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F O R M 4
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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
[X] 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
Gray Lee Edmund
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(Last) (First) (Middle)
1 Grove Isle Apt. 1203
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(Street)
Coconut Grove, FL 33133
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(City) (State) (Zip)
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2. Issuer Name and Ticker of Trading Symbol
LCS INDUSTRIES, INC. (LCSI)
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3. IRS or Social Security Number of Reporting Person (Voluntary)
074 22 1084
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4. Statement for Month/Year
January 1996
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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)
**Ceased 1/23/96
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<TABLE>
<CAPTION>
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TABLE I -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENFICIALLY OWNED
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1. Title of Security (Instr. 3) 2. Transaction Date 3. Transaction Code 4. Securities Acquired (A)
(Month/Day/Year) (Instr. 8) or Disposed of (D)
(Instr. 3, 4 and 5)
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(A) or
Code V Amount (D) Price
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<S> <C> <C> <C> <C> <C> <C>
Common Stock, par value $.01/share
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</TABLE>
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<TABLE>
<CAPTION>
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TABLE I -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENFICIALLY OWNED -- Continued
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1. Title of Security (Instr. 3) 5. Amount of Securities 6. Ownership Form: 6. Nature of Indirect
Beneficially Owned Direct (D) or Beneficial
(Instr. 4) Indirect (I) Ownership
(Instr. 4) (Instr. 4)
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<S> <C> <C> <C>
Common Stock, par value $.01/share 4,400* D
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</TABLE>
*Previously Reported; adjusted for stock split.
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<TABLE>
<CAPTION>
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TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTION, CONVERTIBLE SECURITIES)
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1. Title of Derivative Security 2. Conversion 3. Transaction Date 4. Transaction Code 5. Number of Derivative
(Instr. 3) Or Exercise (Month/Day/Year) (Instr. 8) Securities Acquired (A)
Price of or Disposed of (D)
Derivative (Instr. 3, 4, and 5)
Security
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Code V (A) (D)
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<S> <C> <C> <C> <C> <C> <C>
Common Stock Option 2.955
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Common Stock Option 3.525
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Common Stock Option 16.00 1/15/96 A
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</TABLE>
<TABLE>
<CAPTION>
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TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTION, CONVERTIBLE SECURITIES) -- Continued
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1. Title of Derivative Security 6. Date 7. Title and 8. Price of
(Instr. 3) Exercisable Amount of Derivavtive
and Underlying Security
Expiration Securities (Instr. 5)
Date (Month/ (Instr. 3
Day/Year) and 4)
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Date Expira- Amount or
Exer- tion Number
cisable Date Title of Shares
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<S> <C> <C> <C> <C> <C>
Common Stock Option 1/3/95(i) 1/2/98 Common Stock 11,000*
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Common Stock Option 2/6/95(ii) 11/14/99 Common Stock 11,000*
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Common Stock Option 1/15/96(iii) 11/14/00 Common Stock 5,000
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</TABLE>
<PAGE>
<TABLE>
<CAPTION>
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TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTION, CONVERTIBLE SECURITIES) -- Continued
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1. Title of Derivative Security 9. Number of Derivative 10. Ownership Form of 11. Nature of Indirect
(Instr. 3) Security (Instr. 5) Derivative Security: Beneficial
Direct (D) or Ownership
Indirect (I) (Instr. 4) (Instr. 4)
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<S> <C> <C> <C>
Common Stock Option
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Common Stock Option
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Common Stock Option 27,000 D
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</TABLE>
Explanation of Responses:
*Previously reported; adjusted for stock split.
(i) Cumulatively exercisable to the extent of 25% on each of 1/2/95 through
1/2/98.
(ii) Cumulatively exercisable to the extent of 20% on each of 11/15/94 through
11/15/98.
(iii) Cumulatively exercisable to the extent of 20% on each of 11/15/95 through
11/15/99.
/s/Lee Edmund Gray 2/8/96
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Signature of Reporting Person Date
