------------------------------------------------------------------------------
    1        NAME OF REPORTING PERSON S.S. OR I.R.S IDENTIFICATION NO. OF ABOVE PERSON

             Robert S. Roller, Patricia M. Roller and Lisa Marie Roller, Co-Trustees of the Lisa Marie Roller
             Long-term Trust dated September 24, 1995 (as a member of the Voting Trust Group)

- ------------ -----------------------------------------------------------------------------------------------------------------------

    2        CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP                                                    (a)   [x]
                                                                                                                 (b)   [ ]


- ------------ -----------------------------------------------------------------------------------------------------------------------

    3        SEC USE ONLY

- ------------ -----------------------------------------------------------------------------------------------------------------------

    4        SOURCE OF FUNDS

             Not Applicable
- ------------ -----------------------------------------------------------------------------------------------------------------------

    5        CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e)    [ ]

             Not Applicable
- ------------ -----------------------------------------------------------------------------------------------------------------------

    6        CITIZENSHIP OR PLACE OF ORGANIZATION

             United States
- ----------------------------------------------- --------- --------------------------------------------------------------------------

                                                    7     SOLE VOTING POWER
                  NUMBER OF                                 0
                   SHARES                       --------- --------------------------------------------------------------------------
          BENEFICIALLY OWNED BY EACH                                                                                               
                 REPORTING                          8     SHARED VOTING POWER                                                       
                   PERSON                                   0                                                               
                    WITH                        --------- --------------------------------------------------------------------------
                                                                                                                                    
                                                    9     SOLE DISPOSITIVE POWER                                                    
                                                           17,261
                                                --------- --------------------------------------------------------------------------
                                                                                                                                    
                                                   10     SHARED DISPOSITIVE POWER                                                  
                                                            0                                                                       
- ------------ -----------------------------------------------------------------------------------------------------------------------
   11        AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

             17,261

- ------------ -----------------------------------------------------------------------------------------------------------------------

   12        CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES                           [ ]


- ------------ -----------------------------------------------------------------------------------------------------------------------

   13        PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)

              0.1%
- ------------ -----------------------------------------------------------------------------------------------------------------------

   14        TYPE OF REPORTING PERSON
              OO
- ------------ -----------------------------------------------------------------------------------------------------------------------
</TABLE>


<PAGE>   15

                                 SCHEDULE 13D

- ---------------------------------                 ------------------------------
  CUSIP  NO.   00753C 10 2                            PAGE  15  OF  29
- ---------------------------------                 ------------------------------


<TABLE>
<CAPTION>
                                (AMENDMENT NO. 4)

<S>          <C>
- ------------ -----------------------------------------------------------------------------------------------------------------------
    1        NAME OF REPORTING PERSON S.S. OR I.R.S IDENTIFICATION NO. OF ABOVE PERSON

             Robert S. Roller, Patricia M. Roller and Jennifer Lynn Jarrett, Co-Trustees of the Jennifer Lynn Jarrett Long-term
             Trust dated September 24, 1995 (as a member of the Voting Trust Group)

- ------------ -----------------------------------------------------------------------------------------------------------------------

    2        CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP                                                    (a)   [x]
                                                                                                                 (b)   [ ]


- ------------ -----------------------------------------------------------------------------------------------------------------------

    3        SEC USE ONLY

- ------------ -----------------------------------------------------------------------------------------------------------------------

    4        SOURCE OF FUNDS

             Not Applicable
- ------------ -----------------------------------------------------------------------------------------------------------------------

    5        CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e)    [ ]

             Not Applicable
- ------------ -----------------------------------------------------------------------------------------------------------------------

    6        CITIZENSHIP OR PLACE OF ORGANIZATION

             United States
- ----------------------------------------------- --------- --------------------------------------------------------------------------

                                                    7     SOLE VOTING POWER
                  NUMBER OF                                 0
                   SHARES                       --------- --------------------------------------------------------------------------
          BENEFICIALLY OWNED BY EACH                                                                                               
                 REPORTING                          8     SHARED VOTING POWER                                                       
                   PERSON                                   0                                                               
                    WITH                        --------- --------------------------------------------------------------------------
                                                                                                                                    
                                                    9     SOLE DISPOSITIVE POWER                                                    
                                                           17,261
                                                --------- --------------------------------------------------------------------------
                                                                                                                                    
                                                   10     SHARED DISPOSITIVE POWER                                                  
                                                            0                                                                       
- ------------ -----------------------------------------------------------------------------------------------------------------------
   11        AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

             17,261

- ------------ -----------------------------------------------------------------------------------------------------------------------

   12        CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES                           [ ]


- ------------ -----------------------------------------------------------------------------------------------------------------------

   13        PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)

              0.1%
- ------------ -----------------------------------------------------------------------------------------------------------------------

   14        TYPE OF REPORTING PERSON
              OO
- ------------ -----------------------------------------------------------------------------------------------------------------------
</TABLE>



<PAGE>   16

                                 SCHEDULE 13D

- ---------------------------------                 ------------------------------
  CUSIP  NO.   00753C 10 2                            PAGE  16  OF  29
- ---------------------------------                 ------------------------------


<TABLE>
<CAPTION>
                                (AMENDMENT NO. 4)

<S>          <C>
- ------------ -----------------------------------------------------------------------------------------------------------------------
    1        NAME OF REPORTING PERSON S.S. OR I.R.S IDENTIFICATION NO. OF ABOVE PERSON

             Robert S. Roller, Patricia M. Roller and Kimberly Joy Roller, Co-Trustees of the Kimberly Joy Roller Long-term Trust
             dated September 24, 1995 (as a member of the Voting Trust Group)

- ------------ -----------------------------------------------------------------------------------------------------------------------

    2        CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP                                                    (a)   [x]
                                                                                                                 (b)   [ ]


- ------------ -----------------------------------------------------------------------------------------------------------------------

    3        SEC USE ONLY

- ------------ -----------------------------------------------------------------------------------------------------------------------

    4        SOURCE OF FUNDS

             Not Applicable
- ------------ -----------------------------------------------------------------------------------------------------------------------

    5        CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e)    [ ]

             Not Applicable
- ------------ -----------------------------------------------------------------------------------------------------------------------

    6        CITIZENSHIP OR PLACE OF ORGANIZATION

             United States
- ----------------------------------------------- --------- --------------------------------------------------------------------------

                                                    7     SOLE VOTING POWER
                  NUMBER OF                                 0
                   SHARES                       --------- --------------------------------------------------------------------------
          BENEFICIALLY OWNED BY EACH                                                                                               
                 REPORTING                          8     SHARED VOTING POWER                                                       
                   PERSON                                   0                                                               
                    WITH                        --------- --------------------------------------------------------------------------
                                                                                                                                    
                                                    9     SOLE DISPOSITIVE POWER                                                    
                                                           17,268
                                                --------- --------------------------------------------------------------------------
                                                                                                                                    
                                                   10     SHARED DISPOSITIVE POWER                                                  
                                                            0                                                                       
- ------------ -----------------------------------------------------------------------------------------------------------------------
   11        AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

             17,268

- ------------ -----------------------------------------------------------------------------------------------------------------------

   12        CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES                           [ ]


- ------------ -----------------------------------------------------------------------------------------------------------------------

   13        PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)

              0.1%
- ------------ -----------------------------------------------------------------------------------------------------------------------

   14        TYPE OF REPORTING PERSON
              OO
- ------------ -----------------------------------------------------------------------------------------------------------------------
</TABLE>




<PAGE>   17

  CUSIP  NO.   00753C 10 2                            PAGE  17  OF  29


                                  SCHEDULE 13D

ITEM 1.  SECURITY AND ISSUER

                  The class of securities to which this statement relates is
Common Stock, $.001 par value (the "Common Stock"). The name and address of the
principal executive offices of the issuer is Advanced Lighting Technologies,
Inc., 2307 E. Aurora Road, Suite One, Twinsburg, Ohio 44087 (the "Issuer").

ITEM 2.  IDENTITY AND BACKGROUND

                  a.       The names of the persons filing this statement are
                           Wayne R. Hellman ("Hellman"), and Hellman as Voting
                           Trustee and as owners of Common Stock subject to the
                           Voting Trust Agreement dated October 10, 1995 (the
                           "Voting Trust") the following members of the Voting
                           Trust Group: Juris Sulcs ("Sulcs"); the Estate of
                           James F. Sarver ("Sarver"); Christine Hellman; Lisa
                           B. Hellman; Robert S. Roller and Patricia M. Roller,
                           Co-Trustees of the Lisa Marie Roller Trust dated
                           August 24, 1995 ("LMR Trust"); Robert S. Roller and
                           Patricia M. Roller, Co-Trustees of the Jennifer Lynn
                           Jarrett Trust dated August 24, 1995 ("JLJ Trust");
                           Robert S. Roller and Patricia M. Roller, Co-Trustees
                           of the Kimberly Joy Roller Trust dated August 24,
                           1995 ("KJR Trust"); Robert S. Roller, Patricia M.
                           Roller and Lisa Marie Roller, Co-Trustees of the Lisa
                           Marie Roller Long Term Trust dated September 24, 1995
                           ("LMR Long Term Trust"); Robert S. Roller, Patricia
                           M. Roller and Jennifer Lynn Jarrett, Co-Trustees of
                           the Jennifer Lynn Jarrett Long Term Trust dated
                           September 24, 1995 ("JLJ Long Term Trust"); and
                           Robert S. Roller, Patricia M. Roller and Kimberly Joy
                           Roller, Co-Trustees of the Kimberly Joy Roller Long
                           Term Trust dated September 24, 195 ("KJR Long Term
                           Trust"); additionally, the Common Stock owned by
                           David L. Jennings ("Jennings") Louis S. Fisi
                           ("Fisi"), and Robert S. Roller ("Roller") which was
                           formerly subject to the Voting Trust, are now subject
                           to Irrevocable Proxies (the "Proxies"), which appoint
                           Wayne R. Hellman, as proxy holder, to exercise the
                           voting rights of all such shares with respect to each
                           matter submitted to the Company's shareholders for
                           their vote. The record owner of the shares subject to
                           the Voting Trust and the Proxies are sometimes
                           referred to herein as a Member of the "Voting Trust
                           Group."

                  b.       The business address of Hellman, Fisi is 2307 E.
                           Aurora Road, Suite One, Twinsburg, Ohio 44087. The
                           business address of Jennings is 3000 Seneca
                           Industrial Parkway, Bellevue, Ohio 44811, and Roller,
                           Sulcs, and Lisa B. Hellman are located at
                           32000 Aurora Road, Solon, Ohio 44139. The address of
                           Christine Hellman is 17230 Red Fox Trail, Chagrin
                           Falls, Ohio 44023. The address of the LMR Trust, JLJ
                           Trust, KJR Trust, LMR Long Term Trust, JLJ Long Term
                           Trust, and KJR Long Term Trust is 8630 Tamarack
                           Trail, Chagrin Falls, Ohio 44023. The address of
                           Sarver is 10667 Cedar Road, Chesterland, Ohio 44026.

                  c.       The following are the present principal occupations
                           and addresses of employment of the reporting persons:

<TABLE>
<CAPTION>
Name:                      Occupation:                  Address:
- -----                      -----------                  --------

<S>                        <C>                          <C>
Hellman                    Chief Executive Officer      Issuer (address is specified in Item 1)
</TABLE>



<PAGE>   18


  CUSIP  NO.   00753C 10 2                            PAGE  18  OF  29


<TABLE>
<CAPTION>
Members of the Voting Trust Group:

<S>                        <C>                          <C>
Jennings                   Coordinator of Pacific Rim   Lighting Resources International, Inc.
                           Development                  3000 Seneca Industrial Parkway
                                                        Bellevue, Ohio  44811

Fisi                       Executive Vice President,    Issuer  (address is specified in Item 1)
                           Secretary

Roller                     Coordinator of Market        Venture Lighting International, Inc.
                           Development                  32000 Aurora Road
                                                        Solon, Ohio  44139

Sulcs                      Coordinator of Technology    Venture Lighting International, Inc.
                           Development                  32000 Aurora Road
                                                        Solon, Ohio  44139

Estate of  Sarver          Not Applicable               10667 Cedar Lane
                                                        Chesterland, Ohio 44026


Christine Hellman          Consultant                   17230 Red Fox Trail
                                                        Chagrin Falls, Ohio 44022

Brian A. Hellman           Strategic Planning           Issuer  (address is specified in Item 1)
                           Manager

Lisa B. Hellman            Vice President of            Metal Halide Technologies, Inc.
                           Metal Halide Technologies,   32000 Aurora Road
                           Inc.                         Solon, Ohio 44139

LMR Trust                  Not Applicable               8630 Tamarack Trail
                                                        Chagrin Falls, Ohio  44023

JLJ Trust                  Not Applicable               8630 Tamarack Trail
                                                        Chagrin Falls, Ohio  44023

KJR Trust                  Not Applicable               8630 Tamarack Trail
                                                        Chagrin Falls, Ohio  44023

LMR Long Term Trust        Not Applicable               8630 Tamarack Trail
                                                        Chagrin Falls, Ohio  44023

JLJ Long Term Trust        Not Applicable               8630 Tamarack Trail
                                                        Chagrin Falls, Ohio  44023

KJR Long Term Trust        Not Applicable               8630 Tamarack Trail
                                                        Chagrin Falls, Ohio  44023
                  d.       Not applicable

                  e.       Not applicable
</TABLE>


<PAGE>   19

  CUSIP  NO.   00753C 10 2                            PAGE  19  OF  29


                  f.       All reporting persons are citizens of the United 
                           States of America.


ITEM 3.   SOURCE AND AMOUNT OF FUNDS OR OTHER CONSIDERATION

          Not applicable; Amendment No. 4 reports a decrease in the number of
shares of Common Stock beneficially owned.

ITEM 4.   PURPOSE OF TRANSACTION

         Name                           # Shares Transferred
         ----                           --------------------

         Hellman                            165,141

         The following members of
           the Voting Trust:
                  Jennings                  55,919
                  Fisi                      42,125
                  Roller                    26,313
                  Sulcs                     28,849
                  Sarver                    30,680
                  Christine Hellman         25,973
                  Brian A. Hellman            -0-
                  Lisa B. Hellman             -0-
                  LMR Trust                   -0-
                  JLJ Trust                   -0-
                  KJR Trust                   -0-
                  LMR Long Term Trust         -0-
                  JLJ Long Term Trust         -0-
                  KJR Long Term Trust         -0-



                  Other than through the Issuer's incentive stock option plans,
no reporting person has a present intention to acquire additional securities 
of the Issuer.

                  Amendment No.4 is being reported as a result of shares of
Common Stock sold by Hellman, Fisi, Jennings, Roller, Sulcs, Sarver and
Christine Hellman to certain U.S. underwriters pursuant to such underwriters'
exercise of an over-allotment option granted to them in connection with the
Issuer's public offering of Common Stock described in a prospectus dated July 1,
1997. Such sales decrease the number of shares owned. No change is being
reported in the beneficial ownership of Brian A. Hellman, Lisa B. Hellman, 
LMR Trust, JLJ Trust, KJR Trust, LMR Long Term Trust, JLJ Long Term Trust and 
KJR Long Term Trust.

ITEM 5.  INTEREST IN SECURITIES OF THE ISSUER

         a. and b. The following lists the aggregate number and percentage of
shares of Common Stock beneficially owned by the named persons. Percentages are
calculated based on the number of outstanding shares as of July 22, 1997:


<PAGE>   20

  CUSIP  NO.   00753C 10 2                            PAGE  20  OF  29


<TABLE>
<CAPTION>
Name                  Aggregate # Shares         %          # Shares Sole             # Shares Sole Power
- -----                 ------------------         -          --------------            -------------------
                                                             Power to Vote            to Dispose
                                                             -------------            ----------

<S>                    <C>                       <C>             <C>                    <C>      
Hellman                4,896,545                 29.8%           4,924,545              2,023,070
                       2,023,070
                       owned in his indiv-
                       idual capacity)

Jennings*                661,444                 4.03%                   0                661,444

Fisi*                    496,917                 3.02%                   0                496,917

Estate of Sarver*        333,917                 2.03%                   0                333,917

Sulcs*                   371,888                 2.07%                   0                371,888

Roller*                  390,812                 2.38%                   0                390,812

Christine Hellman*       306,377                 1.86%                   0                306,377

Brian Hellman*           155,262                 1.15%                   0                155,262

Lisa Hellman*            146,239                 1.09%                   0                146,239

LMR Trust*                 9,708                 0.07%                   0                  9,708

JLJ Trust*                 9,708                 0.07%                   0                  9,208

KJR Trust*                 9,708                 0.07%                   0                  9,708

LMR Long
Term Trust*               17,261                 0.13%                   0                 17,261

JLJ Long
Term Trust*               17,261                 0.13%                   0                 17,261

KJR Long
Term Trust*               17,268                 0.13%                   0                 17,268

<FN>
         * These persons constitute members of a group as a result of their
transfer of such shares to the Voting Trust or the Irrevocable Proxy, as the
case may be (see Item 2 hereof).
</TABLE>

         None of the above persons shares voting power with respect to any
shares.

                  c.       On May 31, 1997, Hellman transferred 50,000 shares to
                           Hellman Foundation, a charitable foundation, to which
                           Hellman has voting power. This transfer by Hellman
                           constituted a gift and therefore, Hellman did not
                           receive any consideration for said transfer. Also, on
                           May 31, 1997, Roller transferred 6,000 shares to
                           Roller Foundation, a charitable foundation, to which
                           Roller has sole voting power. Additionally, on July
                           10, 1997, James F. Sarver transferred a total of
                           28,000 shares to nine (9) related individuals. These
                           shares transferred by Sarver constituted a gift

<PAGE>   21

  CUSIP  NO.   00753C 10 2                            PAGE  21  OF  29


                           to each of the nine (9) individuals and therefore,
                           Sarver did not receive any consideration for such
                           transfers. Other than the transfer of shares
                           described in Item 4 and this Item 5c, no transactions
                           were effected since the most recent filing on
                           Schedule 13D.

                  d.       Not applicable

                  e.       Not applicable

ITEM 6. CONTRACTS, ARRANGEMENTS, UNDERSTANDINGS OR RELATIONSHIPS WITH RESPECT TO
SECURITIES OF THE ISSUER

                  Pursuant to the Voting Trust, Hellman is voting trustee of the
shares of Common Stock owned by Sulcs, Estate of Sarver, Christine Hellman,
Brian Hellman, Lisa Hellman, LMR Trust, JLJ Trust, KJR Trust, LMR Long Term
Trust, JLJ Long Term Trust, and KJR Long Term Trust; and pursuant to the
Irrevocable Proxies, Mr. Hellman has the power to vote all stock owned by Fisi,
Roller, Jennings and Brian A. Hellman.

ITEM 7.  MATERIAL TO BE FILED AS EXHIBITS

                  1. The form of the Voting Trust Agreement, as amended, and the
form of the Irrevocable Proxy are hereby incorporate by reference from the
Amendment No. 2 to Schedule 13D filed via EDGAR on June 24, 1996.

                  2. The Irrevocable Power of Attorney authorizing Wayne R.
Hellman as attorney-in-fact to sign on behalf of James F. Sarver.

                        (SIGNATURES ON FOLLOWING PAGES.)


<PAGE>   22



SIGNATURES

                  After reasonable inquiry and to the best of my knowledge and
belief, I certify that the information set forth in this Schedule 13D statement
is true, complete and correct.

Date:  July 31, 1997                   /s/  Wayne R. Hellman
                                       WAYNE R. HELLMAN*

Date:  July 31, 1997                   /s/  David L. Jennings
                                       DAVID L. JENNINGS**

Date:  July 31, 1997                   /s/  Louis S. Fisi
                                       LOUIS S. FISI**

Date: August 1, 1997                   /s/  Robert S. Roller
                                       ROBERT S. ROLLER**

Date: August 5, 1997                   /s/  Juris Sulcs
                                       JURIS SULCS**

Date:  July 31, 1997                   /s/ Wayne R. Hellman
                                       Wayne R. Hellman for
                                       JAMES F. SARVER**, pursuant to
                                       Irrevocable Power of Attorney
                                       Dated June 16, 1997***

Date:  July 30, 1997                   /s/  Christine Hellman
                                       CHRISTINE  HELLMAN**

Date:  July 30, 1997                   /s/  Brian A. Hellman
                                       BRIAN A. HELLMAN**

Date:  July 31, 1997                   /s/  Lisa B. Hellman
                                       LISA B. HELLMAN**

                               (Signatures continued on following page.)

- -----------------

* Member of Voting Trust Group only as to certain shares of which Hellman is
voting trustee.
** Member of the Voting Trust Group.
*** See attached Exhibit 7.2.


<PAGE>   23


(Signatures continued)


         After reasonable inquiry and to the best of my knowledge and belief, I
certify that the information set forth in this Schedule 13D statement is true,
complete and correct.

Date: August 1, 1997                  /s/  Robert S. Roller
                             ROBERT S. ROLLER AS CO-TRUSTEE OF THE LISA MARIE 
                             ROLLER TRUST DATED AUGUST 24, 1995**

Date: August 1, 1997                 /s/  Robert S. Roller
                             ROBERT S. ROLLER AS CO-TRUSTEE OF THE JENNIFER LYNN
                             JARRETT TRUST DATED AUGUST 24, 1995**

Date: August 1, 1997                /s/  Robert S. Roller
                             ROBERT S. ROLLER  AS CO-TRUSTEE OF THE KIMBERLY JOY
                             ROLLER TRUST DATED AUGUST 24, 1995**

Date: August 1, 1997               /s/  Robert S. Roller
                             ROBERT S. ROLLER CO-TRUST FOR THE LISA MARIE ROLLER
                             LONG TERM TRUST DATED SEPTEMBER 24, 1995**

Date: August 1, 1997              /s/  Robert S. Roller
                             ROBERT S. ROLLER,  CO-TRUSTEE FOR THE JENNIFER LYNN
                             JARRETT LONG TERM TRUST DATED  SEPTEMBER 24, 1995**

Date: August 1, 1997             /s/  Robert S. Roller
                             ROBERT S. ROLLER, CO-TRUSTEE OF THE KIMBERLY JOY 
                             ROLLER  LONG TERM TRUST DATED SEPTEMBER 24, 1995**

- ---------------

* Member of Voting Trust Group only as to certain shares of which Hellman is
voting trustee.
** Member of the Voting Trust Group.

<PAGE>   1
                      ADVANCED LIGHTING TECHNOLOGIES, INC.
                                  Common Stock
                                ($.001 Par Value)

               SELLING SHAREHOLDER'S IRREVOCABLE POWER OF ATTORNEY

                  The undersigned (the "Selling Shareholder"), together with
Advanced Lighting Technologies, Inc. (the "Company") and certain other holders
of the Company's common stock, $.001 par value (the "Common Stock") (such holder
and the Selling Shareholder being together referred to as the "Selling
Shareholders"), propose to enter into an underwriting agreement (the
"Underwriting Agreement") with Morgan Stanley & Co. Incorporated, Prudential
Securities Incorporated and Raymond James & Associates, Inc. as the
representatives (the "US Representatives") of the US underwriters named in
SCHEDULE I to the Underwriting Agreement and Morgan Stanley & Co. International
Limited, Prudential-Bache Securities (U.K.) Inc. and Raymond James & Associates,
Inc., as the international representatives (the "International Representatives")
of the underwriters to be named in SCHEDULE II to the Underwriting Agreement
(collectively, the US and International Underwriters are the "Underwriters"),
substantially in the form to be filed as EXHIBIT 1.1 to the Company's
registration statement on Form S-1 (the "Registration Statement") covering
certain shares of Common Stock of the Company to be sold by the Company and the
Selling Shareholders (the "Offering"). The proposed form of the Underwriting
Agreement provides that the Selling Shareholders will sell certain shares of
Common Stock of the Company to the Underwriters pursuant to the Underwriting
Agreement. A copy of the draft Registration Statement and the form of
Underwriting Agreement were sent to the Selling Shareholder along with this
Power of Attorney, and the Selling Shareholder acknowledges that he has received
and reviewed them. All capitalized terms not otherwise defined in this document
shall have the meanings assigned to them in the Underwriting Agreement.

                  The Offering includes shares held by the Selling Shareholder
and shares to be issued by the Company. The undersigned proposes to sell up to
36,816 shares of Common Stock to the Underwriters for reoffering by the
Underwriters together with shares of Common Stock to be purchased by the
Underwriters from other Selling Shareholders and the Company.

Appointment of Attorney; Powers
- -------------------------------

                  The Selling Shareholder hereby irrevocably constitutes and
appoints Wayne R. Hellman, with full power of substitution, as the true and
lawful attorney-in-fact (the "Attorney") of the Selling Shareholder with full
power in the name of, for and on behalf of the Selling Shareholder with respect
to all matters arising in connection with the sale of Common Stock by the
Selling Shareholder to the Underwriters including, but not limited to, the power
and authority to take any and all of the following actions:

                  (1) To sell and deliver to the several Underwriters the number
of shares of Common Stock set forth in the Letter of Transmittal and Custody
Agreement (the "Custody 


<PAGE>   2


Agreement"), in the form accompanying this Power of Attorney, between the
Selling Shareholder and American Stock Transfer & Trust Co. as Custodian (the
"Custodian"), in accordance with the terms of the Underwriting Agreement (such
shares being referred to herein as the "Selling Shareholder's Shares," and the
Selling Shareholder's Shares together with the total number of shares of all
Selling Shareholders to be sold pursuant to the Underwriting Agreement, are
hereinafter referred to as the "Shares"), such Selling Shareholder's Shares to
be represented by the certificates enclosed herewith, together with stock powers
relating to them and deposited pursuant to the Custody Agreement at a price and
on such other terms as are determined by the Attorney and set forth in the
Underwriting Agreement.

                  (2) For the purpose of effecting such sale, to negotiate,
execute, deliver and perform the Underwriting Agreement with the Underwriters,
and in conjunction with the US and International Representatives to determine
the public offering price for the shares of Common Stock to be offered to the
public and the price to be paid by the Underwriters for the Shares and the other
terms of sale in accordance with the Underwriting Agreement and paragraph (1)
above, with full power to make such changes, additions, insertions and
amendments to the Underwriting Agreement as the Attorney in his sole discretion
may deem advisable;

                  (3) (a) To deliver the Custody Agreement and the certificates
and other documents included therewith to the Custodian;

                      (b) To endorse, transfer and deliver the certificates for 
the Selling Shareholder's Shares to the Underwriters, or to their nominee or
nominees, pursuant to the Underwriting Agreement, and to give such orders and
instructions to the Custodian as the Attorney may determine with respect to (i)
the transfer on the books of the Company of the Selling Shareholder's Shares to
be sold by the Selling Shareholder to the Underwriters in order to effect such
sale (including the names in which new certificates are to be issued and the
denominations thereof), (ii) the delivery to or for the account of the
Underwriters of the certificates for the Selling Shareholder's Shares against
receipt by the Custodian or its agent of the purchase price to be paid therefor,
(iii) the payment out of the proceeds (net of the underwriting discounts and
selling commissions) from the sale of the Selling Shareholder's Shares by the
Selling Shareholder to the Underwriters of any expense incurred in connection
with the sale to the public of such Shares to the public which is not payable by
the Company, (iv) the return to the Selling Shareholder of new certificates
representing the number of shares of Common Stock, if any, represented by
certificates deposited with the Custodian which are in excess of the number of
shares of Common Stock sold by the Selling Shareholder to the Underwriters, and
(v) delivery by the Custodian to the Selling Shareholder of the net proceeds
from the sale of the Selling Shareholder's Shares sold to the Underwriters; and

                      (c) To amend the Custody Agreement and the Underwriting 
Agreement and any related documents in such manner as the Attorney may determine
to be in the best interests of the Selling Shareholder;



                                      -2-
<PAGE>   3



                  (4) To approve on behalf of the Selling Shareholder any
amendments to the Registration Statement or the Prospectus, to take all
necessary action with respect to the Registration Statement under the Securities
Act of 1933 covering the offering and sale of the shares and all amendments
thereto, and, if applicable, to advise the Securities and Exchange Commission
(the "Commission") on behalf of the Selling Shareholder that such person is
aware (i) that the Commission's staff has made summary, cursory or no review of
the Registration Statement, as applicable; and (ii) that such review or lack
thereof may not be relied upon in any degree to indicate that the Registration
Statement is true, complete or accurate;

                  (5) To retain legal counsel to represent the Selling
Shareholder in connection with any and all matters referred to herein (which
counsel shall be Cowden, Humphrey & Sarlson Co., L.P.A., counsel for the
Company, so long as no conflict of interest exists between Cowden, Humphrey &
Sarlson's representation of the Selling Shareholder and Cowden, Humphrey &
Sarlson's representation of the Company);

                  (6) To make, execute, acknowledge and deliver all such other
contracts, stock powers, waivers, orders, receipts, notices, requests,
instructions, certificates, letters, consents and other writings, including,
without limitation, communications to the Commission and amendments to the
Underwriting Agreement and in general to do all things and to take all actions
which the Attorney in his sole discretion, may consider necessary or proper in
connection with or to carry out the aforesaid sale of Shares and the public
offering of Common Stock, as fully as could the Selling Shareholder if
personally present and acting;

                  (7) To make, acknowledge, verify and file on behalf of the
Selling Shareholder applications, consents to service of process and such other
assurances, communications, undertakings or reports as may be required by law or
necessary to facilitate the sale or resale of the Selling Shareholder's Shares
or to effect the registration or qualification of the Selling Shareholder's
Shares under state securities laws;

                  (8) If necessary, to endorse (in blank or otherwise) on behalf
of the Selling Shareholder the certificate or certificates representing the
Selling Shareholder's Shares, or a stock power and powers attached to such
certificate or certificates;

                  (9) To reduce to an amount less than that set forth pursuant
to the Custody Agreement the number of Shares to be sold by the Selling
Shareholder pursuant to the Underwriting Agreement, such reduction to be made as
the Attorney in his sole discretion shall deem necessary in view of market
conditions or for any other reason; and

                  (10) Otherwise to do all things and to execute and deliver all
documents which may be deemed necessary or advisable by the Attorney, and
generally to act for and in the name of the Selling Shareholder, with respect to
the sale of the Selling Shareholder's Shares to the Underwriters and the resale
of the Selling Shareholder's Shares by the Underwriters, as fully as could the
undersigned if then personally present and acting.



                                      -3-
<PAGE>   4





                  The Attorney is hereby empowered to determine in his sole
discretion the time or times at which, purpose for and manner in which any power
herein conferred upon him shall be exercised, and the conditions, provisions or
covenants of any instrument or document which may be executed by him pursuant
hereto.

                  The Selling Shareholder gives the Attorney full and absolute
power to enter into the Underwriting Agreement on behalf of the Selling
Shareholder. The Selling Shareholder has reviewed the form of Underwriting
Agreement delivered to and received by him and understands the obligations and
agreements of the Selling Shareholder set forth therein. All representations,
warranties and agreements of the Selling Shareholder in the Underwriting
Agreement are, and will be at the Closing Date and, if applicable, at the Option
Closing Date, true and correct and will, as provided in the Underwriting
Agreement, survive the termination of the Underwriting Agreement and the
delivery of and payment for that portion of the Shares being sold by the Selling
Shareholder.

Irrevocable Power of Attorney
- -----------------------------

                  This Power of Attorney and all authority conferred hereby are
granted and conferred subject to and in consideration of the interests of the
several Underwriters, the Company and the other Selling Shareholders who may
become parties to the Underwriting Agreement, and for the purposes of completing
the transactions contemplated by the Underwriting Agreement and this Power of
Attorney.

                  This Power of Attorney is an agency coupled with an interest
and all authority conferred hereby shall be irrevocable. The Selling Shareholder
specifically agrees that:

                  (1) The Shares represented by the certificates deposited in
custody for the Selling Shareholder under the Custody Agreement are subject to
the interests of the Underwriters under the Underwriting Agreement, and that the
arrangements made by the Selling Shareholder for such custody, and the
appointment by the Selling Shareholder of the Attorney by this Power of
Attorney, are to that extent irrevocable;

                  (2) The obligations of the Selling Shareholder under the
Underwriting Agreement shall not be terminated by any act of the Selling
Shareholder, or by operation of law, whether by death or incapacity of the
Selling Shareholder, or, in the case of an estate or trust, by the death or
incapacity of any executor or trustee or the termination of such estate or
trust, or in the case of a partnership or corporation, by the dissolution of
such partnership or corporation, or by the occurrence of any other event;

                  (3) If death, incapacity, termination, dissolution or other
event as referred to in paragraph (2) above should occur before the delivery of
Shares under the Underwriting Agreement, the certificates representing the
Selling Shareholder's Shares shall be delivered by or on behalf of the Selling
Shareholder in accordance with the terms and conditions of the Underwriting
Agreement and of the Custody Agreement, and actions taken by the Attorney
pursuant to this Power of Attorney shall be as valid as if such death,
incapacity, termination, dissolution or other event had not occurred, 



                                      -4-
<PAGE>   5



regardless of whether or not the Custodian, the Attorney, or either of them,
shall have received notice of such event.

                  Notwithstanding any of the foregoing provisions, if all of the
transactions contemplated by the Underwriting Agreement and this Power of
Attorney are not completed prior to September 30, 1997, then, from and after
such date, the Selling Shareholder shall have the power, upon written notice to
the Attorney, with a copy to the Custodian, to terminate this Power of Attorney
subject, however, to all lawful action done or performed pursuant hereto prior
to the receipt of actual notice.

                  The Selling Shareholder acknowledges that the Attorney is
Chief Executive Officer of the Company and agrees that the Attorney shall serve
as the Selling Shareholder's agent with respect to the matters covered herein.

                  It is understood that the Attorney shall serve entirely
without compensation. This Power of Attorney shall be governed by the laws of
the State of Ohio.

                  Witness the due execution of the foregoing Power of Attorney
as of this 16th day of June, 1997.

                                               Very truly yours,
Print Name and Address:

James F. Sarver                         /s/ JAMES F.  SARVER
10667 Cedar Road                        JAMES F. SARVER
Chesterland, OH   44026

Social Security or Tax ID No.:          Signature guaranteed by:
###-##-####
                                        Signature Guaranteed
                                        Medallion Guaranteed
                                        Keybank National Association
                                        /s/ BARBARA SIENKIEWICZ
                                        Authorized Signature X9004108
                                        Securities Transfer Agents Medallion
                                        Program 

                                        (Note: The signature(s) must be
                                        guaranteed by a bank or trust company or
                                        by a broker which is a member of the New
                                        York, American or Pacific Stock
                                        Exchange.)



                                      -5-
<PAGE>   6


STATE OF OHIO             )
                          )SS
COUNTY OF CUYAHOGA        )

         The foregoing instrument was acknowledged before me this June 16, 1997,
by JAMES F. SARVER, individually as his free act and deed.

                                           /s/ BARBARA SIENKIEWICZ
                                           Notary Public
                                           My Commission Expires:   June 5, 2001

*        To be signed in exactly the same manner as the certificates are 
registered.

Please call Mr. Isaac Freilich at American Stock Transfer & Trust Company at
(718) 921-8200 if you if you do not know the exact name which appears on your
certificate.

Fill in your telephone number                     Telephone:               
and telecopier number...........................            -------------------
                                                  Telecopier:              
                                                            -------------------


Fill in your Social Security Number(s)
or Federal Tax I.D. Numbers.....................     ###-##-####
                                                     -----------

                                      -6-


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