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U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 4
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
/ / Check this box if no longer subject to Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Stephen Sternbach
(Last) (First) (Middle)
c/o Star Multi Care Services, Inc.
33 Walt Whitman Road
(Street)
Huntington Station, NY 11746
(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Star Multi Care Services, Inc. (SMCS)
3. I.R.S. or Social Security Number of Reporting Person (Voluntary)
4. Statement for Month/Year
November/2000
5. If Amendment, Date of Original (Month/Year)
6. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
/X/ Director /X/ 10% Owner
/X/ Officer (give title below) / / Other (specify below)
Chairman of the Board, President and CEO
7. Individual or Joint/Group Filing (Check Applicable Line)
/X/ Form filed by One Reporting Person
/ / Form filed by More than One Reporting Person
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Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
5. Amount
of Secu-
rities
Bene- 6. Ownership
2. Trans- 3. Trans- 4. Securities Acquired (A) ficially Form:
action action or Disposed of (D) Owned Direct 7. Nature of
Date Code (Instr. 3, 4 and 5) at End (D) or Indirect
(Month/ (Instr. 8) ----------------------------- of Month Indirect Beneficial
1. Title of Security Day/ ------------- (A) or (Instr. (I) Ownership
(Instr. 3) Year) Code V Amount (D) Price 3 and 4) (Instr. 4) (Instr. 4)
----------------------------- ---------- ------ ----- ------------ ------ ---------- ----------- ------------- -------------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C>
Common Stock 11/01/00 S 10,000 D $1.00 156,609 D
11/03/00 S 1,000 D $1.0625 155,609 D
11/06/00 S 20,000 D $1.00 135,609 D
11/07/00 S 3,000 D $1.00 132,609 D
11/27/00 S 2,000 D $.6562 130,609 D
11/29/00 S 5,700 D $.6875 124,909 D
11/29/00 S 1,000 D $.6562 123,909 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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<TABLE>
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Table II--Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
2. Conver- 5. Number of Deriv- 6. Date Exercisable
sion or 3. Trans- ative Securities and Expiration Date
Exercise action 4. Transac- Acquired (A) or (Month/Day/Year)
Price of Date tion Code Disposed of (D) ----------------------
Deriv- (Month/ (Instr. 8) (Instr. 3, 4, and 5) Date
1. Title of Derivative Security ative Day/ ------------- -------------------------- Exercis- Expiration
(Instr. 3) Security Year) Code V (A) (D) able Date
---------------------------------------- ----------- ---------- ------ ----- ------------ ------------ ---------- ----------
<S> <C> <C> <C> <C> <C> <C> <C> <C>
<CAPTION>
9. Number of 10. Ownership
Derivative Form of
Securities Derivative
7. Title and Amount of Underlying Bene- Security:
Securities (Instr. 3 and 4) ficially Direct 11. Nature of
---------------------------------------- 8. Price of Owned at (D) or Indirect
Amount or Derivative End of Indirect Beneficial
1. Title of Derivative Title Number of Security Month (I) Ownership
Security (Instr. 3) Shares (Instr. 5) (Instr. 4) (Instr. 4) (Instr. 4)
--------------------------- --------------------------- ----------- ------------- ------------- -------------- ---------------
<S> <C> <C> <C> <C> <C> <C>
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Explanation of Responses:
/s/ Stephen Sternbach December 12, 2000
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Signature of Reporting Person 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 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.
