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FORM 5
[ ] Check this box if no longer subject _________________________________
to Section 16. Form 4 or Form 5 | OMB APPROVAL |
obligations may continue. See _________________________________
Instructions 1(b). | OMB Number: 3235-0362|
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[X] Form 4 Transactions Reported _________________________________
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
ANNUAL 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
_______________________________________________________________________________
1. Name and Address of Reporting Person*
Chaffin, Thomas F.
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(Last) (First) (Middle)
c/o Rosenblam, Parish & Isaacs
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(Street)
160 West Santa Clara St., 15th Floor
San Jose, CA 95113
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
TMCI Electronics, Inc. (TMEI)
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3. IRS or Social Security Number of Reporting Person (Voluntary)
_______________________________________________________________________________
4. Statement for Month/Year
December 1997
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5. If Amendment, Date of Original (Month/Year)
_______________________________________________________________________________
6. Relationship of Reporting Person to Issuer
(Check all applicable)
[X] Director
[ ] Officer (give title below)
[ ] 10% Owner
[ ] Other (specify below)
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_______________________________________________________________________________
7. Individual or Joint/Group Reporting
(Check applicable line)
[X] Form filed by One Reporting Person
[ ] Form filed by More than One Reporting Person
_______________________________________________________________________________
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<TABLE>
<CAPTION>
TABLE I--Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1. 2. 3. 4. 5. 6. 7.
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Amount of
Securities Owner-
Beneficially ship
Trans- Trans- Securities Acquired (A) Owned at Form:
action action or Disposed of (D) End of Direct Nature of
Date Code (Instr. 3, 4 and 5) Issuers (D) or Indirect
Title of (Month/ (Instr. 8) ---------------------------- Fiscal Year Indirect Beneficial
Security Day/ ---------- Amount (A) or Price (Instr. (I) Ownership
(Instr. 3) Year) Code V (D) 3 and 4) (Instr. 4) (Instr. 4)
- --------------------- -------- ---- ---- ----------- ------ --------- ----------- ---------- ----------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C>
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* If the form is filed by more than one reporting person, see instruction 4(b)(v).
(Over)
SEC 2270 (7-96)
</TABLE>
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FORM 5 (continued)
<TABLE>
<CAPTION>
TABLE II--Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g. puts, calls, warrants, options, convertible securities)
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1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11.
- ---------- -------- -------- -------- ---------- ------------ -------------- ------ ---------- --------- ----------
Title and Ownership
Number of Date Exer- Amount of Form of
Derivative cisable and Underlying Number of Deriv-
Securities Expiration Securities Price Derivative ative
Conver- Acquired (A) Date (Month/ (Instr. 3 of Securities Security:
sion or Trans- or Disposed Day/Year) and 4) Deriv- Benefi- Direct
Exercise action Trans- of (D) -------------- -------------- ative cially (D) or Nature of
Title of Price of Date action (Instr. 3, Date Amount Secur- Owned at Indirect Indirect
Derivative Deriv- (Month/ Code 4 and 5) Exer- Expir- or Num- ity End of (I) Beneficial
Security ative Day/ (Instr. ---------- cis- ation ber of (Instr. Year (Instr. Ownership
(Instr. 3) Security Year) 8) (A) (D) able Date Title Shares 5) (Instr. 4) 4) (Instr. 4)
- ---------- -------- -------- ------- ---- ---- ------- ----- ----- ------ ------ ---------- -------- ----------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
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Common
Stock,
par
value
$.001
Stock per
Options $4.875 7/9/97 J(1) A 7/9/97 7/8/07 share 10,000 N/A 10,000 D
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</TABLE>
Explanation of Responses:
1) Granted pursuant to the Company's 1995 Stock Option Plan.
/s/ Thomas F. Chaffin 2/17/98
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Thomas F. Chaffin Date
** Intentional misstatements or omissions of facts constitute Federal Criminal
Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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.
SEC 2270 (7-96)
