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UNITED STATES SECURITIES AND EXCHANGE COMMISSION -------------------------------
- ------- WASHINGTON, D.C. 20549 OMB APPROVAL
FORM 4 OMB NUMBER: 3235-0287
- ------- STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP EXPIRES: SEPTEMBER 30, 1998
ESTIMATED AVERAGE BURDEN
- --- CHECK BOX IF NO LONGER HOURS PER RESPONSE..........0.5
- --- SUBJECT TO SECTION 16. FORM 4 Filed pursuant to Section 16(a) of the Securities -------------------------------
OR FORM 5 OBLIGATIONS MAY Exchange Act of 1934, Section 17(a) of the Public
CONTINUE. SEE INSTRUCTION 1(b). Utility Holding Company Act of 1935 or Section 30(f)
of the Investment Company Act of 1940
(Print or type responses)
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1. Name and Address of Reporting Person* 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person to Issuer
Precision Optics Corporation, Inc.(POCI) (Check all applicable)
Director 10% Owner
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Khajurivala Kumar M. ------------------------------------------- X Officer (give title Other (specify
- ----------------------------------------- 3. IRS or Social 4. Statement for --- below) --- below)
(Last) (First) (Middle) Security Number Month/Year ---------------------------------------------
of Reporting 6/98 V.P. of Operations
Person ------------------------ ---------------------------------------------
13 Lincoln Street (Voluntary) 5. If Amendment, Date of 7. Individual or Joint/Group Filing (Check
- ----------------------------------------- Original (Month/Year) Applicable Line)
(Street) X Form Filed by One Reporting Person
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Form Filed by More than One Reporting
Ashburnham MA 01430 --- Person
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(City) (State) (Zip) TABLE I - NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
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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/ (Instr. 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)
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Common Stock 6/11/98 S 5,000 D $2.50 50,000 D
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over)
*If the form is filed by more than one reporting person, see Instruction/4(b)(v). SEC 1474 (7-96)
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FORM 4 (CONTINUED) TABLE II - DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
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1. Title of Derivative 2. Conver- 3. Trans- 4. Trans- 5. Number of Deriv- 6. Date Exer- 7. Title and Amount of Under-
Security (Instr. 3) sion or action action ative Securities Ac- cisable and Ex- lying Securities
Exercise Date Code quired (A) or Dis- piration Date (Instr. 3 and 4)
Price of (Month/ (Instr. 8) posed of (D) (Month/Day/
Deriv- Day/ (Instr. 3, 4 and 5) Year)
ative Year)
Security
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Date Expira- Amount or
Code V (A) (D) Exer- tion Title Number of
cisable Date Shares
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8. Price 9. Number 10. Owner- 11. Na-
of of Deriv- ship ture
Deriv- ative Form of of In-
ative Secur- De- direct
Secur- ities rivative Bene-
ity Bene- Secu- ficial
(Instr. ficially rity: Own-
5) Owned Direct ership
at End of (D) or (Instr. 4)
Month Indi-
(Instr. 4) rect (I)
(Instr.4)
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Explanation of Responses:
**Intentional misstatements or omissions of facts constitute Federal /s/ Kumar M. Khajurivala 7/7/98
Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C 78ff(a). ------------------------------- -------------------
**Signature of Reporting Person Date
Note: File three copies of this Form, one of which must be manually signed.
If space provided is insufficient, see Instruction 6 for procedure. Kumar M. Khajurivala
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.
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SEC 1474 (7-96)
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