-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, ENU3pDz4PQj8+ZA9vXsAT9I3qklOGcRwDhXC8+Tw1+MXD2H1TVapsc2Km2lWEgSt NN05Lgjf+HKgj078pvdrhg== 0000914121-99-000373.txt : 19990421 0000914121-99-000373.hdr.sgml : 19990421 ACCESSION NUMBER: 0000914121-99-000373 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19990419 FILED AS OF DATE: 19990420 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: BASE TEN SYSTEMS INC CENTRAL INDEX KEY: 0000010242 STANDARD INDUSTRIAL CLASSIFICATION: SEARCH, DETECTION, NAVIGATION, GUIDANCE, AERONAUTICAL SYS [3812] IRS NUMBER: 221804206 STATE OF INCORPORATION: NJ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 000-07100 FILM NUMBER: 99597172 BUSINESS ADDRESS: STREET 1: ONE ELECTRONICS DR CITY: TRENTON STATE: NJ ZIP: 08619 BUSINESS PHONE: 6095867010 MAIL ADDRESS: STREET 1: ONE ELECTRONICS DR CITY: TRENTON STATE: NJ ZIP: 08619 COMPANY DATA: COMPANY CONFORMED NAME: UPCHURCH JESSE L CENTRAL INDEX KEY: 0000947464 STANDARD INDUSTRIAL CLASSIFICATION: [] OWNER FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 500 MAIN STREET CITY: FORT WORTH STATE: TX ZIP: 76102 BUSINESS PHONE: 8178700301 MAIL ADDRESS: STREET 1: 500 MAIN STREET CITY: FORT WORTH STATE: TX ZIP: 76102 4 1 FORM 4 FILING - --------------------------- FORM 4 __ Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). (Print or type responses) - ---------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 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. - ------------------------------------- OMB Approval - ------------------------------------- OMB Number: 3235-0287 Expires: September 30, 1998 Estimated average burden hours per response...0.5 - -------------------------------------
- --------------------------------------------------- ------------------------------------------------------ ------------------------- 1. Name and Address of 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person to Issuer Reporting Person* (Check all applicable) __ Director X 10% Owner Upchurch Jesse L. Base Ten Systems, Inc. (BASEA) __ Officer (give title below) __ Other (specify below) - ------------------------------------------------------------------------------------------------------------------------------------ (Last) (First) (Middle) 3. IRS or Social 4. Statement for 7. Individual or Joint/Group Filing Security Number of Month/Year (check applicable line) Reporting Person X Form Filed by One Reporting Person c/o Upchurch Corporation (Voluntary) 11/98 __ Form Filed by More than One Reporting 500 Main Street Person - ------------------------------------------- ------------------ (Street) 5. If Amendment, Date of Original (Month/Year) Fort Worth TX 76102 12/98 - ------------------------------------------------------------------------------------------------------------------------------------ (City) (State) (Zip) Table 1 -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned - ------------------------------------------ ------------- ----------------- --------------------------------------------------------- 1. Title of Security 2. Trans- 3. Transaction 4. Securities Acquired (A) 5. Amount of 6. Ownership 7. Nature of (Instr. 3) action Code (Instr. or Disposed of (D) Securities Form: Indirect Date 8) (Instr. 3, 4 and 5) Beneficially Direct (D) Beneficial (Month/ Owned at End or Indirect Ownership Day/ of Month (I) (Instr. 4) Year) (Instr. 3 (Instr. 4) and 4) - ------------------------------------------------------------------------------------------------------------------------------------ Code V Amount (A) or (D) Price - ------------------------------------------------------------------------------------------------------------------------------------ Class A Common Stock 11/02/98 P 6,500 A $2.9687 I By corporation (1) - ------------------------------------------------------------------------------------------------------------------------------------ Class A Common Stock 11/02/98 P 5,000 A $2.9687 I By corporation (1) - ------------------------------------------------------------------------------------------------------------------------------------ Class A Common Stock 11/24/98 P 10,000 A $2.875 1,250,050 I By corporation (2) (1) - ------------------------------------------------------------------------------------------------------------------------------------ Class A Common Stock 11/12/98 P 6,666,666 A $3.00 7,191,469 D - ------------------------------------------------------------------------------------------------------------------------------------ Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. * If the form is filed by more than one reporting person, See Instruction 4(b)(v).
FORM 4 (continued) Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title 2. Conver- 3. Trans- 4. Trans- 5. Number of 6. Date 7. Title 8. Price 9. Number 10. Owner- 11.Nature of of sion or action action Derivative Exer- and of of ship Indirect Deri- Exercise Date Code Securities cisable Amount Deri- Deri- Form Beneficial vative Price of (Instr. Acquired (A) and Expi- of vative vative of Deri- Ownership Secu- Deri- (Month/ 8) or Disposed ration Under- Secu- Secu- vative (Instr.4) rity vative Day/ of (D) Date Lying rity rities Security: (Instr. Security Year) (Instr. 3, (Month/ Securi- (Instr. Benefi- Direct 3) 4, and 5) Day/ ties 5) cially (D) or Year) (Instr. Owned Indirect 3 and 4) at End (I) of (Instr. Month 4) (Instr. 4) ------------------------------------------------------ Code V (A) (D) Date Expir- Title Amount Exerci- ation or sable Date Number of Shares ----------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- Common $3.00 11/12/98 P 1,000,000 immediate 11/12/05 Class A 1,000,000 $20,000,000 1,000,000 D Stock Warrants Common (3) (right to buy) Stock - ----------------------------------------------------------------------------------------------------------------------------------- 9.01% $4.00 immediate 3/21/03 Class A 2,500,000 10,000,000 I By trust(4) Convertible Common Debenture Stock - ------------------------------------------------------------------------------------------------------------------------------------ Explanation of Responses: (1) Owned by World Video Library, of which the reporting person is the sole shareholder. (2) Represents 1,018,650 shares held by Trust "C" of the C.J. Upchurch Family Trust and 231,400 shares held by World Video Library, of which the reporting person is the Trustee and sole shareholder, respectively. (3) The Common Stock Warrants were purchased in connection with the purchase of 6,666,666 shares of Class A Common Stock disclosed in Table I herein. The aggregate purchase price for the Common Stock Warrants and 6,666,666 shares of Class A Common Stock was $20,000,000. (4) Owned by Trust "C" of the C.J. Upchurch Family Trust, of which the reporting person is the Trustee. ** Intentional misstatements or omissions of /s/ Jesse L. Upchurch 04/19/99 facts constitute Federal Criminal By:----------------------------------- -------- Violations. Jesse L. Upchurch Date 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.
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