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FORM 4
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U.S. SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
/ / Check box if no
longer subject to Filed pursuant to Section 16(a) of the Securities
Section 16. Form 4 Exchange Act of 1934, Section 17(a) of the
or Form 5 obligations Public Utility Holding Company Act of 1935
may continue. See or Section 30(f) of the Investment Company
Instruction 1(b). Act of 1940
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1. Name and Address of Reporting Person* 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person to
Koogler Donald E Republic Industries, Inc. RWIM Issuer (Check all applicable)
- --------------------------------------------- --------------------------------------------- Director 10% Owner
(Last) (First) (Middle) 3. IRS or Social Security 4. Statement for ---- ---
200 East Las Olas Blvd., Ste. 1400 Number of Reporting Month/Year X Officer (give Other (Specify
- --------------------------------------------- Person (Voluntary) 10/24/96 ---- title --- below)
(Street) ------------------ below)
Ft. Lauderdale FL 33301 5. If Amendment,
- --------------------------------------------- Date of Original Executive Vice President
(City) (State) (Zip) (Month/Year) -----------------------------
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 1 -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
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1. Title of Security 2. Trans- 3. Transac- 4. Securities Acquired (A) 5. Amount of Se- 6. Owner- 7. Nature
(Instr. 3) action tion or Disposed of (D) curities Benefi- ship of In-
Date Code (Instr. 3, 4 and 5) cially Owned at Form: direct
(Instr. 8) End of Month Direct Benefi-
(Month/ (Instr. 3 and 4) (D) or cial
Day/ --------------------------------------- Indirect Owner-
Year) Code V Amount (A) or Price (I) ship
(D) (Instr. 4) (Instr.
4)
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Common Stock 10/24/96 M 360,000 A 1.68**
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Common Stock 10/24/96 S 100,000 D 29.00
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Common Stock 10/24/96 S 100,000 D 29.125
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Common Stock 10/24/96 M 39,321 A 12.375
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Common Stock 10/24/96 M 68,000 A 1.9375 267,321 1 Wife*
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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. (Over)
(Print or Type Response) (8/96)
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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 Derivative 2. Conver- 3. Trans- 4. Trans- 5. Number of 6. Date Exer- 7. Title and Amount 8. Price
Security sion or action action Derivative cisable and of Underlying of
(Instr. 3) Exercise Date Code Securities Ac- Expiration Securities Deriv-
Price of (Month/ (Instr. 8) quired (A) or Date (Instr. 3 and 4) ative
Deriv- Day/ Disposed of (D) (Month/Day/ Secur-
ative Year) (Instr. 3, 4, Year) ity
Security and 5) (Instr. 5)
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Date Expira- Amount or
-------------------------- Exer- tion Title Number of
Code V (A) (D) cisable Date Shares
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Common Stock Executive 1.68** 10/24/96 M 360,000 Immed. 5/31/2000 Common Stock 360,000 1.68**
Warrant (Right to Buy)
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Common Stock Option 1.9375 10/24/96 M 68,000 5/31/96 5/31/2000 Common Stock 68,000 1.9375
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Common Stock Option 12.375 10/24/96 M 39,321 (1) 8/03/04 Common Stock 39,321 12.375
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Common Stock Option 16.125 04/26/96 A 118,326 (2) 04/26/06 Common Stock 118,326 16.125
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1. Title of Derivative 9. Number of 10. Ownership 11. Nature of
Security Derivative Form of Indirect
(Instr. 3) Securities Derivative Beneficial
Beneficially Security: Ownership
Owned at End Direct (D) (Instr. 4)
of Month or Indirect (I)
(Instr. 4) (Instr. 4)
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Common Stock Executive -0-
Warrant (Right to Buy)
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Common Stock Option -0-
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Common Stock Option 117,963 D
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Common Stock Option 118,326 D
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Explanation of Responses:
* The Shares are owned by the wife of the Reporting Person. The Reporting Person
disclaims beneficial ownership of all shares of common stock held by his wife and this /s/ Donald E. Koogler 11/8/96
report shall not be deemed an admission that I am the beneficial owner of such ------------------------------ -------
securities for purposes of Section 16 or for any other purpose. **Signature of Reporting Person Date
(1) The options have been granted pursuant to the 1991 Stock Option Plan and are Donald E. Koogler
exercisable to the extent of 25% on each anniversary of the grant date,
commencing 08/03/96, until fully vested.
(2) The options have been granted pursuant to the Amended and Restated 1995 Employee
Stock Option Plan and are exercisable to the extent of 25% on each anniversary
of the grant date, commencing 04/26/1997, until fully vested.
** Reflects adjustment of the exercise price in connection with the spinoff of Republic
Environmental Systems, Inc. in April 1995.
**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. Page 2
If space is insufficient, see Instruction 6 for procedure. (8/96)
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.
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