FORM 3
U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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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 Persons
Ingenico S.A.
9, quai de Dion Bouton
Puteaux FRANCE 92816
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2. Date of Event Requiring Statement
(Month/Day/Year)
December 17, 1996
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3. IRS or Social Security Number of Reporting Person (Voluntary)
None
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4. Issuer Name and Ticker or Trading Symbol
International Verifact Inc. (IVIAF)
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5. Relationship of Reporting Person to Issuer
(Check all applicable)
Director X 10% Owner
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Officer (give title below) Other (specify below)
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6. If Amendment, Date of
Original (Month/Day/Year)
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7. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
____ Form filed by More than One Reporting Person
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TABLE 1 NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED
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Title of Security 2. Amounts of 3. Ownership 4. Nature of
(Instr. 4) Securities Form: Direct (D) Indirect
Beneficially or Indirect (I) Beneficial
Owned (Instr. 5) Ownership
(instr. 4) (Instr. 5)
----------------- ------------ --------------- ---------------
COMMON STOCK, no
par value 1,457,800 (D)
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Reminder: Report on a separate line for each class of securities
beneficially owned directly or indirectly.(Print or Type Responses)
* If the form is filed by more than one reporting person, SEE Instruction
5(b)(v). SEC 1473 (7-96)
(over)
<PAGE>
FORM 3 (CONTINUED) TABLE II DERIVATIVE SECURITIES BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE
SECURITIES)
1. Title of 2. Date Exer- 3. Title and Amount of
Derivative cisable and Securities Underlying
Security Expiration Derivative Security
(Instr. 4) Date (Instr. 4)
(Month/Day/
Year)
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Date Expira- Amount
Exer- tion Title or
cisable Date Number
of
Shares
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4. Conver- 5. Ownership 6. Nature of
sion or Form of Indirect
Exercise Derivative Beneficial
Price of Security: Ownership
Deri- Direct (Instr. 5)
vative (D) or
Security Indirect
(I)
(Instr. 5)
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Explanation of Responses: * Ingenico S.A. has the right to purchase
from International Verifact Inc. at the then market price additional shares
of Common Stock so as to retain ownership of not less than the lesser of
(a) 15% of the issued and outstanding voting, participating share capital
of the Issuer or (b) such lesser percentage of such share capital held by
Ingenico immediately prior to the exercise of Ingenico's participation
right.
**Intentional misstatements or omissions of facts constitute Federal
Criminal Violations.
INGENICO S.A.
By /s/ Gerard Compain
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Name: Gerard Compain
Title:
Date: December 27, 1996
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 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.
SEC 1473 (7-96)
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