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U.S. SECURITIES AND EXCHANGE COMMISSION
FORM 3 Washington, D.C. 20549 OMB APPROVAL
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OMB Number: 25-0328
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Expires: May 31,2001
Estimated average burden
hours per response......0.5
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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 2. Date of Event Re- 4. Issuer Name and Ticker
quiring Statement or Trading Symbol
Daniels Harvey (Month/Day/Year) Cover-All Technologies Inc.
-------------------------------------------------- "COVR.OB"
(Last) (First) (Middle) 1/3/2000
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c/o Cover-All Technologies Inc. 3. IRS Identification 5. Relationship of Reporting 6. If Amendment, Date
18-01 Pollitt Drive Number of Reporting Person to Issuer of Original Filing
Person, if an Entity (Check all applicable) (Month/Day/Year)
--------------------------------------------------- (Voluntary)
(Street) Director 10% Owner 7. Individual or Joint/
_ _ Group
X Officer Other (specify (Check Applicable
_ (give below) X Form filed by One
title - Reporting
Vice President of Marketing Person
___________________________ Form filed by
_ More than One
Reporting
Fair Lawn New Jersey 07410 Person
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City) (State) (Zip)
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Table 1 - Non-Derivative Securities Beneficially Owned
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1. Title of Security 2. Amount of Securities 3.Ownership 4. Nature of Indirect Beneficial Ownership
(Instr. 4) Beneficially Owned Form: Direct (Instr. 5)
Instr. 4) (D) or Indirect
(I) (Instr. 5)
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None
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*If the Form is filed by more than one Reporting Person, see Instruction 5(b)(v).
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
(Print or Type Responses) (Over)
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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 Exercisable and 3. Title and Amount of Securities 4. Conver- 5. Owner- 6. Nature of
Derivative Security Expiration Date Underlying Derivative Security sion or ship Indirect
(Instr. 4) (Month//Day/Year) (Instr. 4) Exercise Form of Beneficial
Price of Derivative Ownership
-------------------------------------------------------------- Derivative Security: (Instr. 5)
Date Expiration Title Amount or Security Direct (D)
Exercisable Date Number of shares or Indirect
(I)
(Instr. 5)
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Explanation of Responses:
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. By: /s/ Harvey Daniels
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). ----------------- January 9, 2001
Name: Harvey Daniels Date
Title: Vice President
of Marketing
**Signature of Reporting
Person
Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient,
See Instruction 6 for procedure.
SEC 1147 (9-93)
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