-----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, AQETw5jclVzDiYYCoVFz8XNI+CX41ncK72QLXdlkJpM5DSqW+0v6FeHvse6Ubdxt xf6NJby7brO2dz2FyF7j9Q== 0001038838-01-000129.txt : 20010228 0001038838-01-000129.hdr.sgml : 20010228 ACCESSION NUMBER: 0001038838-01-000129 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20010219 FILED AS OF DATE: 20010226 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: LSI COMMUNICATIONS INC CENTRAL INDEX KEY: 0001084475 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 870627349 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 000-30786 FILM NUMBER: 1553612 BUSINESS ADDRESS: STREET 1: 112 WEST BUSINESS PARK DR CITY: DRAPER STATE: UT ZIP: 84020 BUSINESS PHONE: 8015722555 MAIL ADDRESS: STREET 1: 112 WEST BUSINESS PARK DR CITY: DRAPER STATE: UT ZIP: 84020 COMPANY DATA: COMPANY CONFORMED NAME: HENDRICKS CRAIG R CENTRAL INDEX KEY: 0001119328 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 112 WEST BUSINESS PARK DR CITY: DRAPER STATE: UT ZIP: 84020 MAIL ADDRESS: STREET 1: 112 W BUSINESS PARK DR CITY: DRAPER STATE: UT ZIP: 84020 4 1 0001.txt FORM 4 FILED BY CRAIG HENDRICKS DATED 02/19/01 - ---------- OMB APPROVAL FORM 4 --------------------------- - ---------- OMB Number 3235-0287 [ ] Check this box if no longer Expires: September 30, 1998 subject to Section 16. Form 4 Estimated Average burden or Form 5 obligations may hours per response .....0.5 continue. See Instruction 1(b). U.S. SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 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 - ------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of Reporting Person* 2. Issuer Name and Ticker Trading Symbol 6. Relationship of Reporting Person(s) to Issuer Hendricks Craig R. LSI Communications, Inc. (LSIM) (Check all applicable) [X] Director [X] 10% Owner - ----------------------------------------------------------------------------------------------- [X] Officer(give [ ] Other (specify (Last) (First) (Middle) 3. IRS Identification 4. Statement for Month/Year title below below) Number of Reporting President & CEO 112 W. Business Park Drive Person, if an entity February 2001 ------------------------------ - ------------------------------------------ (voluntary) ---------------------------- ------------------------------------ (Street) 5. If Amendment, Date 7. Individual or Joint/Group Filing of Original (Check Applicable Line) Draper UT 84020 (Month/Year) [X] Form filed by One Reporting - ------------------------------------------ Person (City) (State) (Zip) N/A [ ] Form filed by More than One Reporting Person - ----------------------------------------------------------------------------------------------------------------------------------- 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.Owner- 7. Nature of (Instr. 3) action Code or Disposed of (D) Securities ship Indirect Date (Instr.8) (Instr. 3,4 and 5) Beneficially Form: Beneficial (Month/ -------------- ------------------------- Owned at End Direct (D) Ownership Day/ Amount (A) or Price of Month or Indirect (Instr.4) Year) Code V (D) (Instr. 3 and 4) (I) (Instr.4) - ----------------------------------------------------------------------------------------------------------------------------------- Common Stock 2/9/01 P 869,318 (A) .0073 per 3,763,922 (D) N/A Explanation share of Coaching Institute Common Stock - ----------------------------------------------------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ 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 on 4(b)(v).
FORM 4 (CONTINUED) Table II -- Derivative Securities Acquired, Disposed of, or Benficially Owned (e.g., puts, calls, warrants, options, convertible securities) - ----------------------------------------------------------------------------------------------------------------------------------- 1.Title of 2.Conver- 3.Trans- 4.Tansac- 5.Number of 6.Date Exercis- 7.Title and 8.Price 9.Number 10.Owner- 11.Nature Derivative) sion or action tion Derivative able and Amount of of of Deri- ship of In- Security Exercise Date Code Securities Expiration Underlying Deri- vative Form of direct (Instr.3) Price of (Month/ (Instr.8) Acquired Date Securities vative Secur- Deriva- Bene- Deri- Day/ (A) or (Month/Day/ (Intr. 3 Secu- ities tive ficial vative Year) Disposed Year) and 4) rity Benefi- Security: Owner- Security of (D) ----------------- ------------- (Instr. cially Direct ship (Instr.3, Amount 5) Owned (D) or (Instr. 4 and 5) or at End Indirect 4) Date Expir- Title Number of (I) Exer- ation of Month (Instr.4) Code V (A) (D) cisable Date Shares (Instr.4) - ------------------------------------------------------------------------------------------------------------------------------------ OPTIONS .0073 per 2/9/01 S SEE 1/1/01 3/1/01 Common 869,318 SEE NONE D N/A share of NOTE Stock NOTE Coaching Institute Common Stock - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ Explanation of Responses: 1. Seller received 1 share of LSI Communications, Inc.'s common stock for each .0073 share of Coaching Institute, Inc.'s common stock. Based on the share price of LSI Communications, Inc.'s common stock on February 9, 2001, the value of each Share of Coaching Institute, Inc.'s common stock forfeited was $8.22 per share. **Intentional misstatements or omissions of facts constitute Federal Criminal By: /s/ Craig R. Hendricks 02/19/01 Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). ----------------------------------- -------- **Signature of Reporting Person Date 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 Page 2 in this form are not required to respond unless the form displays a currently SEC 1474 (7-96) valid OMB Number.
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