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OMB APPROVAL
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OMB Number: 3235-0362
Expires:September 30, 1998
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FORM 5
UNITED STATES 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
[ ] Check box if no longer subject to Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b).
[ ] Form 3 Holdings Reported
[X] Form 4 Transactions Reported
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1. Name and Address of Reporting Person*
Ciba Specialty Chemicals Holding Inc.
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(Last) (First) (Middle)
Klybeckstrasse 141
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(Street)
CH-4002
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(City) (State) (Zip)
Switzerland
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2. Issuer Name and Ticker or Trading Symbol
3D Systems Corporation/TDSC
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3. IRS or Social Security Number of Reporting Person (Voluntary)
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4. Statement for Month/Year
1997
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5. If Amendment, Date of Original (Month/Year)
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6. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
[ ] Director [X ] 10% Owner
[ ] Officer (give title below) [ ] Other (specify below)
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7. Individual or Joint/Group Reporting
(Check applicable box)
[ ] Form Filed by One Reporting Person
[ X ] Form Filed by More than One Reporting Person
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<PAGE>
Table 1 -- Non-Derivative Securities Acquired, Disposed of,
or Beneficially Owned
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<TABLE>
<CAPTION>
4.
Securities 5.
Acquired Amount of
(A) or Securities 6. 7.
Disposed of (D) Beneficially Ownership Nature of
1. 2. 3. (Instr. 3, 4 and 5) Owned at Form: Indirect
Title of Transaction Transaction -------------------------- end of Issuer's Direct (D) Beneficial
Security Date Code (A) or Fiscal Year or Indirect (I) Ownership
(Instr. 3) (mm/dd/yy) (Instr. 8) Amount (D) Price (Instr. 3 and 4) (Instr. 4) (Instr. 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C>
Common Stock 3/13/97 J+ 1,725,366 A N.A. 1,725,366 I Through CSCC
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Common Stock 6/26/95 S4++ 1,500,000 D $16.75 1,725,366 I Through CSCC
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</TABLE>
* If the form is filed by more than one reporting person,
see Instruction 4(b)(v)
Page 1 of 3
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FORM 5 (continued)
Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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<TABLE>
<CAPTION>
9.
5. Number 10.
2. Number 7. of Owner- 11.
Conver- of Deriva- 6. Title 8. Deriva- ship of Nature
1. sion tive Date and Price tive Se- Deriva- of
Title or Securities Exercis- Amount of curities tive Se- Indi-
of Exer- 3. Acquired able and of De- Bene- curity: rect
Deriva- cise Trans- 4. (A) or Expira- Under- riva- ficially Direct Bene-
tive Price action Trans- Disposed tion lying tive Owned (D) or ficial
Secu- of Date action of (D) Date Securi- Secu- at End Indirect Owner-
rity Deriva- (Month/ Code (Instr. 3, (Month/ ties rity of Year (I) ship
(Instr. tive Day/ (Instr. 4 and Day/ (Instr. (Instr. (Instr. (Instr. (Instr.
3) Security Year) 4) 5) Year) 3 and 4 4) 4) 4) 4)
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Amount
or
Date Expira- Number
Exer- tion of
(A) (D) cisable Date Title Shares
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
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</TABLE>
Explanation of Responses:
** INTENTIONAL MISSTATEMENTS OR OMISSIONS OF FACTS CONSTITUTE
FEDERAL CRIMINAL VIOLATIONS.
SEE 18 U.S.C. 1001 AND 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.
Ciba Specialty Chemicals Holding Inc.
by:
/s/ Peter Rupprecht
/s/ Max Dettwiler 2/17/98
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**Signature of Reporting Person Date
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.
Page 2 of 3
<PAGE>
Additional Reporting Person
Additional Reporting Person: Ciba Specialty Chemicals Canada Inc. (a wholly
owned subsidiary of Ciba Specialty Chemicals
Holding Inc.)
Address: 7030 Century Avenue; Mississauga, Ontario,
Canada L5N 2V8
Designated Filer: Ciba Specialty Chemicals Holding Inc.
Issuer & Ticker Symbol: 3D Systems Corporation/TDSC
Statement for Month/Year: 1997
Ciba Specialty Chemicals Canada Inc.
by:
/s/ John Lynch 2/17/98
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Signature of Reporting Person Date
Page 3 of 3
