4 1 form4dmytryk.txt FORM 4 - EDWARD DMYTRYK ---------- FORM 4 ---------- [ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may 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 Dmytryk Edward C Fields Technologies, Inc. - FLDT (Check all applicable) [X] Director [ ] 10% Owner ----------------------------------------------------------------------------------------------- [ ] Officer(give [ ] Other (specify (Last) (First) (Middle) 3. IRS Identification 4. Statement for Month/Year title below below) Number of Reporting 315 Premier Vista Way Person, if an entity October 2001 ------------------------------ ------------------------------------------ (voluntary) ---------------------------- ------------------------------------ (Street) 5. If Amendment, Date 7. Individual or Joint/Group Filing of Original (Check Applicable Line) (Month/Year) [X] Form filed by One Reporting N/A Person [ ] Form filed by More than One St. Augustine Florida 32080 Reporting Person ----------------------------------------------------------------------------------------------------------------------------------- (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.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 126,660 ----------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ----------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------ 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) ------------------------------------------------------------------------------------------------------------------------------------ Common $0.14 10/17 A 50,000 07/01 06/30 Common 50,000 $0.14 50,000 D Stock Options 2001 2001 2004 ------------------------------------------------------------------------------------------------------------------------------------ Common 11/14 12/31 Common 25,000 $1.44 25,000 D Stock Options 1999 2002 ------------------------------------------------------------------------------------------------------------------------------------ Common 04/16 12/31 Common 11,000 $0.27 11,000 D Stock Options 2001 2003 ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ Explanation of Responses: (1) On January 19, 1999, the reporting person's wife notified her broker to rescind the sales reported to have occurred on January 14 and 15, 1999, which resulted in the broker purchasing shares on the open market to cover the sale. (2) The reporting person disclaims beneficial ownership of all securities held by his spouse, and this report should not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose. /s/ Edward C Dmytryk 11/13/01 Note. File three copies of this Form, one of which must be manually signed. -------------------------------- -------- If space provided is insufficient, see Instruction 6 for procedure. ** Signature of Reporting Person Date 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.