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- ---------- U.S. SECURITIES AND EXCHANGE COMMISSION -------------------------
FORM 4 WASHINGTON, D.C. 20549 OMB APPROVAL
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[ ] CHECK THIS BOX IF NO LONGER STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OMB NUMBER 3235-0287
SUBJECT TO SECTION 16. FORM 4 EXPIRES: FEBRUARY 1, 1994
OR FORM 5 OBLIGATIONS MAY Filed pursuant to Section 16(a) of the Securities ESTIMATED AVERAGE BURDEN
CONTINUE. SEE INSTRUCTION 1(b). Exchange Act of 1934, Section 17(a)of the Public HOURS PER RESPONSE....0.5
Utility Holding Company Act of 1935 or Section 30(f)
of the Investment Company Act of 1940
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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
(Check all applicable)
FRANCIS, RONALD H. Merit Holding Corporation (MRET) X Director 10% Owner
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(Last) (First) (Middle) 3. IRS or Social Security 4. Statement for ----- title ----- below)
Number of Reporting Month/Year below)
Person (Voluntary)
269 Roswell Street January 1998
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(Street) 5. If Amendment, -----------------------------
Date of Original
(Month/Year)
Marietta, Georgia 30060
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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) 5. Amount of 6. Owner- 7. Nature
(Instr. 3) action action or Disposed of (D) Securities ship of In-
Date Code (Instr. 3, 4 and 5) Beneficially Form: direct
(Instr. 8) Owned at Direct Bene-
(Month/ End of (D) or ficial
Day/ -------------------------------------- Month Indirect Owner-
Year) Code V Amount (A) or Price (Instr. 3 and 4) (I) ship
(D) (Instr. 4) (Instr. 4)
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Common Stock 1/22/98 M 5,905 shares A $4.14
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Common Stock 1/22/98 G V 300 shares D 15,861 D
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Common Stock 1/22/98 G V 300 shares A 501 I by daughter
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly (Over)
(Print or Type Responses) SEC 1474 (3/91)
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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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<CAPTION>
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Title of Derivative Security 2. Conver- 3. Trans- 4. Transac- 5. Number of Deriv- 6. Date Exer-
Instr. 3) sion or action tion Code ative Securities Ac- cisable and Ex-
Exercise Price of Date (Instr. 1) quired (A) or Dis- piration Date
Deriv- (Month/ posed of (D) (Month/Day/
ative Day/ (Instr. 3, 4, and 5) Year)
Security Year)
Date Expira-
Exer- tion
Code V (A) (D) cisable Date
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Employee Stock Option $4.14 1/22/98 M 5,905 8/14/95 12/31/2000
(Right to Buy)
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7. Title and Amount of Under- 8. Price 9. Number 10. Owner 11. Na-
lying Securities of of Deriv- ship ture
(Instr. 3 and 4) Deriv- ative Form of In-
ative Secur- of De- direct
Secur- ties rivative Bene-
ity Bene- Secu- ficial
(Instr. ficially rity Own-
5) Owned Direct ership
at End (D) or (Instr. 4)
Amount or of Indi-
Title Number of Month rect (1)
Shares (Instr. 4) (Instr. 4)
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common stock 5,905 52,490 D
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Explanation of Responses:
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/s/ Ronald Francis 2/10/98
Intentional misstatements or ommissions of facts ------------------------------------- -----------------
constitute Federal Criminal Violations. See **Signature of Reporting Person Date
18 U.S.C. 1001 and 15 U.S.C. 78????
File three copies of this Form, one of which must be
manually signed. If space provided is insufficient,
see Instruction 6 for procedure.
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SEC 1474 (3/91)
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