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OMB APPROVAL
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- ------ OMB Number: 3235-0362
FORM 5 Expires: September 30, 1997
- ------ Estimated average burden
hours per response .... 1.0
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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
/X/ Form 4 the Investment Company Act
Holdings of 1940
Reported
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<S> <C> <C> <C> <C> <C> <C>
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1. Name and Address of Reporting Person 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person to
Amedia Frank J. FORTE COMPUTER EASY, INC.; CEAS Issuer (Check all applicable)
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(Last) (First) (Middle) 3. IRS or Social Security 4. Statement for ---- ---
Number of Reporting Month/Year X Officer (give Other (Specify
1350 Albert Street Person (Voluntary) 12/96 ---- title --- below)
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(Street) ###-##-#### 5. If Amendment,
Date of Original President
Youngstown Ohio 44505 (Month/Year) ------------------------
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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. 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. 8) End of Month Direct Benefi-
(Month/ (Instr. 3 and 4) (D) or cial
Day/ ---------------------------- Indirect Owner-
Year) Amount (A) or Price (I) ship
(D) (Instr. 4) (Instr.
4)
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Common Stock 4/06/96 S4 340,000 D $.35 27,288,077 D
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(Print or Type Responses)
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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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 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 Ac- Expiration Securities Deriv-
Price of (Month/ (Instr. 8) quired (A) or Date (Instr. 3 and 4) ative
Deriv- Day/ Disposed of (D) (Month/Day/ Secur-
ative Year) (Instr. 3, 4, Year) ity
Security and 5) (Instr. 5)
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Date Expira- Amount or
--------------- Exer- tion Title Number of
(A) (D) cisable Date Shares
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
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Common Stock Acquisition Common
Rights (1) n/a n/a 0 0 (1) n/a Stock 2,042,745 n/a
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Common
Options $3.75 n/a n/a 0 0 6/8/94 6/8/98 Stock 4,262,440 n/a
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9. Number of 10. Ownership Form 11. Nature of
Derivative of Derivative Indirect
Securities Security: Beneficial
Beneficially Direct (D) Ownership
Owned at End or Indirect (l) (Instr. 4)
of Month (Instr. 4)
(Instr. 4)
<S> <C> <C> <C>
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Common Stock Acquisition
Rights 2,042,745 D
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Options 4,262,440 D
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Explanation of Responses:
(1) In connection with the acquisition of Mr. Amedia's shares in Forte, Inc., Forte Computer Easy, Inc. agreed to issue to Mr.
Amedia 1,718,422 shares of common stock which will be issued to Mr. Amedia at such time when there is a sufficient number of
authorized and unissued and unreserved shares of common stock available for Forte Computer Easy, Inc. to issue such shares, and
Forte, Inc. is obligated to issue to Mr. Amedia 324,323 shares of common stock.
**Intentional misstatements or omissions of facts constitute Federal Criminal Violations. /s/ Frank J. Amedia 2/1/97
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). ------------------------------- -------
**Signature of Reporting Person Date
Frank J. Amedia
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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