-----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, Td3d/c84bLpvZGMPjxWmD5tlV9d7gqJV/3V3ZPjsKik0auft0VvpPS04cYZkc3/B krXIBpqXHxDz1GTDWVQmyw== 0000914317-96-000017.txt : 19960213 0000914317-96-000017.hdr.sgml : 19960213 ACCESSION NUMBER: 0000914317-96-000017 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19960212 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: LCS INDUSTRIES INC CENTRAL INDEX KEY: 0000058151 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-DIRECT MAIL ADVERTISING SERVICES [7331] IRS NUMBER: 132648333 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-12329 FILM NUMBER: 00000000 BUSINESS ADDRESS: STREET 1: 120 BRIGHTON RD CITY: CLIFTON STATE: NJ ZIP: 07012 BUSINESS PHONE: 2017785588 MAIL ADDRESS: STREET 1: 120 BRIGHTON RD STREET 2: 120 BRIGHTON RD CITY: CLIFTON STATE: NJ ZIP: 07012-1694 FORMER COMPANY: FORMER CONFORMED NAME: LISTFAX COMPUTER SERVICES INC DATE OF NAME CHANGE: 19711013 COMPANY DATA: COMPANY CONFORMED NAME: LCS INDUSTRIES INC CENTRAL INDEX KEY: 0000058151 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-DIRECT MAIL ADVERTISING SERVICES [7331] OFFICER IRS NUMBER: 132648333 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 120 BRIGHTON RD CITY: CLIFTON STATE: NJ ZIP: 07012 BUSINESS PHONE: 2017785588 MAIL ADDRESS: STREET 1: 120 BRIGHTON RD STREET 2: 120 BRIGHTON RD CITY: CLIFTON STATE: NJ ZIP: 07012-1694 FORMER COMPANY: FORMER CONFORMED NAME: LISTFAX COMPUTER SERVICES INC DATE OF NAME CHANGE: 19711013 4 1 FORM 4 FOR LEE EDMUND GRAY ================================================================================ F O R M 4 ================================================================================ U.S. 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 [X] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). ================================================================================ 1. Name and Address of Reporting Person Gray Lee Edmund - -------------------------------------------------------------------------------- (Last) (First) (Middle) 1 Grove Isle Apt. 1203 - -------------------------------------------------------------------------------- (Street) Coconut Grove, FL 33133 - -------------------------------------------------------------------------------- (City) (State) (Zip) ================================================================================ 2. Issuer Name and Ticker of Trading Symbol LCS INDUSTRIES, INC. (LCSI) ================================================================================ 3. IRS or Social Security Number of Reporting Person (Voluntary) 074 22 1084 ================================================================================ 4. Statement for Month/Year January 1996 ================================================================================ 5. If Amendment, Date of Original (Month/Year) ================================================================================ 6. Relationship of Reporting Person to Issuer (Check all applicable) [X] Director** [ ] 10% Owner [ ] Officer (give title below) [ ] Other (specify below) **Ceased 1/23/96 ================================================================================
==================================================================================================================================== TABLE I -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENFICIALLY OWNED ==================================================================================================================================== 1. Title of Security (Instr. 3) 2. Transaction Date 3. Transaction Code 4. Securities Acquired (A) (Month/Day/Year) (Instr. 8) or Disposed of (D) (Instr. 3, 4 and 5) ------------------- ------------------- -------------------------- (A) or Code V Amount (D) Price - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock, par value $.01/share - ------------------------------------------------------------------------------------------------------------------------------------
==================================================================================================================================== TABLE I -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENFICIALLY OWNED -- Continued ==================================================================================================================================== 1. Title of Security (Instr. 3) 5. Amount of Securities 6. Ownership Form: 6. Nature of Indirect Beneficially Owned Direct (D) or Beneficial (Instr. 4) Indirect (I) Ownership (Instr. 4) (Instr. 4) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock, par value $.01/share 4,400* D ====================================================================================================================================
*Previously Reported; adjusted for stock split.
==================================================================================================================================== TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTION, CONVERTIBLE SECURITIES) ==================================================================================================================================== 1. Title of Derivative Security 2. Conversion 3. Transaction Date 4. Transaction Code 5. Number of Derivative (Instr. 3) Or Exercise (Month/Day/Year) (Instr. 8) Securities Acquired (A) Price of or Disposed of (D) Derivative (Instr. 3, 4, and 5) Security ------------- ------------------- -------------------- --------------------------- Code V (A) (D) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock Option 2.955 - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock Option 3.525 - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock Option 16.00 1/15/96 A - ------------------------------------------------------------------------------------------------------------------------------------
==================================================================================================================================== TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTION, CONVERTIBLE SECURITIES) -- Continued ==================================================================================================================================== 1. Title of Derivative Security 6. Date 7. Title and 8. Price of (Instr. 3) Exercisable Amount of Derivavtive and Underlying Security Expiration Securities (Instr. 5) Date (Month/ (Instr. 3 Day/Year) and 4) -------------------- ---------------------------- -------------- Date Expira- Amount or Exer- tion Number cisable Date Title of Shares - ------------------------------------------------------------------------------------------------------------ Common Stock Option 1/3/95(i) 1/2/98 Common Stock 11,000* - ------------------------------------------------------------------------------------------------------------ Common Stock Option 2/6/95(ii) 11/14/99 Common Stock 11,000* - ------------------------------------------------------------------------------------------------------------ Common Stock Option 1/15/96(iii) 11/14/00 Common Stock 5,000 - ------------------------------------------------------------------------------------------------------------
==================================================================================================================================== TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTION, CONVERTIBLE SECURITIES) -- Continued ==================================================================================================================================== 1. Title of Derivative Security 9. Number of Derivative 10. Ownership Form of 11. Nature of Indirect (Instr. 3) Security (Instr. 5) Derivative Security: Beneficial Direct (D) or Ownership Indirect (I) (Instr. 4) (Instr. 4) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock Option - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock Option - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock Option 27,000 D ====================================================================================================================================
Explanation of Responses: *Previously reported; adjusted for stock split. (i) Cumulatively exercisable to the extent of 25% on each of 1/2/95 through 1/2/98. (ii) Cumulatively exercisable to the extent of 20% on each of 11/15/94 through 11/15/98. (iii) Cumulatively exercisable to the extent of 20% on each of 11/15/95 through 11/15/99. /s/Lee Edmund Gray 2/8/96 ----------------------------- ----------- Signature of Reporting Person Date
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