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OMB APPROVAL
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OMB Number: 3235-0287
+--------+ Expires: September 30, 1998
| FORM 4 | Estimated average burden
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U.S. SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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
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1.Name and Address of Reporting Person
Goldman Robert N.
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(Last) (First) (Middle)
c/o eXcelon Corporation
25 Mall Road
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(Street)
Burlington MA 01803
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(City) (State) (Zip)
2.Issuer Name and Ticker or Trading Symbol eXcelon Corporation ("EXLN")
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3.IRS or Social Security Number of Reporting Person (Voluntary)
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4.Date of Event Requiring Statement (Month/Year) 12/00
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5.If Amendment, Date of Original (Month/Day/Year)
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6.Relationship of Reporting Person to Issuer (Check all applicable)
[X] Director [X] Officer [ ] 10% Owner [ ] Other
(give title below) (specify below)
Chairman & CEO
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7.Individul 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>
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TABLE I -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
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<S> <C> <C> <C> <C> <C> <C>
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1. Title of Security 2. Trans- 3. Transac- 4. Securities Acquired (A) 5. Amount of Se- 6. Owner- 7. Nature
(Instr. 3) action tion or Disposed of (D) curities Benefi- ship of In-
Date Code (Instr. 3, 4 and 5) cially Owned at Form: direct
(Instr. 8) End of Month Direct Benefi-
(Month/ (Instr. 3 and 4) (D) or cial
Day/ --------------------------------------- Indirect Owner-
Year) Code V Amount (A) or Price (I) ship
(D) (Instr. 4) (Instr.
4)
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. Page 1 of 2
* If the form is filed by more than one reporting person, see Instruction 4(b)(v). SEC 1474 (7-96)
</TABLE>
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<TABLE>
<CAPTION>
FORM 4 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
<S> <C> <C> <C> <C> <C> <C> <C>
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1. Title of Derivative 2. Conver- 3. Trans- 4. Trans- 5. Number of 6. Date Exer- 7. Title and Amount 8. Price
Security sion or action action Derivative cisable and of Underlying of
(Instr. 3) Exercise Date Code Securities Ac- Expiration Securities Deriv-
Price of (Month/ (Instr. 8) quired (A) or Date (Instr. 3 and 4) ative
Deriv- Day/ Disposed of (D) (Month/Day/ Secur-
ative Year) (Instr. 3, 4, Year) ity
Security and 5) (Instr. 5)
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Date Expira- Amount or
-------------------------- Exer- tion Title Number of
Code V (A) (D) cisable Date Shares
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Option Grant 4.438 12/01/00 A V 300,000 (1) 12/01/10 Common Stock 300,000
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<C> <C> <C>
9. Number of 10. Ownership 11. Nature of
Derivative Form of Indirect
Securities Derivative Beneficial
Beneficially Security: Ownership
Owned at End Direct (D) (Instr. 4)
of Month or Indirect (I)
(Instr. 4) (Instr. 4)
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1,450,000 D
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Explanation of Responses:
(1) The option vest 25% on the first anniversary from the grant date of December 1, 2000 and 6.25% quarterly thereafter.
/s/ Robert Goldman 01/05/01
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. ------------------------------- --------
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). **Signature of Reporting Person Date
BY: Robert Goldman
Chairman & CEO
Note: File three copies of this Form, one of which must be manually signed. Page 2 of 2
If space provided is insufficient, see Instruction 6 for procedure. SEC 1474 (7-96)
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