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FORM 4
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/X/ Check this box if no longer
subject to Section 16.
Form 4 or Form 5 obligations may
continue. SEE Instruction 1(b).
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
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<S><C>
1. Name and Address of Reporting Person* 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person
CHOICETEL COMMUNICATIONS, INC. (PHON) to Issuer (Check all applicable)
KOHLER, GARY S. x Director X 10% Owner
----- -----
Officer (give Other(specify
----- title below)* ----- below)
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(Last) (First) (Middle) 3. IRS or Social Security 4.Statement for
C/O CHOICETEL Number of Reporting Month/Year
COMMUNICATIONS, INC. Person (Voluntary)
9724 10th AVENUE NORTH -------------------------------------
DECEMBER 1997
7. Individual or Joint/Group Filing
(Check applicable line)
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(Street) 5. If Amendment, X Form filed by One Reporting Person
PLYMOUTH, MINNESOTA 55441 Date of -----
Original Form filed by More than One Reporting
(Month/Year) ----- Person*
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(City) (State) (Zip) 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 5. Amount of 6. Owner- 7. Nature
(Instr. 3) action action Acquired (A) Securities ship of In-
Date Code or Disposed Beneficially Form: direct
Instr.8) of (D) Owned at Direct Bene-
(Month/ (Instr. 3, 4 End of (D) or ficial
Day/ and 5) Month Indirect Owner-
Year) -------------------------------- (Instr. 3 (I) ship
and 4) (Instr. 4) (Instr. 4)
Code V Amount (A) Price
or
(D)
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COMMON STOCK 12/30/97 G 19,000 D $4.875 973,784 D
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COMMON STOCK 40,000 I FOR SELF AS
CUSTODIAN FOR
CHILDREN.
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* 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.
(Print or Type Responses)
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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 2. Conver- 3. Trans- 4. Transac- 5. Number of 6. Date Exercisable 7. Title and Amount 8. Price of
Derivative sion or action Code Derivative and Expiration of Underlying Derivative
Security Exercise Date (Instr.8) Securities Date Securities Security-
(Instr.3) Price of (Month/ Acquired (A) (Month/Day/Year) (Instr. 3 and 4) (Instr. 5)
Deriv- Day/ or Disposed
ative Year) of (D) (Instr.
Security 3, 4, and 5)
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Date Expira- Title Amount or
--------------------------- Exercisable tion Date Number of
Code V (A) (D) Shares
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9. Number of 10. Ownership 11. Nature of
Derivative Form of Indirect
Securities Derivative Beneficial
Beneficially Security: Ownership
Owned at End Direct (D) or (Instr. 4.)
of Month Indirect (I)
(Instr. 4) (Instr. 4)
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EXPLANATION OF RESPONSES:
** Intentional misstatements or /s/ Gary S. Kohler January 6, 1998
omissions of fact constitute ------------------ ---------------
Federal Criminal Violations. Gary S. Kohler Date
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 sufficient, SEE
Instruction 6 for procedure.
