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FORM 5
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[ ] Check box if no U.S. SECURITIES AND EXCHANGE COMMISSION
longer subject to Washington, DC 20549
Section 16. Form
4 or Form 5 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
obligations may
continue. See Filed pursuant to Section 16(a) of the Securities
Instruction 1(b). Exchange Act of 1934,
[ ] Form 3 Holdings Section 17(a) of the Public Utility
Reported Holding Company Act of 1935 or Section 30(f) of
[ ] Form 4 the Investment Company Act
Transactions of 1940
Reported
<TABLE>
<S> <C> <C> <C> <C> <C> <C>
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| 1. Name and Address of Reporting Person(1) | 2. Issuer Name and Ticker or Trading Symbol |6. Relationship of Reporting Person to |
| Harizman Niv | Kellstrom Industries, Inc. (KELL) | Issuer (Check all applicable) |
|--------------------------------------------|---------------------------------------------| |
| (Last) (First) (Middle) | 3. IRS Identification |4. Statement For | [X] Director [ ] 10% Owner |
| c/o Kellstrom Industries, Inc. | Number of Reporting | Month/Year | |
| 1100 International Parkway | Person, if an Entity | 12/99 | [ ] Officer (give [ ] Other (specify|
|--------------------------------------------| (Voluntary) |-------------------| title below) |
| (Street) | |5. If Amendment, | below) |
| | | Date of Original| |
| | | (Month/Year) |---------------------------------------|
| Sunrise FL 33323 | | |7. Individual or Joint/Group Filing |
|--------------------------------------------|---------------------------------------------| (Check applicable line) |
| (City) (State) (Zip) | | [X] Form Filed by one |
| | | Reporting Person |
| | | [ ] Form Filed by more than |
| | | one Reporting Person |
|----------------------------------------------------------------------------------------------------------------------------------|
| TABLE 1 -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED |
|----------------------------------------------------------------------------------------------------------------------------------|
| 1. Title of Security | 2. Trans- | 3. Transac- |4. Securities Acquired (A)|5. Amount of Se- |6. Owner- |7. Nature |
| (Instr. 3) | action | tion | or Disposed of (D) | curities Benefi-| ship | of In- |
| | Date | Code | (Instr. 3, 4 and 5) | cially Owned at | Form: | direct |
| | | (Instr. | | End of Issuer's | Direct | Benefi-|
| | (Month/ | 8) | | Fiscal Year | (D) or | cial |
| | Day/ | |--------------------------| (Instr. 3 and 4)| Indirect | Owner- |
| | Year) | | Amount | (A) or | Price | | (I) | ship |
| | | | | (D) | | | (Instr. 4)| (Instr.|
| | | | | | | | | 4) |
| | | | | | | | | |
|--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------|
| | | | | | | | | |
|--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------|
| | | | | | | | | |
|--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------|
| | | | | | | | | |
|--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------|
| | | | | | | | | |
|--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------|
| | | | | | | | | |
|--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------|
| | | | | | | | | |
|--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------|
| | | | | | | | | |
|--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------|
| | | | | | | | | |
|--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------|
| | | | | | | | | |
|--------------------------|-----------------|-------------|--------|--------|--------|-------------------|-------------|----------|
| | | | | | | | | |
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* If form is filed by more than one Reporting Person, see Instruction 4(b)(v).
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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<TABLE>
<CAPTION>
FORM 5 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
<S> <C> <C> <C> <C> <C> <C> <C>
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| 1. Title of Derivative| 2. Conver- | 3. Trans- | 4. Trans- | 5. Number of | 6. Date Exer- |7. Title and Amount| 8. Price |
| Security | sion or | action | action | Derivative | cisable and | of Underlying | of |
| (Instr. 3) | Exercise| Date | Code | Securities | Expiration | Securities | Deriv- |
| | Price of| (Month/| (Instr.| Acquired (A)| Date | (Instr. 3 and 4)| ative |
| | Deriv- | Day/ | 8) | or Disposed | (Month/Day/ | | Secur- |
| | ative | Year) | | of (D) | Year) | | ity |
| | Security| | | (Instr. 3, | | | (Instr. 5)|
| | | | | 4, and 5) |-----------------|-------------------| |
| | | | | | Date |Expira- | | Amount or | |
| | | | |----------------| Exer- |tion |Title | Number of | |
| | | | | (A) | (D) | cisable|Date | | Shares | |
|-----------------------|------------|-----------|-----------|-------|--------|--------|--------|------|------------|--------------|
|Employee Stock Option | $19.00/sh. | 06/04/99 | A |30,000 | -- |06/04/99|06/04/99|Common| 30,000 | -- |
|(right to buy) | | | | | | | |Stock | | |
|-----------------------|------------|-----------|-----------|-------|--------|--------|--------|------|------------|--------------|
| | | | | | | | | | | |
|-----------------------|------------|-----------|-----------|-------|--------|--------|--------|------|------------|--------------|
| | | | | | | | | | | |
|-----------------------|------------|-----------|-----------|-------|--------|--------|--------|------|------------|--------------|
| | | | | | | | | | | |
|-----------------------|------------|-----------|-----------|-------|--------|--------|--------|------|------------|--------------|
| | | | | | | | | | | |
|-----------------------|------------|-----------|-----------|-------|--------|--------|--------|------|------------|--------------|
| | | | | | | | | | | |
|-----------------------|------------|-----------|-----------|-------|--------|--------|--------|------|------------|--------------|
| | | | | | | | | | | |
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<CAPTION>
<S> <C> <C>
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| 9. Number of | 10. Ownership | 11. Nature of |
| Derivative | of Derivative | Indirect |
| Securities | Security: | Beneficial |
| Beneficially | Direct (D) | Ownership |
| Owned at End | or Indirect (I) | (Instr. 4) |
| of Year | (Instr. 4) | |
| (Instr. 4) | | |
| | | |
|--------------------|--------------------------|----------------------|
| 30,000 | D | N/A |
|--------------------|--------------------------|----------------------|
| | | |
|--------------------|--------------------------|----------------------|
| | | |
|--------------------|--------------------------|----------------------|
| | | |
|--------------------|--------------------------|----------------------|
| | | |
|--------------------|--------------------------|----------------------|
| | | |
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Explanation of Responses:
(1) Intentional misstatements or omissions of facts constitute Federal Criminal /s/ Niv Harizman 2/15/2000
Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). ---------------------------------- ----------
**Signature of Reporting Person (1) Date
Niv Harizman
Note. File three copies of this form, one of which must be manually signed. Page 2
If space provided is insufficient, see Instruction 6 for procedure.
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