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U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 5 OMB APPROVAL
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[X] Check this box if no longer OMB NUMBER: 3235-0362
subject to Section 16. Form 4 Expires: April 30, 1997
or Form 5 obligations may Estimated average burden
continue. SEE Instruction 1(b). hours per response ...... 1.0
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[_] Form 3 Holdings Reported
[_] Form 4 Transaction Reported
ANNUAL 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
1. Name and Address of Reporting Person
Yaniv Zvi
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(Last) (First) (Middle)
12100 Technology Boulevard
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(Street)
Austin Texas 78727
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
SI Diamond Technology, Inc.
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3. IRS or Social Security Number of Reporting Person (Voluntary)
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4. Statement for Month/Year
1996
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5. If Amendment, Date of Original (Month/Day/Year)
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6. Relationship of Reporting Person to Issuer
(Check all applicable)
X Director 10% Owner
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X Officer (give Other (Specify
----- title below) ------ below)
President and Chief Operating Officer
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<TABLE>
<CAPTION>
Table 1 -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security 2. Trans- 3. Trans- 4. Securities Acquired (A) 5. Amount of 6. Ownership 7. Nature
(Instr. 3) action action or Disposed of (D) Securities Form: of Indirect
Date Code Beneficially Direct Beneficial
(Instr. 8) (Instr. 3,4 and 5) Owned at End (D) or Ownership
(Month/ -------------------------- Of Issuer's Indirect (Instr. 4)
Day/ Amount (A) or Price Fiscal Year (I)
Year) (D) (Instr. 3 and 4) (Instr. 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C>
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</TABLE>
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
(Print or Type Responses)
(Over)
SEC 2270 (3/91)
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FORM 5 (continued)
<TABLE>
<CAPTION>
Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security 2. Conversion 3. Transaction 4. Transaction 5. Number of Derivative 6. Date Exercisable
(Instr. 3) or Exercise Date Code Securities Acquired (A) and Expiration
Price of (Month Day (Instr. 8) or Disposed of (D) Date
Derivative Year) (Instr. 3, 4, and 5) (Month, Day
Security Year)
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(A) (D) Date Expiration
Exer- Date
cisable
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<S> <C> <C> <C> <C> <C> <C> <C> <C>
Stock Option (Right to Buy) (1) 6/1/96 H(1) 1,000,000 (1) 6/1/06
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Stock Option (Right to Buy) $4.00 6/1/96 J(1) 1,000,000 (1) 6/1/06
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</TABLE>
<TABLE>
<CAPTION>
7. Title and Amount of 8. Price of Derivative 9. Number of Derivative 10. Ownership of 11. Nature of the
Underlying Securities Security (Instr. 5) Securities Beneficially Derivate Security: Indirect Beneficial
(Instr. 3 AND 4) Owned at End of Year Direct (D) or Ownership (Instr. 4)
Instr. 4) Indirect (I) (Instr. 4)
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Title Amount or
Number of
Shares
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<S> <C> <C> <C> <C>
Common Stock 1,000,000
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Common Stock 1,000,000 1,000,000 D
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</TABLE>
Explanation of Responses:
(1) Cancellation of option in connection with grant of replacement option. The
reported transaction involved the refinancing of an existing option which
was originally granted on 6/1/96 under the SI Diamond Technology, Inc.
Amended and Restated 1992 Stock Option Plan. Originally, the options were to
be priced as they vested on the last trading day of each vesting period. The
vesting terms were not amended at the time of repricing and remain as
follows:
(a) 6/01/96 -- 100,000 shares
(b) 12/31/96 -- 100,000 shares
(c) 12/31/97 -- 200,000 shares
(d) 12/31/98 -- 200,000 shares
(e) 12/31/99 -- 200,000 shares
(f) 12/31/00 -- 200,000 shares
**Intentional misstatements or omissions of facts constitute Federal Criminal
Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
/s/ Zvi Yaniv 2/14/97
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**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.
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SEC 2270 (3/91)