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Previous: DEAN WITTER PORTFOLIO STRATEGY FUND LP, 10-Q, 1997-08-07 |
Next: INTERNATIONAL TELECOMMUNICATION DATA SYSTEMS INC, 10-Q, 1997-08-07 |
FORM 4 OMB APPROVAL
OMB NUMBER: 3235-0287
- --- CHECK BOX IF NO LONGER EXPIRES: SEPTEMBER 30, 1998
- --- SUBJECT TO SECTION 16. FORM 4 ESTIMATED AVERAGE BURDEN
OR FORM 5 OBLIGATIONS MAY HOURS PER RESPONSE....0.5
CONTINUE. SEE INSTRUCTION 1(B).
(Print or type responses)
UNITED STATES 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
<TABLE>
<CAPTION>
<S> <C> <C> <C>
1. Name and 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person to Issuer
Address of Precision Optics Corporation (POCI) (Check all applicable)
Reporting Director 10% Owner
Person* X Officer (give title Other (specify
below) below)
---------------------------------------------------
V.P. of Operations
---------------------------------------------------
Khajurivala Kumar M.
- -------------------------- --------------------- --------------------------
(Last) (First)(Middle) 3. IRS or Social 4. Statement for Month/Year
13 Lincoln Street Security Number of 7/97
- ------------------------- Reporting Person
(Street) (Voluntary)
Ashburnham MA 01430 ###-##-####
- ------------------------- --------------------- -------------------------
(City) (State) (Zip) 5. If Amendment, Date of 7. Individual or Joint/Group Filing
Original (Month/Year) (Check Applicable Line)
N/A X Form Filed by One Reporting Person
Form Filed by More than One Reporting Person
</TABLE>
<TABLE>
<CAPTION>
TABLE I - NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
<S> <C> <C> <C> <C> <C> <C>
1. Title of Security 2. Trans- 3. Trans- 4. Securities Acquired (A)or 5. Amount of 6. Owner 7. Nature
(Instr. 3) action action Disposed of (D) Securities ship of In-
Date Code (Instr. 3,4 and 5) Beneficially Form: direct
(Month/ (Instruc.8) Owned at Direct Bene-
Day/ -------- ----- --------- --------- ------- End of (D) or ficial
Year) Code V Amount (A) or Price Month Indirect Owner-
(D) (Instr. 3 and 4) (I) ship
(Instr. 4) (Instr.
4)
- -------------- --------------- ------- ----- --------- --------- ------- ------------------- ----------- -------
Common Stock 7/9/97 M 22,500 A $1.375
Common Stock 7/11/97 S 22,500 D $3.375
Common Stock 7/30/97 S 5,141 D $3.000 76,000 D
</TABLE>
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
*If the form is filed by more than one reporting person, (Over)
see Instruction 4(b)(v). SEC 1474 (7-96)
FORM 4 (CONTINUED) TABLE II - DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR
BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
<TABLE>
<CAPTION>
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1.Title of 2.Conver- 3.Trans- 4.Trans- 5. Number of 6. Date Exer- 7.Title and 8. Price 9. Number 10. Owner-
Derivative sion or action action Derivative cisable and Ex- Amount of of of ship
Security Exercise Date Code Securities piration Date Underlying Deriv- Deriv- Form of
(Instr.3) Price of (Month/ (Instr.8) Acquired(A) (Month/Day/ Securities ative ative De-
Deriv- Day/ or Disposed Year) (Instr. Secur- Secur- rivative
ative Year) of (D) 3 and 4) ity ities Secu-
Security (Instr.3,4 Instr. Bene- rity:
and 5) 5) ficially Direct
Owned at (D) or
End of Indi-
Month rect (I)
Expi- Amount (Instr.4) (Instr.4)
Date ra- Title or
Code V (A) (D) Exer- tion Number
cisable Date of Shares
Stock Options $1.375 7/9/97 M 22,500 See below 12/15/04 Com- 22,500 97,500 D
mon
Stock
11. Na-
ture
of
In-
direct
Bene-
ficial
Own-
ership
(Instr.
4)
</TABLE>
Explanation of Responses:
Options were exercisable on the following dates:
12/15/94: 7,500
12/15/95: 7,500
12/15/96: 7,500
**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.
/s/Kumar M. Khajurivala August 7, 1997
------------------------ -------------
**Signature of Reporting Date
Person
Page 2
SEC 1474 (7-96)
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