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OMB APPROVAL
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OMB Number: 3235-0362
Expires: September 30, 1998
Estimated average burden
hours per response ....... 1.0
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U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 5
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 this box if no longer subject to Section 16. Form 4 or Form 5
obligations may Continue. See Instructions 1(b)
[ ] Form 3 Holdings Reported
[X ] Form 4 Transactions Reported
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1. Name and Address of Reporting Person*
Crump S. Scott
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(Last) (First) (Middle)
3300 Fairchild Avenue
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(Street)
Wayzata MN 55391
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
Stratasys, Inc. (SAS-Pacific S.E.)
(SSYS-NASDAQ)
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3. IRS Number of Reporting Person (Voluntary)
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4. Statement for Month/Year
12/97
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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)
[ X ] Director [ ] 10% Owner
[ X ] Officer (give title below) [ ] Other (specify below)
President
Treasurer
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7. Individual or Joint/Group Reporting
(check applicable line)
[ ] 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
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<CAPTION>
5. 6.
4. Amount of Owner-
Securities Acquired (A) or Securities ship
2. Disposed of (D) Beneficially Form: 7.
Transaction (Instr. 3, 4 and 5) Owned at End Direct Nature of
Date 3. ----------------------------- of Issuer's (D) or Indirect
1. (Month/ Transaction (A) Fiscal Year Indirect Beneficial
Title of Security Day/ Code Amount or Price (Instr. 3 (I) Ownership
(Instr. 3) Year) (Instr. 8) (D) and 4) (Instr.4) (Instr. 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C>
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</TABLE>
#13284
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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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<CAPTION>
9. 10.
Number Owner-
of ship
2. Deriv- of
Conver- 5. 7. ative Deriv- 11.
sion Number of Title and Amount Secur- ative Nature
or Derivative 6. of Underlying 8. ities Secur- of
Exer- Securities Date Securities Price Bene- ity: In-
cise 3. 4. Acquired (A) Exercisable and (Instr. 3 and 4) of ficially Direct direct
Price Trans- Trans- or Disposed Expiration Date ---------------- Deriv- Owned (D) or Bene-
1. of action action of (D) (Month/Day/Year) Amount ative at End In- ficial
Title of Deriv- Date Code (Instr. 3, ---------------- or Secur- of direct Owner-
Derivative ative (Month/ (Instr. 4, and 5) Date Expira- Number ity Year (I) ship
Security Secur- Day/ 8) ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr.
(Instr. 3) ity Year) Code (A) (D) cisable Date Title Shares 5) 4) 4) 4)
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Stock Options $15.00 7/30/ A 25,750 (1) 7/29/03 Common 25,750 n/a 25,750 D n/a
97 Stock
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
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1. Of the 25,750
options, 750 vested
on 7/30/97, 15,000
will vest on 4/1/98
and 10,000 will
vest over the next
five years.
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</TABLE>
Explanation of Responses:
/s/ S. Scott Crump 2-19-98
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S. Scott Crump 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.
#132814 Page 2
SEC 2270 (7-96)