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U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 4
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).
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1. Name and Address of Reporting Person
Ostrin Holden L.
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(Last) (First) (Middle)
c/o Optimal Robotics Corp.
4700 de la Savane
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(Street)
Montreal, Quebec Canada H4P 1T7
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
Optimal Robotics Corp. OPMR
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3. IRS or Social Security Number of Reporting Person (Voluntary)
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4. Statement for Month/Year
September 1999
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5. If Amendment, Date of Original (Month/Year)
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6. Relationship of Reporting Person to Issuer
(Check all applicable)
[X] Director [_] 10% Owner
[X] Officer (give title below) [_] Other (specify below)
Chairman, Chief Executive Officer
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Table I -- Non-Derivative Securities Acquired, Disposed of,
or Beneficially Owned
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<TABLE>
<CAPTION>
6.
4. 5. Owner-
Securities Acquired (A) or Amount of ship
3. Disposed of (D) Securities Form: 7.
Transaction (Instr. 3, 4 and 5) Beneficially Direct Nature of
2. Code ------------------------------- Owned at End (D) or Indirect
1. Transaction (Instr. 8) (A) of Month Indirect Beneficial
Title of Security Date ------------ Amount or Price (Instr. 3 (I) Ownership
(Instr. 3) (mm/dd/yy) Code V (D) and 4) (Instr.4) (Instr. 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C>
Class A Shares 9/21/99 M 94,000 A Cdn $3.00
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Class A Shares 9/20/99 S 10,000 D US $17.56
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Class A Shares 9/21/99 S 9,000 D US $16.42
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Class A Shares 9/22/99 S 15,000 D US $16.58
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Class A Shares 9/23/99 S 7,000 D US $17.52
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Class A Shares 9/24/99 S 2,000 D US $16.50
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Class A Shares 9/27/99 S 30,000 D US $17.29
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Class A Shares 9/30/99 S 5,000 D US $17.13
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Class A Shares 10/5/99 S 9,000 D US $17.63
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Class A Shares 10/6/99 S 7,000 D US $18.25
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</TABLE>
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly. (Put or Type Responses)
SEC 1474 (8-92)
<PAGE>
Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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<TABLE>
<CAPTION>
10.
9. Owner-
Number ship
of Form
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- 4. Securities Date Securities Price Bene- ity: In-
cise 3. Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of ficially Direct direct
Price Trans- action or Disposed Expiration Date ---------------- Deriv- Owned (D) or Bene-
1. of action Code of(D) (Month/Day/Year) Amount ative at End In- ficial
Title of Deriv- Date (Instr. (Instr. 3, ---------------- or Secur- of direct Owner-
Derivative ative (Month/ 8) 4 and 5) Date Expira- Number ity Month (I) ship
Security Secur- Day/ ------ ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr.
(Instr. 3) ity Year) Code V (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> <C>
Employee Stock Cdn. $3.00 9/21/99 M 94,000 5/5/97 5/5/02 Class "A" 94,000
Options Shares
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Employee Stock Cdn. $16.13 9/21/99 A V 94,000 9/21/99 5/5/02 Class "A" 94,000 -0- (1) D
Options Shares
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</TABLE>
Explanation of Responses:
(1) Does not include options to purchase and aggregate of 782,000 Class "A"
shares granted to the reporting person under the Company's 1997 stock
option plan.
/s/ Holden L. Ostrin 10/12/99
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**Signature of Reporting Person Date
Holden L. Ostrin
** 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.
