MPW INDUSTRIAL SERVICES GROUP INC
4, 1998-03-06
TO DWELLINGS & OTHER BUILDINGS
Previous: ENERGY EAST CORP, S-4/A, 1998-03-06
Next: UNITED RENTALS INC, S-1MEF, 1998-03-06



<PAGE>   1
<TABLE> 
<CAPTION>
<S>                                                                                                     <C>
 FORM 4                                                                                                        OMB Approval
                                             U.S.  SECURITIES AND EXCHANGE COMMISSION                   ---------------------------
[ ] Check this box if no longer                     WASHINGTON, D.C. 20549                              OMB Number 3235-0287 
    subject to Section 16. Form                                                                         Expires: September 30, 1998
    4 or Form 5 obligations may            STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP                 Estimated average burden
    continue. See Instruction 1(b).                                                                     hours per response.... 0.5

         Filed pursuant to Section 16(a) of the Securities and 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
- ------------------------------------------------------------------------------------------------------------------------------------
1. Name and Address of Reporting Person|   2. Issuer Name and Ticker or Trading Symbol     |   6. Relationship of Reporting Persons
                                       |                                                   |      to Issuer (Check all applicable)
Nilsson-Weiskott    Gerald             |MPW Industrial Services Group, Inc.  "MPWG"        |     __X__ Director _____ 10% Owner
- -------------------------------------------------------------------------------------------|     _____ Officer (give title below)  
(Last)        (First)       (Middle)   |  3. IRS or Social       |  4. Statement for       |     _____ Other (specify below)
                                       |     Security Number     |     Month/Year          |      ________________________________
                                       |     of Reporting        |     February 1998       |----------------------------------------
       826 Werner Way                  |     Person (Voluntary)  |-------------------------|   7. Individual or Joint/Group Filing
- ---------------------------------------|                         |  5. If Amendment,       |         (Check Applicable Line)
             (Street)                  |                         |     Date of Original    |  _X_ Form filed by One Reporting Person
                                       |         N/A             |     (Month/Year)        |  ___ Form filed by more than one
Worthington       Ohio        43085    |                         |                   N/A   |      Reporting Person
- ------------------------------------------------------------------------------------------------------------------------------------
(City)          (State)          (Zip) |      Table I - Non Derivative Securities Acquired, Disposed of, or Beneficially Owned
- ------------------------------------------------------------------------------------------------------------------------------------
1. Title of Security                   | 2.Transaction | 3.Transaction | 4.Securities Acquired(A) | 5.Amount of | 6.Owner-| 7.Nature
   (Instr. 3)                          |   Date        |   Code        |   or Disposed of (D)     | Securities  | ship    | of 
                                       | (Month/Day/   |   (Instr. 8)  |   (Instr. 3, 4, and 5)   | Beneficially| Form:   | Indirect
                                       |   Year)       |               |                          | Owned at End| Direct  | Bene-
                                       |               | --------------|--------------------------| of Month    | (D) or  | ficial
                                       |               |       |       | Amount | (A)  |  Price   | (Instr. 3   | Indirect| Owner-
                                       |               |  Code | V     |        |  or  |          |   and 4)    | (I)     | ship
                                       |               |       |       |        | (D)  |          |             |(Instr.4)|(Instr.4)
- ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|---------
Common Stock                           |  2/19/98      |  P    |       | 1,500  |  A   | $8.75/sh.|    1,500    |    D    |   N/A
- ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|---------
                                       |               |       |       |        |      |          |             |         |
- ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|---------
                                       |               |       |       |        |      |          |             |         |
- ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|---------
                                       |               |       |       |        |      |          |             |         |
- ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|---------
                                       |               |       |       |        |      |          |             |         |
- ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|---------
                                       |               |       |       |        |      |          |             |         |
- ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|---------
                                       |               |       |       |        |      |          |             |         |
- ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|---------
                                       |               |       |       |        |      |          |             |         |
- ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|---------
                                       |               |       |       |        |      |          |             |         |
- ------------------------------------------------------------------------------------------------------------------------------------
Reminder: Report on a separate line for each class of securities beneficially owned, directly or indirectly.                  (over)
* If the form is filed by more than one reporting person, see Instruction 4(b)(v)                                    SEC 1474 (7.96)
</TABLE>

<PAGE>   2
<TABLE>
<CAPTION>
<S>                 <C>
FORM 4 (CONTINUED)       TABLE II - DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
                                  (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)

- ------------------------------------------------------------------------------------------------------------------------------------
1.Title of Derivative Security | 2.Conversion | 3.Transaction | 4.Transaction | 5.Number of  | 6.Date Exer-     | 7.Title and Amount
  (Instr. 3)                   | or Exercise  | Date          |   Code        | Derivative   | cisable and      | of Underlying 
                               | Price of     |               |  (Instr. 8)   | Securities   | Expiration Date  | Securities
                               | Derivative   |  (Month/Day/  |               | Acquired (A) | (Month/Day/Year) | (Instr. 3 and 4)
                               | Security     |    Year)      |               | or Disposed  |                  |
                               |              |               |               | of (D)       |--------------------------------------
                               |              |               |               | (Instr. 3,   | Date    | Expir- |        | Amount or
                               |              |               |               |  4, and 5)   | Exer-   | ation  |  Title | Number of
                               |              |               |---------------|--------------| cisable | Date   |        | Shares
                               |              |               | Code  |   V   | (A)  |  (D)  |         |        |        |
- ------------------------------------------------------------------------------------------------------------------------------------
None                           |     N/A      |     N/A       |  N/A  |  N/A  | N/A  |  N/A  |   N/A   |   N/A  |   N/A  |    N/A
- -------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|----------
                               |              |               |       |       |      |       |         |        |        |
- -------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|----------
                               |              |               |       |       |      |       |         |        |        |
- -------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|----------
                               |              |               |       |       |      |       |         |        |        |
- -------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|----------
                               |              |               |       |       |      |       |         |        |        |
- -------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|----------
                               |              |               |       |       |      |       |         |        |        |
- -------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|----------
                               |              |               |       |       |      |       |         |        |        |
- -------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|----------
                               |              |               |       |       |      |       |         |        |        |
- -------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|----------
                               |              |               |       |       |      |       |         |        |        |
- -------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|----------
                               |              |               |       |       |      |       |         |        |        |
- ------------------------------------------------------------------------------------------------------------------------------------
 8.Price of   | 9.Number of    |  10.Ownership     | 11.Nature of  |
   Derivative |   Derivative   |     Form of       |    Indirect   |
   Security   |   Securities   |     Derivative    |    Beneficial |
   (Instr. 5) |   Beneficially |     Security;     |    Ownership  |
              |   Owned at End |     Direct (D) or |    (Instr. 4) |
              |   of Month     |     Indirect (I)  |               |
              |   (Instr. 4)   |     (Instr. 4)    |               |
- -------------------------------------------------------------------|
     N/A      |     N/A        |       N/A         |     N/A       |
- --------------|----------------|-------------------|---------------|
              |                |                   |               |
- --------------|----------------|-------------------|---------------|
              |                |                   |               |
- --------------|----------------|-------------------|---------------|
              |                |                   |               |
- --------------|----------------|-------------------|---------------|
              |                |                   |               |
- --------------|----------------|-------------------|---------------|
              |                |                   |               |
- --------------|----------------|-------------------|---------------|
              |                |                   |               |
- --------------|----------------|-------------------|---------------|
              |                |                   |               |
- --------------|----------------|-------------------|---------------|
              |                |                   |               |
- --------------|----------------|-------------------|---------------|
              |                |                   |               |
- ------------------------------------------------------------------- 

Explanation of Responses:

                                By: /s/ Gerald Nilsson-Weiskott, by Daniel P. Buettin, power of attorney        03/05/98
                                    --------------------------------------------------------------------   -----------------
                                    *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.         

Potential persons who are to respond to the collection of information contained in this form
are not required to respond unless the form displays a currently valid OMB Number.
                                                                                                                         Page 2
</TABLE>

<PAGE>   3
                              CONFIRMING STATEMENT


         This Statement confirms that the undersigned, Gerald Nilsson-Weiskott,
has authorized and designated each of Monte R. Black, Ira O. Kane, Daniel P.
Buettin and Brad A. Martyn, signing singly, to execute and file on the
undersigned's behalf all Forms 3, 4, and 5 (including any amendments thereto)
that the undersigned may be required to file with the U.S. Securities and
Exchange Commission as a result of the undersigned's ownership of or
transactions in securities of MPW Industrial Services Group, Inc. The authority
of Monte R. Black, Ira O. Kane, Daniel P. Buettin and Brad A. Martyn under this
Statement shall continue until the undersigned is no longer required to file
Forms 3, 4, and 5 with regard to the undersigned's ownership of or transactions
in securities of MPW Industrial Services Group, Inc., unless earlier revoked in
writing. The undersigned acknowledges that Monte R. Black, Ira O. Kane, Daniel
P. Buettin and Brad A. Martyn are not assuming any of the undersigned's
responsibilities to comply with Section 16 of the Securities Exchange Act of
1934, as amended.


Dated:       2-11-98                            /s/ Gerald Nilsson-Weiskott
      --------------------                     ---------------------------------
                                                   Gerald Nilsson-Weiskott



© 2022 IncJournal is not affiliated with or endorsed by the U.S. Securities and Exchange Commission