FORM 5 OMB APPROVAL
[X] CHECK BOX IF NO LONGER SUBJECT OMB Number 3235-0362
TO SECTION 16. FORM 4 OR FORM 5 Expires: September 30, 1997
OBLIGATIONS MAY CONTINUE. SEE Estimated average burden
INSTRUCTION 1(b). hours per response .... 1.0
[ ] FORM 3 HOLDINGS REPORTED
[ ] FORM 4 TRANSACTIONS REPORTED
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
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1. Name and Address of Reporting Person
Guzy D. James
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(Last) (First) (Middle)
2340 West County Road C
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(Street)
St. Paul Minnesota 55113-2528
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
Micro Component Technology, Inc. (MCTI)
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3. IRS or Social Security Number of Reporting Person (Voluntary)
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4. Statement for Month/Year
June 1999
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5. If Amendment, Date of Original (Month/Year)
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6. Relationship of Reporting Person to Issuer
(Check all applicable)
[X] Director
[ ] 10% Owner
[ ] Officer (give title below)
[ ] Other (specify below)
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<TABLE>
<CAPTION>
TABLE I -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
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1. 2. 3. 4. 5. 6. 7.
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Amount of Owner-
Securities ship
Trans- Securities Acquired (A) Beneficially Form:
action or Disposed of (D) Owned at End Direct Nature of
Date Trans- (Instr. 3, 4 and 5) of Issuer's (D) or Indirect
Title of (Month/ action ---------------------------- Fiscal Year Indirect Beneficial
Security Day/ Code Amount (A) or Price (Instr. (I) Ownership
(Instr. 3) Year) (Instr. 8) (D) 3 and 4) (Instr. 4) (Instr. 4)
- --------------------- -------- ---------- ----------- ------ --------- ----------- ---------- ----------
<S> <C> <C> <C> <C> <C> <C> <C> <C>
- --------------------- -------- ---------- ----------- ------ --------- ----------- ---------- ----------
- --------------------- -------- ---------- ----------- ------ --------- ----------- ---------- ----------
</TABLE>
Reminder: Report on a separate line for each class of securities
beneficially owned directly or indirectly. (Over)
(Print or Type Responses) SEC 2270(10/94)
<PAGE>
FORM 5 (CONTINUED)
<TABLE>
<CAPTION>
TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(e.g., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
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1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11.
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Title and Ownership
Number of Date Exer- Amount of of
Derivative cisable and Underlying Number of Deriv-
Securities Expiration Securities Price Derivative ative
Conver- Acquired (A) Date (Month/ (Instr. 3 of Securities Security:
sion or Trans- or Disposed Day/Year) and 4) Deriv- Benefi- Direct
Exercise action Trans- of (D) -------------- -------------- ative cially (D) or Nature of
Title of Price of Date action (Instr. 3, Date Amount Secur- Owned at Indirect Indirect
Derivative Deriv- (Month/ Code 4 and 5) Exer- Expir- or Num- ity End of (I) Beneficial
Security ative Day/ (Instr. ---------- cis- ation ber of (Instr. Month (Instr. Ownership
(Instr. 3) Security Year) 8) (A) (D) able Date Title Shares 5) (Instr. 4) 4) (Instr. 4)
- ---------- -------- -------- -------- ---- ---- ------- ----- ----- ------ ------ ---------- -------- ----------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
Stock $1.125 11/3/98 A 5,000 - 11/3/99 11/3/00 Common 5,000 0
Option Stock
Stock $1.125 11/3/98 A 5,000 - 11/3/00 11/3/03 Common 5,000 0 50,000 D
Option Stock
</TABLE>
Explanation of Responses:
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/s/ D. James Guzy 8-10-99
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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 provided is insufficient, SEE Instruction 6 for procedure.
