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FORM 3
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U.S. SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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
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<S> <C> <C> <C>
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1. Name and Address of Reporting Person* 2. Date of Event Requiring 4. Issuer Name and Ticker or 6. If Amendment, Date
Berrard, Steven R. Statement Trading Symbol of Original
- ---------------------------------------- (Month/Day/Year) Republic Industries, Inc. (Month/Day/Year)
(Last) (First) (Middle) 10/22/96 RWIN
100 Southeast 3rd Avenue, Ste. 1700 ---------------------------- ---------------------------------- -----------------------
- ---------------------------------------- 3. IRS or Social Security 5. Relationship of Reporting 7. Individual or Joint/
(Street) Number of Reporting Person(s) to Issuer Group Filing (Check
Ft. Lauderdale FL 33394 Person (Voluntary) (Check all applicable) applicable line)
- -------------------------------------- X Director 10% Owner X Form filed by
(City) (State) (Zip) ---------------------------- ----- ----- ----- One Reporting
X Officer Other Person
----- (give ----- (specify Form filed by
title below) below) ----- More than One
Co-Chief Executive Officer Reporting Person
and President
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USA TABLE 1 -- NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED
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1. Title of Security 2. Amount of Securities 3. Ownership Form: 4. Nature of Indirect
(Instr. 4) Beneficially Owned Direct (D) or Beneficial
(Instr. 4) Indirect (I) Ownership (Instr. 5)
(Instr. 5)
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Common Stock -0-
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*If the Form is filed by more than one Reporting Person, see Instruction 5(b)(v).
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over)
(Print or Type Responses)
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FORM 3 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
<S> <C> <C> <C> <C> <C>
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1. Title of Derivative Security 2. Date 3. Title and Amount of 4. Conver- 5. Owner- 6. Nature of Indirect
(Instr. 4) Exercisable and Securities Underlying sion or ship Beneficial Ownership
Expiration Date Derivative Security Exercise Form of (Instr. 5)
(Month/Day/ (Instr. 4) Price of Deriv-
Year) Deri- ative
vative Security:
Security
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Date Expira- Amount or (D) or
Exercis- tion Title Number Indirect (I)
able Date of Shares (Instr. 5)
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Common Stock Warrants
(Right to Buy) Immed. 08/31/97 Common Stock 200,000 2.25 D
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Common Stock Warrants
(Right to Buy) Immed. 08/31/98 Common Stock 100,000 2.75 D
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Common Stock Warrants
(Right to Buy) Immed. 08/31/99 Common Stock 100,000 3.50 D
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Common Stock Options
(Right to Buy) (1) 05/8/06 Common Stock 428,572 17.50 D
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Common Stock Options
(Right to Buy) (2) 10/22/06 Common Stock 500,000 28.25 D
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Explanation of Responses:
/s/ Steven R. Berrard November 1, 1996
**Intentional misstatements or omissions of facts constitute Federal Criminal ------------------------------- -------------------
Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). **Signature of Reporting Person Date
Steven R. Berrard
Note. File three copies of this Form, one of which must be manually signed. Page 2
If space provided is insufficient, See Instruction 6 for procedure.
(Print or Type Responses)
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(1) The options have been granted pursuant to the Amended and Restated 1995
Employee Stock Option Plan and have a term of ten years, expiring on
5/8/2006. The options are exercisable to the extent of 25% on each
anniversary thereafter, commencing 5/8/1997, until fully vested.
(2) The options have been granted pursuant to the Amended and Restated 1995
Employee Stock Option Plan and have a term of ten years, expiring on
10/22/2006. The options are exercisable to the extent of 25% on each
anniversary thereafter, commencing 10/22/1997, until fully vested.
