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FORM 4
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OMB APPROVAL
[ ] Check this box if no longer subject -------------------------------
to Section 16. Form 4 or Form 5 OMB Number 3235-0287
obligations may continue. See Expires: September 30, 1998
Instruction 1(b). Estimated average burden
hours per response....... 0.5
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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*
Croweak John F.
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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
January, 2000
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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
[ ] Officer (give title below) [ ] Other (specify below)
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7. Individual or Joint/Group Filing (Check Applicable Line)
[ ] 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 2,000 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 reporting 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
Date Exer- Amount of Form of
cisable and Underlying Number of Deriv-
Number of Expiration Securities Price Derivative ative
Conver- Derivative Date (Month/ (Instr. 3 of Securities Security:
sion or Trans- Securities Day/Year) and 4) Deriv- Benefi- Direct
Exercise action Trans- Acquired (A) -------------- -------------- ative cially (D) or Nature of
Title of Price of Date action or Disposed Date Amount Secur- Owned at Indirect Indirect
Derivative Deriv- (Month/ Code of (D) Exer- Expir- or Num- ity End of (I) Beneficial
Security ative Day/ (Instr. (Instr. 3, cis- ation ber of (Instr. Month (Instr. Ownership
(Instr. 3) Security Year) 8) 4 and 5) 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>
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Stock Option
(right to buy) 3.44 1/18/00 A V 3,334 7/18/00 1/18/10 Common 3,334 3,334 D
Stock
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Stock Option
(right to buy) 3.44 1/18/00 A V 3,333 7/18/01 1/18/10 Common 3,333 3,333 D
Stock
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Stock Option
(right to buy) 3.44 1/18/00 A V 3,333 7/18/02 1/18/01 Common 3,333 3,333 D
Stock
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</TABLE>
Explanation of Responses:
/s/ John F. Croweak 2/2/00
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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.