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:
Dudziak Joseph F.
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(Last) (First) (Middle)
12600 W. Colfax Ave., Suite A-500
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(Street)
Lakewood CO 80215
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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 / /
Officer (give title below) / X /
10% Owner / /
Other (specify below) / /
President and Chief Operating Officer
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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 per share
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
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5. Amount of Securities Beneficially Owned at End of Month (Instr. 3 and
4):
14,367
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. 125,000 --
b. -- --
6. Date Exercisable and Expiration Date (Month/Day/Year):
Date Expiration
Exercisable Date
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a. 8/25/97(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 125,000
b. -- --
8. Price of Derivative Security (Instr. 5):
a.
b.
9. Number of Derivative Securities Beneficially Owned at End of Year
(Instr. 4):
a. 120,000
b. 12,500
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 25,000 options previously granted on 9/30/97 at $2.50 per share
exercisable at 20% per year beginning 9/30/98 and the 100,000 options
previously granted on 6/28/95 at $2.45 per share exercisable at 20% per
year commencing 6/28/96 have been modified effective 8/25/97 in the
following respects: (a) such options are immediately fully vested, (b) such
options are exercisable at an exercise price of $1.81 per share, and, as a
result of such modifications, of the total 125,000 options, 55,248 shall
constitute incentive stock options and the remaining 69,752 options shall
constitute non-qualified stock options.
/s/ JOSEPH F. DUDZIAK 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)
