|
|
|
|
|
|
|
|
|
|
|
|
|
|
Previous: SOMANETICS CORP, 424B3, 1996-10-11 |
Next: SHELTER PROPERTIES V LIMITED PARTNERSHIP, 10QSB, 1996-10-11 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 4
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
[ ] Check this box if no longer subject to Section 16.
Form 4 or Form 5 obligations may continue.
1. Name and Address of Reporting Person(s)
Jones Gregory R.
One Magnum Pass
P. O. Box 81250
Mobile, AL 36689-1250
2. Issuer Name and Ticker or Trading Symbol
QMS, Inc. (AQM)
3. IRS or Social Security Number of Reporting Person (Voluntary)
###-##-####
4. Statement for Month/Year
September 1996
5. If Amendment, Date of Original (Month/Year)
6. Relationship of Reporting Person(s) to Issuer (Check all applicable)
[ ] Director [ ] 10% Owner
[X] Officer (give title below) [ ] Other (specify below)
VP, General Counsel, Secretary
7. Individual or Joint/Group Filing (Check Applicable Line)
[X] Form filed by One Reporting Person
[ ] Form filed by More than One Reporting Person
<TABLE>
<CAPTION>
Table I Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
- ------------------------------------------------------------------------------------------------------------------------------------
1)Title of Security 2)Trans- 3.Trans- 4.Securities Acquired(A) 5)Amount of 6) 7)Nature of
action action or Disposed of (D) Securities Indirect
Date Code A Beneficially D Beneficial
(Month/ or Owned at or Ownership
Day/Year) Code V Amount D Price End of Month I
- ------------------------------------------------------------------------------------------------------------------------------------
<S> <C> <C> <C> <C><C> <C> <C><C>
Common Stock 09/30/96 M 4,000 A $5.5000 D
Common Stock 09/30/96 M 700 A $4.6250 D
Common Stock 09/30/96 M 1,000 A $5.6250 D
Common Stock 09/30/96 S 5,700 D $6.1250 0 D
<CAPTION>
Table II (PART 1) Derivative Securitites Acquired, Disposed of, or Beneficially Owned (Columns 1 through 6)
- ------------------------------------------------------------------------------------------------------------------------------------
1)Title of Derivative 2)Conversion 3)Trans- 4)Trans- 5)Number of Derivative 6)Date Exercisable and
Security or Exercise action action Securities Acquired (A) Expiration Date
Price of Date Code or Disposed of (D)
Derivative
Security Code V A D Exercisable Expiration
- ------------------------------------------------------------------------------------------------------------------------------------
<S> <C> <C> <C> <C> <C> <C> <C>
Incentive Stock Option (right $22.5000 (1) 09/18/01
to buy)
Incentive Stock Option (right $8.8750 (1) 11/12/02
to buy)
Incentive Stock Option (right $8.7500 (1) 01/25/04
to buy)
Incentive Stock Option (right $8.8750 (1) 01/24/05
to buy)
Incentive Stock Option (right $5.5000 09/30/96 M 4,000 (1) 05/31/05
to buy)
Incentive Stock Option (right $4.6250 09/30/96 M 700 (1) 07/26/05
to buy)
Incentive Stock Option (right $5.6250 09/30/96 M 1,000 (1) 01/23/06
to buy)
<CAPTION>
Table II (PART 2) Derivative Securitites Acquired, Disposed of, or Beneficially Owned (Columns 1,3 and 7 through 11)
- ------------------------------------------------------------------------------------------------------------------------------------
1)Title of Derivative 3)Trans- 7)Title and Amount 8)Price 9)Number of 10) 11)Nature of
Security action of Underlying of Deri- Derivative Indirect
Date Securities vative Securities D Beneficial
Amount or Security Beneficially or Ownership
Number of Owned at I
- Title Shares End of Month
- ------------------------------------------------------------------------------------------------------------------------------------
<S> <C> <C> <C> <C> <C> <C> <C>
Incentive Stock Option (right Common Stock 5,000 5,000 D
to buy)
Incentive Stock Option (right Common Stock 2,000 2,000 D
to buy)
Incentive Stock Option (right Common Stock 1,500 1,500 D
to buy)
Incentive Stock Option (right Common Stock 3,500 3,500 D
to buy)
Incentive Stock Option (right 09/30/96 Common Stock 4,000 6,000 D
to buy)
Incentive Stock Option (right 09/30/96 Common Stock 700 2,800 D
to buy)
Incentive Stock Option (right 09/30/96 Common Stock 1,000 4,000 D
to buy)
<FN>
Explanation of Responses:
(1)
Transaction previously reported
NOTE: We applied for a CIK# at 1:30 pm CST. A response was not received until
5:15 pm CST.
</FN>
</TABLE>
SIGNATURE OF REPORTING PERSON
/S/ GREGORY R JONES
DATE
|
|