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OMB APPROVAL
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Omb Number: 3235-0362
Expires: December 31, 2001
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U.S. 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 Instruction 1(b).
[_] Form 3 Holdings Reported
[X] Form 4 Transactions Reported
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1. Name and Address of Reporting Person*
Newman Steven A.
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(Last) (First) (Middle)
12701 Fair Lakes Circle, Suite 550
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(Street)
Fairfax Virginia 22032
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
Xybernaut Corporation (XYBR)
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3. IRS Identification Number of Reporting Person, if an Entity (Voluntary)
________________________________________________________________________________
4. Statement for Month/Year
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5. If Amendment, Date of Original (Month/Year)
December 31, 1999
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6. Relationship of Reporting Person to Issuer
(Check all applicable)
[X] Director [_] 10% Owner
[_] Officer (give title below) [_] Other (specify below)
________________________________________________________________________________
7. Individual or Joint/Group Filing
(Check applicable line)
[X] Form filed by one Reporting Person
[_] Form filed by more than one Reporting Person
________________________________________________________________________________
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Table I -- Non-Derivative Securities Acquired, Disposed of,
or Beneficially Owned
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<TABLE>
<CAPTION>
5. 6.
4. Amount of Owner-
Securities Acquired (A) or Securities ship
Disposed of (D) Beneficially Form: 7.
(Instr. 3, 4 and 5) Owned at End Direct Nature of
2. 3. ----------------------------- of Issuer's (D) or Indirect
1. Transaction Transaction (A) Fiscal Year Indirect Beneficial
Title of Security Date Code Amount or Price (Instr. 3 (I) Ownership
(Instr. 3) (mm/dd/yy) (Instr. 8) (D) and 4) (Instr.4) (Instr. 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C>
Common Stock, par value $.01 per share 9/10/99 G4 116,500 D 1,594,181 D
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</TABLE>
* If the form is filed by more than one Reporting Person, see Instruction
4(b)(v).
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
(Over)
(Form 5-07/99)
<PAGE>
FORM 5 (continued)
Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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<TABLE>
<CAPTION>
9. 10.
Number Owner-
of ship
2. Deriv- of
Conver- 5. 7. ative Deriv- 11.
sion Number of Title and Amount Secur- ative Nature
or Derivative 6. of Underlying 8. ities Secur- of
Exer- Securities Date Securities Price Bene- ity: In-
cise 3. Acquired (A) Exercisable and (Instr. 3 and 4) of ficially Direct direct
Price Trans- 4. or Disposed Expiration Date ---------------- Deriv- Owned (D) or Bene-
1. of action Trans- of (D) (Month/Day/Year) Amount ative at End In- ficial
Title of Deriv- Date action (Instr. 3, ---------------- or Secur- of direct Owner-
Derivative ative (Month/ Code 4 and 5) Date Expira- Number ity Year (I) ship
Security Secur- Day/ (Instr. ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr.
(Instr. 3) ity Year) 8) (A) (D) cisable Date Title Shares 5) 4) 4) 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
Options to Purchase
Common Stock,
$.01 par value Common
per share $3.0000 4/10/96 A 50,000 Immed 4/10/06 Stock 50,000 50,000 D
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Options to Purchase
Common Stock,
$.01 par value Common
per share $2.6125 1/2/97 A 50,000 Immed 1/2/07 Stock 50,000 50,000 D
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Options to Purchase
Common Stock,
$.01 par value Common
per share $2.8125 8/28/97 A 10,000 Immed 8/28/07 Stock 10,000 10,000 D
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Options to Purchase
Common Stock,
$.01 par value Common
per share $4.3125 8/28/98 A 10,000 Immed 8/28/08 Stock 10,000 10,000 D
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Options to Purchase
Common Stock,
$.01 par value Common
per share $1.5625 8/27/99 A 10,000 Immed 8/27/09 Stock 10,000 10,000 D
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Options to Purchase
Common Stock,
$.01 par value Common
per share $1.7800 9/24/99 A 31,750 (1) 9/24/09 Stock 31,750 31,750 D
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Options to Purchase
Common Stock,
$.01 par value Common
per share $1.3750 10/1/99 A 300,000 Immed 10/1/09 Stock 300,000 300,000 D
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Options to Purchase
Common Stock,
$.01 par value Common
per share $4.0938 12/3/99 A 100,000 Immed 12/3/09 Stock 100,000 100,000 D
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</TABLE>
Explanation of Responses:
(1) Exercisable in three equal annual installments, beginning September 24,
1999.
/s/ Steven A. Newman 6/12/00
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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).
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 2
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