UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 5
ANNUAL 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 box if no longer subject to Section 16. Form 4 or Form
5 obligations may continue. See Instructions 1(b).
( ) Form 3 Holdings Reported
(X) Form 4 Transactions Reported
1. Name and Address of Reporting Person*
Torkelsen, John B.
c/o Princeton Venture Research, Inc.
5 Vaughn Drive
Princeton, NJ 08540
2. Issuer Name and Ticker or Trading Symbol
Princeton Video Image, Inc. (PVII)
3. I.R.S. Identification Number of Reporting Person, if an entity
(Voluntary)
4. Statement for Month/Year
Fiscal Year Ending June 30, 1998
5. If Amendment, Date of Original (Month/Year)
August, 1998
6. Relationship of Reporting Person(s) to Issuer (Check all
applicable) (X) Director ( ) 10% Owner ( ) Officer (give
title below) ( ) Other (specify below)
7. Individual or Joint/Group Reporting (Check Applicable Line)
(X) Form Filed by One Reporting Person
( ) Form Filed by More than One Reporting Person
<TABLE>
<CAPTION>
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Table I -- Non-Derivative Securities Acquired, Disposed of, or
Beneficially Owned
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1. Title of Security 2. Trans- 3. Trans- 4. Securities Acquired (A) 5. Amount of 6. Owner- 7. Nature of
(Instr. 3) action action or Disposed of (D) Securities ship Indirect
Date Code (Instr. 3, 4 and 5) Beneficially Form: Beneficial
(Instr. 8) Owned at Direct Owner-
------------------------ end of (D) or ship
(Month/ Issuer's Indirect(I)
Day/ Fiscal Year (Instr.4) (Instr. 4)
Year) (A) or (Instr.3 and 4)
Amount (D) Price
- ---------------------------------------------------------------------------------------------------------------
<S> <C> <C> <C> <C> <C> <C> <C> <C>
- ---------------------------------------------------------------------------------------------------------------
Common Stock 1/29/98 X 15,000 A $0.01 15,000 I By Limited
Partner-
ship(1)
- ---------------------------------------------------------------------------------------------------------------
Common Stock 5,992 I By Wife
(2)
- ---------------------------------------------------------------------------------------------------------------
Common Stock 29,658 I By Corp.
(3)
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===============================================================================================================
</TABLE>
(1) Acorn Technology Fund, L.P.
(2) The Reporting Person disclaims beneficial ownership of these securities,
and this report shall not be deemed an admission that the Reporting
Person is the beneficial owner of such securities for purposes of
Section 16 or for any other purpose.
(3) Princeton Venture Research, Inc.
Page 1 of 3
*If the form is filed by more than one reporting person, see
instruction 4(b)(v).
<PAGE>
FORM 5 (continued)
Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
<TABLE>
=================================================================================================================================
<CAPTION>
1.Title of 2.Conver- 3.Trans- 4.Trans- 5.Number of Deriv- 6.Date Exer- 7.Title and 8.Price 9.Number 10.Owner- 11.Nature
Derivative sion or action action ative Securities cisable and Amount of of of Deriv- ship of
Security Exercise Date Code Acquired (A) or Expiration Underlying Deriv- ative of Indirect
(Instr.3) Price of (Instr.8) Disposed of (D) Date Securities ative Secur- Deriv- Benefi-
Deri- (Month/ (Instr. 3,4, and 5) (Month/Day/ (Instr. Secur- ities ative cial
vative Day/ Year) 3 and 4) ity Bene- Security Owner-
Security Year) (Instr. ficially Direct ship
-------------------------- 5) Owned at (D) or (Instr.4)
End of Indirect
------------------ Date Expir- Title Amount Year (I)
Exer- ation or Number (Instr.4) (Instr.4)
cisable Date of Shares
(A) (D)
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
- ---------------------------------------------------------------------------------------------------------------------------------
Warrant $0.01 1/29 X 15,000 10/20 12/19 Common 15,000 0
1998 1997 2002 Stock
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Stock Option $17.50 5/28 D(1) 20,000 (1) 3/28 Common 20,000 0 D
(Right to 1998 2001 Stock
Buy)
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Stock Option $8.00 5/28 A(2) 20,000 (2) 3/28 Common 20,000 (2) D
(Right to 1998 2001 Stock
Buy)
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- ---------------------------------------------------------------------------------------------------------------------------------
Warrant $16.50 5/28 D(3) 6,000 4/29 4/29 Common 6,000 0 I By
1998 1994 1999 Stock Corp.*
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Warrant $8.00 5/28 A(4) 6,000 5/28 4/29 Common 6,000 6,000 I By
1998 1998 2004 Stock Corp.*
- ---------------------------------------------------------------------------------------------------------------------------------
- ---------------------------------------------------------------------------------------------------------------------------------
Warrant $13.75 5/28 D(5) 22,200 2/28 2/28 Common 22,200 0 I By
1998 1994 1999 Stock Corp.*
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Warrant $8.00 5/28 A(6) 22,200 5/28 2/28 Common 22,200 22,200 I By
1998 1998 2004 Stock Corp.*
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=================================================================================================================================
</TABLE>
Explanation of Responses: * Princeton Venture Research, Inc.
See Attached.
Page 2 of 3
/s/ John B. Torkelsen 5/4/99
- ------------------------------------- -------------------------
**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).
Note: File three copies of this Form, one of which must be manually signed.
If space provided is insufficient, see Instruction 6 for procedure.
<PAGE>
Attachment to Form 5
---------------------
1. Name and Address of Reporting Person:
Torkelsen, John B.
c/o Princeton Venture Research, Inc.
5 Vaughn Drive
Princeton, NJ 08540
2. Issuer Name and Ticker or Trading Symbol:
Princeton Video Image, Inc. (PVII)
4. Statement for Month/Year:
Fiscal Year Ending June 30, 1998
Explanation of Responses for Table II:
(1) Cancellation of option in connection with grant of replacement option.
The cancelled option vested as to one thirty-sixth (1/36) of the
shares subject to the option on April 1, 1996 and 1/36 per month
thereafter.
(2) The reported transaction involved the repricing of an existing option
which was originally granted on March 28, 1996 and provided for
vesting as indicated in note 1 above (14,445 of the shares subject to
the cancelled option had vested as of May 28, 1998 (the repricing
date)). 14,445 shares underlying the repriced option vested as of
May 28, 1998 and the remaining 5,555 shares vest at the rate of 1/10
per month for 10 months commencing on June 1, 1998.
(3) Cancellation of warrant in connection with grant of replacement warrant.
(4) The reported transaction involved the repricing and the extension
of the exercise period of an existing warrant.
(5) Cancellation of warrant in connection with grant of replacement warrant.
(6) The reported transaction involved the repricing and the extension of
the exercise period of an existing warrant.
Page 3 of 3
