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U.S. SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
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.
FORM 5
[ ] Check this box if no longer subject to Section
16. Form 4 or Form 5 obligations may
continue. See Instruction 1(b).
[ ] Form 3 Holdings Reported
[ ] Form 4 Holdings Reported
1. Name and Address of Reporting Person
Reynolds, Clifford L.
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(Last) (First) (Middle)
5811 CANAL ROAD - SUITE 180
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(Street)
VALLEY VIEW, OHIO 44125
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(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
D.I.Y. HOME WAREHOUSE, INC.
NASDAQ NMS - DIYH
3. IRS or Social Security Number of Reporting Person (Voluntary)
4. Statement for Month/Year
12/96
5. If Amendment, Date of Original (Month/Year)
6. Relationship of Reporting Person to Issuer (Check all applicable)
X Director 10% Owner
--- ---
X Officer (give Other
--- title below) --- (specify below)
PRESIDENT, CEO
TABLE I - NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY
OWNED
1. Title of Security (Instr. 3)
Common Stock
2. Transaction Date (Month/Day/Year)
3. Transaction Code (Instr. 8)
4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
Amount (A) or (D) Price
5. Amount of Securities Beneficially Owned at End of Issuer's Fiscal Year
(Instr. 3 & 4)
150,000
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
D
7. Nature of Indirect Beneficial Ownership (Instr. 4)
TABLE II - DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(E.G. PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
1. Title of Derivative Security (Instr. 3)
Option(1)
2. Conversion or Exercise Price of Derivative Security
$4.69
3. Transaction Date (Month/Day/Year)
3/6/96
4. Transaction Code (Instr. 8)
A
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4
and 5)
(A) (D)
30,000
6. Date Exercisable and Expiration Date (Month/Day/Year)
Date Exercisable(1) Expiration Date
1/1/97 9/6/01
7. Title and Amount of Underlying Securities (Instr. 3 and 4)
Title Amount or Number of Shares
Common 30,000
8. Price of Derivative Security (Instr. 5)
-0-
9. Number of Derivative Securities Beneficially Owned at End of Year (Inst.
4)
195,000
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr.
4)
D
11. Nature of Indirect Beneficial Ownership (Instr. 4)
Explanation of Responses:
(1)The right to exercise these options and acquire the Common Stock vests 20% on
each January 1 of 1997, 1998, 1999, 2000 and 2001.
** Intentional misstatements or omissions of facts constitute Federal Criminal
Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
/s/ Clifford L. Reynolds February 11 , 1997
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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.
