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FORM 4
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[ ] Check this box if no longer subject _________________________________
to Section 16. Form 4 or Form 5 | OMB Number: 3235-0287 |
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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
(Print or Type Responses)
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1. Name and Address of Reporting Person*
Yimoyines Dean J.
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(Last) (First) (Middle)
c/o OptiCare Health Systems, Inc.
87 Grandview Ave.
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(Street)
Waterbury, CT 06708
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
OptiCare Health Systems, Inc. (OPT)
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3. IRS or Social Security Number of Reporting Person (Voluntary)
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4. Statement for Month/Year
October, 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, President and CEO
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7. Individual 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>
<CAPTION>
TABLE I -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
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5. Amount of 6. Owner-
Securities ship
2. Trans- 3. Trans- 4. Securities Acquired (A) Beneficially Form:
action action or Disposed of (D) Owned at Direct 7. Nature of
Date Code (Instr. 3, 4 and 5) End of (D) or Indirect
1. Title of Security (Month/ (Instr. 8) -------------------------- Month Indirect Beneficial
(Instr. 3) Day/ ---------- Amount (A) or Price (Instr. (I) Ownership
Year) Code V (D) 3 and 4) (Instr. 4) (Instr. 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C>
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Common Stock 10/12/99 P 2,000 A $4.625 249,825 I By Spouse
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Common Stock 100 D
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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 person, see Instruction 4(b)(v). SEC 1474 (7/96)
</TABLE>
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FORM 4 (continued)
<TABLE>
<CAPTION>
TABLE II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g. puts, calls, warrants, options, convertible securities)
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1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11.
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Title and Ownership
Number of Date Exer- Amount of Form of
Derivative cisable and Underlying Number of Deriv-
Securities Expiration Securities Price Derivative ative
Conver- Trans- Acquired (A) Date (Month/ (Instr. 3 of Securities Security:
sion or Trans- action or Disposed Day/Year) and 4) Deriv- Benefi- Direct
Exercise action Code of (D) -------------- -------------- ative cially (D) or Nature of
Title of Price of Date (Instr. (Instr. 3, Date Amount Secur- Owned at Indirect Indirect
Derivative Deriv- (Month/ 8) 4 and 5) Exer- Expir- or Num- ity End of (I) Beneficial
Security ative Day/ -------- ---------- cis- ation ber of (Instr. Month (Instr. Ownership
(Instr. 3) Security Year) able Date Title Shares 5) (Instr. 4) 4) (Instr. 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
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Stock $2.56 0 0 Immed. 1/08 Common 71,612 71,612 D
Options Stock
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Stock $2.56 0 0 1/00 1/08 Common 71,612 71,612 D
Options Stock
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Stock $2.56 0 0 1/01 1/08 Common 71,613 71,613 D
Options Stock
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Stock $2.56 0 0 1/02 1/08 Common 71,613 71,613 D
Options Stock
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Stock $5.85 0 0 8/00 8/09 Common 81,250 81,250 D
Options Stock
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Stock $5.85 0 0 8/01 8/09 Common 81,250 81,250 D
Options Stock
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Stock $5.85 0 0 8/02 8/09 Common 81,250 81,250 D
Options Stock
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Stock $5.85 0 0 8/03 8/09 Common 81,250 81,250 D
Options Stock
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</TABLE>
Explanation of Responses:
/s/ Dean Yimoyines 10/12/99
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** 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.
Page 2
SEC 1474 (7/96)