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OMB APPROVAL
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OMB Number 3235-0287
Expires: September 30,1998
Estimated average burden
hours per response ....... 0.5
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U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 4
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
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
[_] Check box if no longer subject to Section 16.
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1. Name and Address of Reporting Person*
United Information Acquisition Corp.
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(Last) (First) (Middle)
2 World Trade Center, Suite 5550
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(Street)
New York NY 10048
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
Audits & Surveys Worldwide, Inc.
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3. IRS Identification Number of Reporting Person, if an Entity (Voluntary)
--
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4. Statement for Month/Year
February, 1999
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5. If Amendment, Date of Original (Month/Year)
--
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6. Relationship of Reporting Person to Issuer
(Check all Applicable)
[_] Director [X] 10% Owner
[_] Officer (give title below) [_] Other (Specify below)
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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 I -- Non-Derivative Securities Acquired, Disposed of,
or Beneficially Owned
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<TABLE>
<CAPTION>
6.
4. 5. Owner-
Securities Acquired (A) or Amount of ship
3. Disposed of (D) Securities Form: 7.
Transaction (Instr. 3, 4 and 5) Beneficially Direct Nature of
2. Code ------------------------------- Owned at End (D) or Indirect
1. Transaction (Instr. 8) (A) of Month Indirect Beneficial
Title of Security Date ------------ Amount or Price (Instr. 3 (I) Ownership
(Instr. 3) (mm/dd/yy) Code V (D) and 4) (Instr.4) (Instr. 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C>
Common Stock 02/24/99 P 12,786,053 A $3.24 12,786,053 D
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</TABLE>
* If the 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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FORM 4 (continued)
Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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<TABLE>
<CAPTION>
10.
9. Owner-
Number ship
of Form
2. Deriv- of
Conver- 5. 7. ative Deriv- 11.
sion Number of Title and Amount Secur- ative Nature
or Derivative 6. of Underlying 8. ities Secur- of
Exer- 4. Securities Date Securities Price Bene- ity: In-
cise 3. Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of ficially Direct direct
Price Trans- action or Disposed Expiration Date ---------------- Deriv- Owned (D) or Bene-
1. of action Code of(D) (Month/Day/Year) Amount ative at End In- ficial
Title of Deriv- Date (Instr. (Instr. 3, ---------------- or Secur- of direct Owner-
Derivative ative (Month/ 8) 4 and 5) Date Expira- Number ity Month (I) ship
Security Secur- Day/ ------ ------------ Exer- tion of (Instr. (Instr. (Instr.(Instr.
(Instr. 3) ity Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
Option to $3.24 2/24/99 J 6,389,618 see see Common 6,389,618 see 0 D
purchase expl. expl. Stock expl.
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</TABLE>
Explanation of Responses:
On February 24, 1999 the reporting person consummated its tender offer for
shares of common stock of Audits & Surveys Worldwide, Inc. by accepting tenders
of 12,786,053 shares (approximately 97.5% of all shares outstanding). At the
same time, the option of the reporting person to acquire 6,389,618 shares
expired.
UNITED INFORMATION ACQUISITION CORP.
By: /s/ Richard Block March 10, 1999
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Richard Block, President
**Signature of Reporting Person Date
** Intentional misstatements or omissions of facts constitute Federal
Criminal Violations.
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 collections of information contained
in this form are not required to respond unless the form displays a currently
valid OMD Number.
