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| FORM 5 | UNITED STATES | OMB APPROVAL |
+--------+ SECURITIES AND ----------------------
EXCHANGE COMMISSION | OMB Number: |
[_] Check this box if WASHINGTON, D.C. 20549 | 3235-0362 |
no longer subject | Expires: |
to Section 16. ANNUAL STATEMENT OF | September 30, 1998 |
Form 4 or Form 5 CHANGES IN BENEFICIAL OWNERSHIP | Estimated |
obligations may | average burden |
continue. See Filed pursuant to Section 16(a) of | hours per |
Instruction 1(b) the Securities Exchange Act of 1934,| response.....1.0 |
Section 17(a) of the Public Utility +--------------------+
[_] Form 3 Holdings Holding Company Act of 1935 or
Reported Section 30(f) of the Investment
Company Act of 1940
[_] Form 4 Transactions
Reported
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1. Name and Address of Reporting Person*
Cilluffo, Frank J. A.
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(Last) (First) (Middle)
181 Pleasant Street
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(Street)
Portsmouth NH 03801
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(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol GRC International, Inc. ("GRH")
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3. IRS or Social Security Number of Reporting Person (Voluntary)
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4. Statement for Month/Year 6/97
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5. If Amendment, Date of Original (Month/Year)
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6. Relationship of Reporting Person(s) to Issuer (Check all applicable)
[X] Director [ ] Officer [X] 10% Owner [ ] Other
(give title below) (specify below)
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7. Individual or Joint/Group Filing (Check applicable Line)
X Form filed by One Reporting Person
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Form filed by More than One Reporting Person
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TABLE I--NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
<TABLE>
<CAPTION>
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1. Title of Security 2. Trans- 3. Trans- 4. Securities Acquired (A) 5. Amount of 6. Owner- 7. Nature
(Instr. 3) action action or Disposed of (D) Securities ship of In-
Date Code (Instr. 3, 4 and 5) Beneficially Form: direct
(Month/ (Instr. 8) Owned at Direct Bene-
Day/ End of (D) or ficial
Year) Issuer's Indirect Owner-
(A) or Fiscal Year (I) ship
Amount (D) Price (Instr. 3 and 4) (Instr. 4) (Instr. 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C>
Common Stock, $.10 par value 1,708,000 (I) (1)
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Common Stock, $.10 par value 12/31/96 A 179 (A) (2) (D)
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Common Stock, $.10 par value 4/3/97 A 1,009 (A) (2) (D)
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Common Stock, $.10 par value 7/1/97 A 674 (A) (2) 1,862 (D)
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Reminder: Report on a separate line for each class of
securities beneficially owned directly or indirectly.
*If the form is filed by more than one reporting person, (Over)
see instruction 4(b)(v). (Print or Type Responses) SEC 2270 (7-96)
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FORM 5 (continued)
TABLE II--DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(e.g., puts, calls, warrants, options, convertible securities)
<TABLE>
<CAPTION>
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1. Title of Derivative 2. Conver- 3. Trans- 4. Transac- 5. Number of Deriv-
Security (Instr. 3) sion or action tion Code ative Securities
Exercise Date (Instr. 8) Acquired (A) or
Price of (Month/ Disposed of (D)
Deriv- Day/ (Instr. 3, 4, and 5)
ative Year)
Security
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(A) (D)
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<S> <C> <C> <C> <C> <C>
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</TABLE>
<TABLE>
<CAPTION>
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1. Title of Derivative 6. Date Exer- 7. Title and Amount of 8. Price 9. Number 10. Owner- 11. Na-
Security (Instr. 3) cisable and Underlying Securities of of Deriv- ship ture
Expiration (Instr. 3 and 4) Deriv- ative of De- of In-
Date ative Secur- rivative direct
(Month/Day/ Secur- ities Secu- Bene-
Year) ity Bene- rity: ficial
(Instr. ficially Direct Owner-
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Date Expira- Amount or at End Indi- (Instr.
Exer- tion Title Number of of Year rect (I) 4)
cisable Date Shares (Instr. 4) (Instr. 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C>
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</TABLE>
Explanation of Responses:
(1) Shares owned by Cilluffo Associates, L.P., of which Mr. Cilluffo is a
managing general partner. The Reporting Person disclaims beneficial ownership of
these securities except to the extent of his pecuniary interest therein.
(2) Shares of Common Stock (in lieu of cash compensation) were issued to Mr.
Cilluffo, as a Director, pursuant to the Directors Fee Replacement Option.
**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.
/s/ Frank J. A. Cilluffo August 13, 1997
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**Signature of Reporting Person Date
Page 2
SEC 2270 (7-96)
