- ----------- -----------------------------
| FORM 5 | | OMB APPROVAL |
- ----------- |---------------------------|
-- |Estimated average burden |
| | Check this box if no longer |hours per response......0.5|
-- subject to Section 16, Form 4 -----------------------------
or Form 5 obligations may
continue. See Instruction 1(b).
--
| | Form 3 Holdings Reported
--
--
| | Form 4 Transactions Reported
--
U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
ANNUAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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
- --------------------------------------------------------------------------------
1. Name and Address of Reporting Person | 2. Issuer Name and Ticker
| or Trading Symbol
Green, Jay M. |
- --------------------------------------------------| Seitel, Inc. SEI
(Last) (First) (Middle) |
|-----------------------------
| 3. IRS or Social Security
50 Briar Hollow Lane, West 7th Floor | Number of Reporting
- --------------------------------------------------| Person(Voluntary)
(Street) |
|
Houston, Texas 77027 | ###-##-####
- --------------------------------------------------|
(City) (State) (Zip) |
- --------------------------------------------------------------------------------
4. Statement for Month/Year December, 1996
- --------------------------------------------------------------------------------
5. If Amendment, | 6. Relationship of Reporting Person | 7. Individual or
Date of | to Issuer (Check all applicable) | Joint/Group
Original | Director 10% Owner | Filing
(Month/Day/ | ----- ----- |
Year) | X Officer Other | X Form filed by
| ----- ----- | --- One Reporting
| (give title below) (specify below) | Person
| |
| Vice President and | Form filed by
| Director of Shareholder Relations | --- more than One
| | Reporting Person
- --------------------------------------------------------------------------------
<PAGE>
Table I - Non-Derivative Securities Acquired,
Disposed of, or Beneficially Owned
- --------------------------------------------------------------------------------
1. Title of Security | 2. Transaction Date
(Instr. 3) | (Month/Day/Year)
- ----------------------------------------------------|---------------------------
(a) Common Stock, Par Value $.01 | 1/9/96-12/18/96
- --------------------------------------------------------------------------------
3. Transaction Code | 4. Securities Acquired (A) or Disposed of (D)
(Instr. 8) | (Instr. 3, 4 and 5)
- ----------------------------|---------------------------------------------------
Code | V | Amount | (A) or (D) | Price
- -----------|----------------|------------------|-----------------|--------------
(a) I | | 359 | A |24.75-41.875
- --------------------------------------------------------------------------------
5. Amount of Securities | 6. Ownership Form: | 7. Nature of Indirect
Beneficially Owned | Direct (D) or | Beneficial
at End of Issuer's | Indirect (I) | Ownership
Fiscal Year | (Instr. 4) | (Instr. 4)
(Instr. 3 and 4) | |
- ---------------------------|------------------------|---------------------------
(a) 18,058 | D |
- --------------------------------------------------------------------------------
<PAGE>
Table II - Derivative Securities Acquired, Disposed of,
or Beneficially Owned (e.g., puts, calls,
warrants, options, convertible securities)
- --------------------------------------------------------------------------------
1. Title of Derivative Security | 2. Conversion | 3. Transaction
(Instr. 3) | or Exercise| Date (Month/
| Price of | Day/Year)
| Derivative |
| Security |
- --------------------------------------------|----------------|------------------
(a) Warrants - Right To Buy | 5.3750 |
- --------------------------------------------|----------------|------------------
(b) Options - Right To Buy | 25.0000 |
- --------------------------------------------|----------------|------------------
(c) Options - Right To Buy | 30.0000 |
- --------------------------------------------|----------------|------------------
(d) Options - Right To Buy | 35.0000 |
- --------------------------------------------|----------------|------------------
(e) Options - Right To Buy | 40.0000 |
- --------------------------------------------|----------------|------------------
(f) Options - Right To Buy | 7.8750 |
- --------------------------------------------|----------------|------------------
(g) Options - Right To Buy | 25.1250 |
- --------------------------------------------|----------------|------------------
(h) Warrants - Right To Buy | 13.1886 |
- --------------------------------------------|----------------|------------------
(i) Warrants - Right To Buy | 13.0500 |
- --------------------------------------------|----------------|------------------
(j) Warrants - Right To Buy | 24.0000 |
- --------------------------------------------|----------------|------------------
(k) Warrants - Right To Buy | 43.00 |
- --------------------------------------------|----------------|------------------
(l) Warrants - Right To Buy | 41.625 |
- --------------------------------------------|----------------|------------------
(m) Warrants - Right To Buy | 41.00 |
- --------------------------------------------|----------------|------------------
(n) Warrants - Right To Buy | 40.50 |
- --------------------------------------------|----------------|------------------
(o) Warrants - Right To Buy | 40.00 |
- --------------------------------------------|----------------|------------------
(p) Warrants - Right To Buy | 40.00 |
- --------------------------------------------------------------------------------
<PAGE>
FORM 5 - Table II (continued)
- --------------------------------------------------------------------------------
4. Transaction | 5. Number of Derivative | 6. Date Exercisable and
Code | Securities Acquired | Expiration Date
(Instr. 8) | | (Month/Day/Year)
- -------------------|-----------------------------|------------------------------
T | V | (A) | (D) | Date | Expiration
| | | | Exercisable | Date
- -----------|-------|-------------|---------------|---------------|--------------
(a) | | | | 2 | 7/21/02
- -----------|-------|-------------|---------------|---------------|--------------
(b) | | | | 1 | 2/7/04
- -----------|-------|-------------|---------------|---------------|--------------
(c) | | | | 1 | 2/7/04
- -----------|-------|-------------|---------------|---------------|--------------
(d) | | | | 1 | 2/7/04
- -----------|-------|-------------|---------------|---------------|--------------
(e) | | | | 1 | 2/7/04
- -----------|-------|-------------|---------------|---------------|--------------
(f) | | | | 1 | 8/19/03
- -----------|-------|-------------|---------------|---------------|--------------
(g) | | | | 1 | 11/29/05
- -----------|-------|-------------|---------------|---------------|--------------
(h) | | | | 2 | 12/10/97
- -----------|-------|-------------|---------------|---------------|--------------
(i) | | | | 2 | 12/10/00
- -----------|-------|-------------|---------------|---------------|--------------
(j) | | | | 3 | 4/11/99
- -----------|-------|-------------|---------------|---------------|--------------
(k) | | | | 2 | 11/26/01
- -----------|-------|-------------|---------------|---------------|--------------
(l) | | | | 2 | 11/27/01
- -----------|-------|-------------|---------------|---------------|--------------
(m) | | | | 2 | 11/29/01
- -----------|-------|-------------|---------------|---------------|--------------
(n) | | | | 2 | 12/02/01
- -----------|-------|-------------|---------------|---------------|--------------
(o) | | | | 2 | 12/03/01
- -----------|-------|-------------|---------------|---------------|--------------
(p) | | | | 2 | 12/04/01
- --------------------------------------------------------------------------------
<PAGE>
FORM 5 - Table II (continued)
- --------------------------------------------------------------------------------
7. Title and Amount of Underlying | 8. Price of
Securities (Instr. 3 and 4) | Derivative
- ----------------------------------------------------| Security
Title |Amount or Number| (Instr. 5)
| of Shares |
- -----------------------------------|----------------|---------------------------
(a) Common Stock | 10,000 |
- -----------------------------------|----------------|---------------------------
(b) Common Stock | 5,000 |
- -----------------------------------|----------------|---------------------------
(c) Common Stock | 5,000 |
- -----------------------------------|----------------|---------------------------
(d) Common Stock | 5,000 |
- -----------------------------------|----------------|---------------------------
(e) Common Stock | 5,000 |
- -----------------------------------|----------------|---------------------------
(f) Common Stock | 10,000 |
- -----------------------------------|----------------|---------------------------
(g) Common Stock | 15,000 |
- -----------------------------------|----------------|---------------------------
(h) Common Stock | 3,770 |
- -----------------------------------|----------------|---------------------------
(i) Common Stock | 6,000 |
- -----------------------------------|----------------|---------------------------
(j) Common Stock | 2,271 |
- -----------------------------------|----------------|---------------------------
(k) Common Stock | 138 |
- -----------------------------------|----------------|---------------------------
(l) Common Stock | 74 |
- -----------------------------------|----------------|---------------------------
(m) Common Stock | 498 |
- -----------------------------------|----------------|---------------------------
(n) Common Stock | 688 |
- -----------------------------------|----------------|---------------------------
(o) Common Stock | 696 |
- -----------------------------------|----------------|---------------------------
(p) Common Stock | 136 |
- --------------------------------------------------------------------------------
<PAGE>
FORM 5 - Table II (continued)
- --------------------------------------------------------------------------------
9. Number of Derivative | 10. Ownership Form | 11. Nature of Indirect
Securities Beneficially| of Derivative | Beneficial
Owned at End of the | Security: Direct | Ownership
Year (Instr. 4) | (D) or Indirect | (Instr. 4)
| (I) (Instr. 4) |
- ----------------------------|-----------------------|---------------------------
(a) 10,000 | D |
- ----------------------------|-----------------------|---------------------------
(b) 5,000 | D |
- ----------------------------|-----------------------|---------------------------
(c) 5,000 | D |
- ----------------------------|-----------------------|---------------------------
(d) 5,000 | D |
- ----------------------------|-----------------------|---------------------------
(e) 5,000 | D |
- ----------------------------|-----------------------|---------------------------
(f) 10,000 | D |
- ----------------------------|-----------------------|---------------------------
(g) 15,000 | D |
- ----------------------------|-----------------------|---------------------------
(h) 3,770 | D |
- ----------------------------|-----------------------|---------------------------
(i) 6,000 | D |
- ----------------------------|-----------------------|---------------------------
(j) 2,271 | D |
- ----------------------------|-----------------------|---------------------------
(k) 138 | D |
- ----------------------------|-----------------------|---------------------------
(l) 74 | D |
- ----------------------------|-----------------------|---------------------------
(m) 498 | D |
- ----------------------------|-----------------------|---------------------------
(n) 688 | D |
- ----------------------------|-----------------------|---------------------------
(o) 696 | D |
- ----------------------------|-----------------------|---------------------------
(p) 136 | D |
- --------------------------------------------------------------------------------
Explanation of Responses:
1. Options issued have ten year terms, 0% exercisable on date of grant, 33%
exercisable on first anniversary, 66% exercisable on second anniversary,
and 100% exercisable on third anniversary.
2. These warrants are exercisable upon grant.
3. These warrants are exercisable 90 days from date of grant.
/s/Jay M. Green
by Marcia H. Kendrick 02/10/97
--------------------------------- -----------
**Signature of Reporting Person Date
** Intentional misstatements or omission of facts constitute Federal Criminal
Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
AUTHORIZATION
The undersigned, Jay M. Green hereby authorizes Marcia Kendrick to execute
any Form 3, Form 4, or Form 5 to be filed with the Securities and Exchange
Commission with respect to Seitel, Inc. for a period of one year from the date
hereof.
Date: August 1, 1996
/s/ Jay M. Green
------------------------------
Jay M. Green
