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OMB APPROVAL
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OMB Number: 3235-0362
Expires: September 30, 1998
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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*
Moffat Donald W.
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(Last) (First) (Middle)
Stratasys, Inc. 14950 Martin Drive
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(Street)
Eden Prarie MN 55344-2020
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
Stratasys, Inc. (SSYS-Nasdaq) (SAS-Pacific)
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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)
[ ] Director [ ] 10% Owner
[ X ] Officer (give title below) [ ] Other (specify below)
Chief Operating Officer
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7. Individual or Joint/Group Reporting
(check applicable line)
[ X ] 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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<TABLE>
<CAPTION>
5. 6.
3. 4. Amount of Owner-
Transaction Security Acquired (A) or Securities ship
Code Disposed of (D) Beneficially Form: 7.
(Instru. 8) (Instr. 3, 4 and 5) Owned at End Direct Nature of
2. ------------------------------------------ of Issuer's (D) or Indirect
1. Transaction (A) Fiscal Year Indirect Beneficial
Title of Security Date Amount or Price (Instr. 3 (I) Ownership
(Instr. 3) (Month/Day/Year) Code (D) & 4) (Instr.4) (Instr. 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C>
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</TABLE>
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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. 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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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
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Employee Stock $15.00 7/30/97 A 8,000 (1) 7/29/03 Common 8,000 n/a 8,000 D n/a
Options Stock
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Employee Stock $15.00 7/30/97 A 750 (2) 7/29/02 Common 750 n/a 750 D n/a
Options Stock
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Employee Stock $15.00 7/30/97 A 10,000 (3) 7/29/03 Common 10,000 n/a 10,000 D n/a
Options Stock
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Employee Stock $21.81 2/19/97 A 4,000 (4) 2/18/03 Common 4,000 n/a 4,000 D n/a
Options Stock
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(1) 8,000 options vest
4/1/98
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(2) 750 options vested
7/30/97
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(3) 2,000 options vest on
each of 7/30 for the
next five years
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</TABLE>
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SEC 2270(7-96)
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<TABLE>
<CAPTION>
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
(4) 800 options vest
on each of 7/30 for
the next five years
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</TABLE>
Explanation of Responses:
/s/ Donald W. Moffat 2/19/98
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Donald W. Moffat 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.
Potential persons who 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.
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SEC 2270(7-96)
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