FORM 4
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.
|_| Check this box if no longer OMB APPROVAL
subject to Section 16. Form 4 OMB Number 3235-0287
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<C> <C> <C>
1. Name and Address of Reporting Person 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person to
Van Voorhis A. Rodger Advanced Machine Vision Corporation (AMVC) Issuer (Check all applicable)
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(Last) (Middle) (First) 3. IRS or Social Security Number of |X| Director |_| 10% Owner
4217 West Fifth Avenue Reporting Person (Voluntary) |_| Officer |_| Other
------------------------------------ (give title (specify
(Street) 4. Statement for Month/Year below) below)
Eugene OR 97402 December 1999
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(City) (State) (Zip) 5. If Amendment, Date of Original
(Month/Year)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1. Title of Security | 2. Transaction Date | 3. Transaction | 4. Securities Acquired |5. Amount of |6. Ownership |7. Nature
(Instr. 3) | (Month/Day/Year) | Code | (A) or Disposed of(D)| Securities | Form: Direct | Indirect
| | (Instr. 8) | (Instr. 3, 4 and 5) | Beneficially| (D) or (I) | Beneficial
| | | | Owned at | (Instr. 4) | Ownership
| | | | End of Month| | (Instr. 4)
| | | | (Instr. 3&4)| |
| |----------------|-------------------------| | |
| | Code | V | Amount | (A) or | Price | | |
| | | | | or | | | |
| | | | | (D) | | | |
- ---------------------|---------------------|--------|-------|--------|--------|-------|--------------|----------------|-------------
Class A Common Stock | 12/13/99 | A | | 100,000| A | $0.00 | 2,324,000 (1)(3) D & I |
- ---------------------|---------------------|--------|-------|--------|--------|-------|--------------|----------------|-------------
| | | | | | | | |
- ---------------------|---------------------|--------|-------|--------|--------|-------|--------------|----------------|-------------
| | | | | | | | |
- ---------------------|---------------------|--------|-------|--------|--------|-------|--------------|----------------|-------------
| | | | | | | | |
- ---------------------|---------------------|--------|-------|--------|--------|-------|--------------|----------------|-------------
| | | | | | | | |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
(Print or type responses) (OVER)
SEC 1474 (8/92)
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FORM 4 (continued)
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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<C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1. Title of |2. Conver- |3. Trans- |4. Trans- |5. Number |6. Date |7. Title |8. Price |9. Number |10. Owner- |11. Nature
Derivative| sion or | action | action | of | Exercis- | and | of | of | ship | of
Security | Exercise | Date | Code | Deriva- | able and | Amount | Deriva-| Deriva-| Form | Indirect
| Price of | (Month/ | | tive | Expira- | of | tive | tive | of | Beneficial
| Deriva- | Day/ | | Securi- | tion | Under- | Securi-| Securi-| Deriva-| Ownership
| tive | Year) | | ties | Date | lying | ty | ties | tive |
| Security | | | Acquired| (Month/ | Securi-| | Benefi-| Secur- |
| | | | (A) or | Day/ | ties | | cially | ity |
| | | | Disposed| Year) | | | Owned | Direct |
| | | | (D) of | | | | at End | (D) or |
| | | | | | | | of | In- |
| | | | | | | | Month | direct |
| | | | | | | | | (I) |
| | | | | | | | | |
| | | (Instr. | (Instr. 3,| | (Instr. | (Instr. | (Instr. | (Instr. | (Instr.
(Instr. 3) | | | 8) | 4 and 5) | | 3 & 4) | 5) | 4) | 4) | 4)
- -------------|------------|-----------|-----------|-----------|------------|----------|----------|----------|-----------|-----------
| | |Code | V | (A) | (D) |Date|Expira-|Title|Amount| | | |
| | | | | | |Exer| tion | |or | | | |
| | | | | | |cis-| Date | |Number| | | |
| | | | | | |able| | |Shares| | | |
- -------------|------------|-----------|-----|-----|-----|-----|----|-------|-----|------|--------|----------|-----------|-----------
Convertible | $2.25 | 1/24/97 | | |$2.25| |1/24| 7/23/ |Class| 333, | $2.25 | $2.25 | I | (2)
Note (2) | | | | | Mil.| |1997| 1999 |A | 333 | Million| Million | |
| | | | | | | | |Common | | | |
| | | | | | | | |Stock| | | | |
- -------------|------------|-----------|-----|-----|-----|-----|----|-------|-----|------|--------|----------|-----------|-----------
| | | | | | | | | | | | | |
| | | | | | | | | | | | | |
- -------------|------------|-----------|-----|-----|-----|-----|----|-------|-----|------|--------|----------|-----------|-----------
| | | | | | | | | | | | | |
| | | | | | | | | | | | | |
- -------------|------------|-----------|-----|-----|-----|-----|----|-------|-----|------|--------|----------|-----------|-----------
Explanation of Responses:
(1) 25,000 and 2,250,000 shares are owned by Whamdyne LLC and Veneer Technology, Inc. ("Veneer"), respectively, both of which are
25% owned by Reporting Person. 49,000 shares are owned by Reporting Person.
(2) Derivative securities are owned by Veneer. The number of shares underlying the Convertible Note represents that number of
securities now obtainable through conversion due to achievement of earnings goals. Additional shares will become obtainable
by converstion in the future with the passage of time.
(3) 450,000 shares represent restricted stock issued to Veneer under the Issuer's 1997 Restricted Stock Plan. 350,000 of the
shares cannot be transferred or traded unless Veneer pays Issuer $1.25 per share between February 1, 2000 and January 31, 2001.
100,000 of the shares cannot be transferred or traded unless Veneer pays Issuer $.75 per share before July 23, 2002. Absent
such payments within these time frames, the shares will be forfeited and returned to the Issuer.
** Intentional misstatements or omissions of facts constitute Federal Criminal
Violations. See 18 U. S. C. 1001 and 15 U.S.C. 78ff (a). /s/ Rodger A. Van Voorhis 12/13/99
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** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially (Page 2)
owned directly or indirectly. (Print or type responses) SEC 1474 (8/92)
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