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Previous: PRECISION OPTICS CORPORATION INC, 4, 1998-04-07 |
Next: PRECISION OPTICS CORPORATION INC, 4, 1998-04-07 |
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 X Director 10% Owner
Person* Officer (give title Other (specify
below) below)
---------------------------------------------------
---------------------------------------------------
Shannon Robert R.
- -------------------------- --------------------- --------------------------
(Last) (First)(Middle) 3. IRS or Social 4. Statement for Month/Year
7040 E. Taos Place Security Number of 12/97
- ------------------------- Reporting Person
(Street) (Voluntary)
Tucson AZ 85715
- ------------------------- --------------------- -------------------------
(City) (State) (Zip) 5. If Amendment, Date of 7. Individual or Joint/Group Filing
Original (Month/Year) (Check Applicable Line)
X Form Filed by One Reporting Person
Form Filed by More than One Reporting Person
</TABLE>
TABLE I - NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
<TABLE>
<CAPTION>
<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/ (Instr. 8) Owned at End Direct(D) Beneficial
Day/Year) of Month or Indirect(I) Ownership
(Instr.3 and 4) (Instr.4) (Instr.4)
Code V Amount (A)or(D) Price
</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> <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- 11.Na-
Derivative sion or action action Derivative cisable and Ex- Amount of of of ship ture
Security Exercise Date Code Securities piration Date Underlying Deriv- Deriv- Form of of In-
(Instr.3) Price of (Month/ (Instr.8) Acquired(A) (Month/Day/ Securities ative ative De- direct
Deriv- Day/ or Disposed Year) (Instr. Secur- Secur- rivative Bene-
ative Year) of (D) 3 and 4) ity ities Secu- ficial
Security (Instr.3,4 Instr. Bene- rity: Own-
and 5) 5) ficially Direct ership
Owned at (D) or (Instr.4)
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 $3.844 12/15/97 A 25,000 See below 12/15/07 Common 25,000 $0.00 61,500 D
Stock
</TABLE>
- -------------------------------- ----------- ------------------------ ----------
Explanation of Responses:
Options are exercisable as follows:
12/15/97: 6,250
12/15/98: 6,250
12/15/99: 6,250
12/15/00: 6,250
**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/Robert R. Shannon April 2, 1998
------------------------ -------------
**Signature of Reporting Date
Person
Page 2
SEC 1474 (7-96)
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