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OMB APPROVAL
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- ------ OMB NUMBER: 3235-0362
FORM 5 EXPIRES: SEPTEMBER 30, 1998
- ------ 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
/ / FORM 4 the Investment Company Act
TRANSACTIONS 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 Persons to
Derganc Christopher S. Advanta Corp. (ADVNA/ADVNB) Issuer (Check all applicable)
- --------------------------------------------------------------------------------------------- Director 10% Owner
(Last) (First) (Middle) 3. IRS or Social Security 4. Statement for ---- ---
Number of Reporting Month/Year X Officer (give Other (Specify
Welsh & McKean Roads Person (Voluntary) 12/1997 ---- title --- below)
- ------------------------------------------- ###-##-#### below)
(Street) Senior Vice President,
Corporate Administration
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5. If Amendment, 7. Individual or Joint/Group Filing
Date of Original (Check applicable line)
(Month/Year) X Form Filed by One Reporting
---- Person
Form Filed by More than One
Spring House PA 19477-0844 ---- Reporting Person
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(City) (State) (Zip) TABLE 1 -- 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 Issuer's Direct Benefi-
(Month/ 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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Class B Common Stock 18,917 D
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Class B Common Stock 2,018 D Company's
401(k) Plan
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(Over)
*If the form is filed by more than one reporting person, (Print or Type Responses) SEC 2270 (7-96)
see Instruction 4(b)(v).
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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)
<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 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
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Option (Right to Buy) 25,875 1/22/1997 A 16,000 (1) 1/21/07 Class B 16,000
Common Stock
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<S> <C> <C> <C>
1. Title of Derivative 9. Number of 10. Ownership 11. Nature of
Security Derivative of Derivative Indirect
(Instr. 3) Securities Security: Beneficial
Beneficially Direct (D) Ownership
Owned at End or Indirect (l) (Instr. 4)
of Year (Instr. 4)
(Instr. 4)
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16,000 D
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Explanation of Responses:
1. Options becomes exercisable in increments of 25% on each of 1/22/98, 1/22/99,
1/22/00 and 1/22/01.
**Intentional misstatements or omissions of facts constitute Federal Criminal Violations. [sig] 2/13/98
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). ------------------------------- -------
**Signature of Reporting Person Date
Attorney-in-Fact
(Power of Attorney-in-Fact
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. SEC 2270 (7/96)
Potential persons who are to respond to the collection of information contained
in this from are not required to respond unless the form displays a currently
valid OMB Number.
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