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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
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1. Name and Address of Reporting Person
Scheine Arnold Jay
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(Last) (First) (Middle)
1194 Hillsboro Mile, Villa 42
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(Street)
Hillsboro Beach, FL 33062
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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)
###-##-####
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4. Statement for Month/Year
December 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*
[X] 10% Owner
[X] Officer (give title below)
[ ] Other (specify below)
President
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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 12/31/96 J V 79,562 D
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Common Stock, par value $.01/share
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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: 7. 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 71,488 D
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Common Stock, par value $.01/share 175,000* I By partnership
for self
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Common Stock, par value $.01/share 79,562** I By partnership
for self
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* Amount previously Reported (HAS Partnership).
**Represents transfer of shares to Scheine Holdings, L.P. in exchange for
100% interest in Scheine Holdings, L.P.
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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>
*Incentive Stock Option 2.69
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*Incentive Stock Option 3.25
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*Common Stock Option 5.75
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*Incentive Stock Option 16.85
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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>
*Incentive Stock Option 11/9/92 11/9/97 Common Stock 110,000
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*Incentive Stock Option 1/3/94 1/3/99 Common Stock 44,000
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*Common Stock Option 2/6/95** 2/6/05 Common Stock 50,000
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*Incentive Stock Option 9/6/95 9/6/00 Common Stock 176,000
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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>
*Incentive Stock Option 110,000 D
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*Incentive Stock Option 44,000 D
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*Common Stock Option 50,000 D
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*Incentive Stock Option 176,000 D
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Explanation of Responses:
*Previously reported on Form 4
**Approved on February 11, 1997 by shareholders
/s/Arnold Jay Scheine 3/31/97
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Signature of Reporting Person Date
