FORM 3
U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
OMB APPROVAL
OMB Number: 3235-0104
Expires: September 30, 1998
Estimated average burden
hours per response . . . . 0.5
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 Persons
Dalia Ophir
c/o Cover-All Technologies, Inc.
18-01 Pollitt Drive
Fair Lawn, NJ 07410
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2. Date of Event Requiring Statement
(Month/Day/Year)
01/01/98
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3. IRS or Social Security Number of Reporting Person (Voluntary)
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4. Issuer Name and Ticker or Trading Symbol
COVER-ALL TECHNOLOGIES, INC. (COVR)
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5. Relationship of Reporting Person to Issuer
(Check all applicable)
X Director 10% Owner
---- ----
Officer Other (specify below)
---- (give ----
title
below)
Chief Technology Officer
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6. If Amendment, Date of
Original (Month/Day/Year)
4/29/99
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7. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
----
Form filed by More than One Reporting Person
----
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TABLE 1 -- NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED
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Title of Security 2. Amounts of 3. Ownership 4. Nature of
(Instr. 4) Securities Form: Direct (D) Indirect
Beneficially or Indirect (I) Beneficial
Owned (Instr. 5) Ownership
(Instr. 4) (Instr. 5)
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Reminder: Report on a separate line for each class of securities
beneficially owned directly or indirectly. (Print or Type Responses)
* If the form is filed by more than one reporting person, see Instruction
5(b)(v).
(over)
SEC 1473 (7-96)
<PAGE>
FORM 3 (CONTINUED)
TABLE II -- DERIVATIVE SECURITIES BENEFICIALLY OWNED (E.G., PUTS,
CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
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1. Title of 2. Date Exer- 3. Title and Amount of
Derivative cisable and Securities Underlying
Security Expiration Derivative Security
(Instr. 4) Date (Instr. 4)
(Month/Day/
Year)
-------------------- --------------------- --------------------------
Date Expira- Amount
Exer- tion Title or
cisable Date Number
of
Shares
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Options (rights to 7/21/95 7/20/98 Common
buy) Shares 15,000
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Options (rights to 4/17/96 4/16/2001 Common 15,000
buy) Shares
------------------- ---------- --------- --------- ----------
Options (rights to 2/6/97 2/5/99 Common 10,000
buy) Shares
------------------- ---------- --------- --------- ----------
Options (rights to 9/1/98 1/1/2000 Common 150,000
buy) Shares
------------------- ---------- --------- --------- ----------
Options (rights to 4/6/95 4/5/98 Common 2,200
buy) Shares
------------------- ---------- --------- --------- ----------
Options (rights to 9/30/96 9/29/98 Common 20,400
buy) Shares
------------------- ---------- --------- --------- ----------
Options (rights to 4/29/97 4/29/99 Common 40,000
buy) Shares
------------------- ---------- --------- --------- ----------
4. Conver- 5. Ownership 6. Nature of
sion or Form of Indirect
Exercise Derivative Beneficial
Price of Security: Ownership
Deri- Direct (Instr. 5)
vative (D) or
Security Indirect
(I)
(Instr. 5)
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$1.75 D
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$5.00 D
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$1.38 D
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$4.00 D
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$1.75 D
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$2.00 D
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$2.00 D
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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).
By: /s/ David E. Weiss May 4, 1999
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**Signature of Reporting Person Date
Name: David E. Weiss
Title: Attorney-in-Fact
Note: File three copies of this Form, one of which must be manually signed.
If space provided is insufficient, See Instruction 6 for procedure.
Potential persons who are to respond to the collection of information
contained in this form are not required to respond unless the form displays
a currently valid OMB Number.
Page 2
SEC 1473 (7-96)
<PAGE>
POWER OF ATTORNEY
KNOW ALL BY THESE PRESENTS, that the undersigned hereby
constitutes and appoints David E. Weiss, Esq., the undersigned's
true and lawful attorney-in-fact to:
(1) execute for and on behalf of the undersigned, in
the undersigned's capacity as an officer of and/or
director of and/or beneficial owner of greater
than ten percent of a class of equity securities
registered under Section 12 of the Securities
Exchange Act of 1934, as amended (the "Exchange
Act"), of Cover-All Technologies Inc., a Delaware
corporation (the "Company"), Forms 3, 4, and 5 in
accordance with Section 16(a) of the Exchange Act
and the rules thereunder;
(2) do and perform any and all acts for and on behalf
of the undersigned which may be necessary or
desirable to complete and execute any such Forms
3, 4, or 5 and timely file any such form with the
United States Securities and Exchange Commission,
any stock exchange or similar authority, and the
Company; and
(3) take any other action of any type whatsoever in
connection with the foregoing which, in the
opinion of such attorney-in-fact, may be of
benefit to, in the best interest of, or legally
required by, the undersigned, it being understood
that the documents executed by such attorney-in-
fact on behalf of the undersigned pursuant to this
Power of Attorney shall be in such form and shall
contain such terms and conditions as such
attorney-in-fact may approve in such attorney-in-
facts's discretion.
The undersigned hereby grants such attorney-in-fact full
power and authority to do and perform any and every act and thing
whatsoever requisite, necessary, or proper to be done in the
exercise of any of the rights and powers herein granted, as fully
to all intents and purposes as the undersigned might or could do
if personally present, with full power of substitution or
revocation, hereby ratifying and confirming all that such
attorney-in-fact, or such attorney-in-fact's substitute or
substitutes, shall lawfully do or cause to be done by virtue of
this Power of Attorney and the rights and powers herein granted.
The undersigned acknowledges that the foregoing attorney-in-fact,
in serving in such capacity at the request of the undersigned, is
not assuming, nor is the Company assuming, any of the
undersigned's responsibilities to comply with Section 16 of the
Exchange Act.
This Power of Attorney shall remain in full force and effect
until the undersigned is no longer required to file Forms 3, 4,
and 5 with respect to the undersigned's holdings of and
transactions in securities issued by the Company, unless earlier
revoked by the undersigned in a signed writing delivered to the
foregoing attorney-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of
Attorney to be executed as of the 28th day of April, 1999.
/s/ Dalia Ophir
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Dalia Ophir
