FORM 4
U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934,
Section 17(a) of the Public Utility Holding Company Act of 1935 or
Section 30(f) of the Investment Company Act of 1940
/ / Check this box if no longer subject to Section 16. Form 4 or Form 5
obligations may continue. SEE Instruction 1(b).
1. Name and Address of Reporting Person:
Segal Gordon
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(Last) (First) (Middle)
340 W. 57th Street, Apt. 9J
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(Street)
New York NY 10019
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(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol:
Global Med Technologies, Inc. (GLOB)
3. IRS or Social Security Number of Reporting Person (Voluntary):
4. Statement for Month/Year:
August, 1997
5. If Amendment, Date of Original (Month/Year):
6. Relationship of Reporting Person to Issuer (Check all applicable):
Director / X /
Officer (give title below) / /
10% Owner / /
Other (specify below) / /
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TABLE I - NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF,
OR BENEFICIALLY OWNED
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1. Title of Security (Instr. 3):
Common Stock, $.01 par value
2. Transaction Date (Month/Day/Year):
3. Transaction Code (Instr. 8):
Code V
---- ---
4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5):
Amount (A) or (D) Price
------ ---------- -----
5. Amount of Securities Beneficially Owned at End of Month (Instr. 3 and
4):
250,000
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4):
D
7. Nature of Indirect Beneficial Ownership (Instr. 4):
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<PAGE>
FORM 4 (continued)
TABLE II - DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF,
OR BENEFICIALLY OWNED
(e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative Security (Instr. 3):
a. Stock Options to Buy
b. Warrants
2. Conversion of Exercise Price of Derivative Security:
a. $1.81
b. $3.75
3. Transaction Date (Month/Day/Year):
a. 8/25/97
b. --
4. Transaction Code (Instr. 8):
Code V
---- ---
a. A
b. --
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5):
(A) (D)
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a. 20,000
b. --
6. Date Exercisable and Expiration Date (Month/Day/Year):
Date Expiration
Exercisable Date
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a. 8/25/98(1) 8/25/2007
b. -- --
7. Title and Amount of Underlying Securities (Instr. 3 and 4):
Amount or Number
Title of Shares
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a. Common Stock 20,000
b. -- --
8. Price of Derivative Security (Instr. 5):
a. --
b. --
9. Number of Derivative Securities Beneficially Owned at End of Year
(Instr. 4):
a. 30,000
b. 6,250
10. Ownership of Derivative Security: Direct (D) or Indirect (I) (Instr.
4):
a. D
b. D
11. Nature of Indirect Beneficial Ownership (Instr. 4):
a.
b.
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Explanation of Responses:
(1) The options are exercisable 20% per year (4,000 shares) beginning
8/25/98.
/s/ GORDON SEGAL September 9, 1997
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**Signature of Reporting Person Date
** Intentional misstatements or omissions of facts constitute Federal
Criminal Violations. SEE 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Page 2
SEC 1474 (8-92)
