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- ------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION ----------------------------
Washington, D.C. 20549
FORM 5 OMB APPROVAL
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL
- ------------------------ OWNERSHIP ----------------------------
/X/ Check box if no OMB Number: 3235-0362
longer subject to Filed pursuant to Section 16(a) of the Expires: September 30, 1998
Section 16. Form 4 Securities Exchange Act of 1934, Section 17(a) Estimated average
or Form 5 of the Public Utility Holding Company Act of burden hours per
obligations may 1935 or Section 30(f) of the Investment Company response............... 1.0
continue. See Act of 1940 ----------------------------
Instruction 1(b).
/_/ Form 3 Holdings
Reported
/_/ Form 4 Transactions
Reported
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1. Name and Address of 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person(s) to Issuer
Reporting Person*
(Check all applicable)
BLACK STANLEY D. Trend-Lines, Inc. "TRND" __X__ Director _____ 10% Owner
__X__ Officer (give _____ Other (specify
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(Last) (First) (Middle) 3. IRS or Social Security 4. Statement for below)
Number of Reporting Month/Year
Trend-Lines, Inc. Person (Voluntary)
135 American Legion Highway 2/26/00
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(Street) 5. If Amendment, 7. Individual or Joint/Group Reporting
Date of
(check applicable line)
Original _____ Form Filed by One Reporting Person
Revere MA 02151 (Month/Year) _____ Form Filed by More than One Reporting Person
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(City) (State) (Zip) Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1. Title of Security 2. Transaction 3. Transaction 4. Securities 5. Amount of 6. Ownership 7. Nature of
(Instr. 3) Date Code Acquired (A) Securities Form: Indirect
(Month/ (Instr. 8) or Disposed Beneficially Direct (D) Beneficial
Day/ of (D) Owned at end or Ownership
Year) (Instr. 3, of Issuer's Indirect (I) (Instr. 4)
4, and 5) Fiscal Year (Instr. 4)
------------------- (Instr. 3 and 4)
(A)
or
Amount (D) Price
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Class A Common Stock 8/9/99 G 30,000 D -0- 4,124,119 * *
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*See Attached Schedule A
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*If the form is filed by more than one reporting person, see instruction 4(b)(v). (Over)
SEC 2270 (7-96)
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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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1. Title 2. Conver- 3. Trans- 4. Trans- 5. Number of 6. Date 7. Title 8. Price 9. Number 10. Owner- 11. Nature
of sion of action action Derivative Exercis and of of ship of of
Deriva Exercise Date Code Securities -able Amount Deriva- Deriv- Deriva- Indirect
-tive Price of (Month/ (Instr. Acquired and of tive ative tive Ownership
Security Deriva- Day/ 8) (A) or Expira Under- Secur- Secur- Secur- (Instr.
(Instr. 3) tive Year) Disposed -tion lying ity ities ity: 4)
Security of (D) Date Secur- (Instr. Benefi- Direct
(Instr. 3, (Month/ ities 5) cially (D) or
4, and 5) Day/ (Instr. Owned at Indirect
Year) 3 and 4) the End (I)
-------------------------- of Year (Instr.
Amount (Instr. 4)
Date or 4)
-------------- Excer- Expira- Number
(A) (D) cis- tion of
able Date Title Shares
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Class B 8/9/99 C 30,000 Class 30,000 3,963,383 * *
Common A
Stock Common
Stock
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Explanation of Responses:
/s/ Stanley D. Black
** Intentional misstatements or omissions of facts ___________________________________ April 10, 2000
constitute Federal Criminal Violations. ** Signature of Reporting Person Date
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Stanley D. Black
Note: File three copies of this Form, one of which
must be manually signed. If space provided
is insufficient, see Instruction 6 for procedure.
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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
SEC 2270 (7-96)
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AMENDED FORM 5
AMENDED ANNUAL STATEMENT OF
CHANGES IN BENEFICIAL OWNERSHIP
SCHEDULE A
STANLEY D. BLACK
Class A Common Stock Shares Beneficially Owned
Stanley D. Black 4,124,119 (1)
Class B Common Stock Shares Beneficially Owned
Stanley D. Black 3,963,383 (1)
(1) Amount Beneficially Owned: Of the 4,124,119 shares of Class A Common Stock
deemed beneficially owned by the reporting person, the reporting person has
the right to acquire 3,963,383 of such shares upon conversion of shares of
Class B Common Stock of the issuer as to which the reporting person may be
deemed to be the beneficial owner, which are convertible at any time into
Class A Common Stock on a one to one share basis.
The shares deemed beneficially owned by the reporting person are held of
record by certain trusts of which the reporting person is a trustee,
beneficiary or settlor and a limited partnership of which the reporting
person is a general partner.
Of the 4,124,119 shares of Class A Common Stock deemed beneficially owned
by the reporting person, the reporting person has the sole voting and
investment power with respect to 2,694,302 shares of Class A Common Stock
deemed beneficially owned by him.
Of the 4,124,119 shares of Class A Common Stock deemed beneficially owned
by the reporting person, the reporting person does not have voting or
investment power with respect to 241,317 shares of Class A Common Stock,
but has the right to acquire such shares in his capacity as settlor of a
certain trust.
The reporting person shares voting and investment power with respect to
1,188,500 shares of Class A Common Stock.
Except for 241,317 shares of Class A Common Stock, the reporting person
disclaims beneficial ownership as to 2,288,873 shares of Class A Common
Stock deemed beneficially owned by the reporting person's spouse.
