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U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 4
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
[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b).
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1. Name and Address of Reporting Person*
Michael John H.
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(Last) (First) (Middle)
1810 24th Street, N.W.
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(Street)
Washington D.C. 20008
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol:
Personal Diagnostics, Incorporated (PERS)
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3. IRS or Social Security Number of Reporting Person (Voluntary):
###-##-####
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4. Statement for Month/Year:
December, 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 [X] 10% Owner
[X] Officer (give title below) [X] Other (specify below)
Chairman of the Board and Chief Executive Officer
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7. Individual or Joint/Group
/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
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<TABLE>
<CAPTION>
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Title of Security Transaction Transaction Securities Acquired (A) Amount of Ownership Nature of
Date (Month/ Code or Disposed of (D) Securities Form: Direct Indirect
Day/Year) Beneficially (D) or Beneficial
Owned at End Indirect (I) Ownership
of Month
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Code V Amount (A) Price
or (D)
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<S> <C> <C> <C> <C> <C> <C> <C> <C>
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Common Stock 9/22/00 S 80,000 D $1.35 3,008,543 D
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Common Stock 12/6/00 P 25,000 A $1.40 3,033,543 D
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</TABLE>
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Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
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<TABLE>
<CAPTION>
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Title of Derivative Conversion Transac- Transac- Number of Date Exercisable Title and Amount of
Security or Exercise tion Date tion Code Derivative and Expiration Underlying Securities
Price of (Month/ Securities Date
Derivative Day/Year) Acquired
Security (A) or
Disposed
of (D)
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Code V (A) (D) Date Expira- Title Amount or
Exer- tion Date No. of
cisable Shares
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<S> <C> <C> <C> <C> <C> <C> <C> <C>
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Emp. Stock Option 1.375 1/6/00 A 300,000 1/6/00 1/5/10 Common 300,000
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</TABLE>
RESTUBBED TABLE
<TABLE>
<CAPTION>
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Title and amount Price of Number of Ownership Form Nature of
of Derivative Derivative Derivative of Derivative Indirect
Security Security Securities Security: Beneficial
Beneficially Owned Direct (D) or Ownership
at End of Month Indirect (I)
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<S> <C> <C> <C> <C>
300,000 D
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</TABLE>
Explanation of Responses:
** 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 procedures.
/s/ John H. Michael December 18, 2000
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**Signature of Reporting Person Date
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