-----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, MdpmNpArghZmp7qJlYHnjJt19ySiVX11bCpQhX8KiBaXSYYGOkQqrjNyIjQknVN3 EzqnkMCOWybyoBZpp9ozOg== 0000914317-96-000387.txt : 19961107 0000914317-96-000387.hdr.sgml : 19961107 ACCESSION NUMBER: 0000914317-96-000387 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19961106 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: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-12329 FILM NUMBER: 96655445 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] PRESIDENT IRS NUMBER: 132648333 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 FILING VALUES: FORM TYPE: 5 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 5 1 FORM 5 FOR PHYLLIS STEIN ================================================================================ F O R M 5 ================================================================================ 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 [ ] 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* Stein Phyllis - -------------------------------------------------------------------------------- (Last) (First) (Middle) 222 Park Ave. South - -------------------------------------------------------------------------------- (Street) New York, NY 10003 - -------------------------------------------------------------------------------- (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) ###-##-#### ================================================================================ 4. Statement for Month/Year September 1996 ================================================================================ 5. If Amendment, Date of Original (Month/Year) ================================================================================ 6. Relationship of Reporting Person to Issuer (Check all applicable) [ ] Director* [ ] 10% Owner [ ] Officer (give title below) [X] Other (specify below) President of Subsidiary Division ================================================================================ 7. Individual or Joint/Group Reporting (Check all applicable) [X] Form Filed by One Reporting Person [ ] Form Filed by More than One Reporting Person
==================================================================================================================================== 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/SH 5/7/96 J 43 A 20.93 - ------------------------------------------------------------------------------------------------------------------------------------ *Common Stock, par value $.01/SH 8/5/96 J 77 A 10.80 - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------
==================================================================================================================================== 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 At Direct (D) or Beneficial End of Issuer's Fiscal Indirect (I) Ownership Year (Inst. 3 and 4) (Instr. 4) (Instr. 4) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock, par value $.01/SH - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock, par value $.01/SH 16,896 D - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
*Acquired under terms of employment agreements.
==================================================================================================================================== 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) Of 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) - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------
==================================================================================================================================== 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 - ------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------
==================================================================================================================================== 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 of 11. Nature of Indirect (Instr. 3) Securities Beneficially Derivative Security: Beneficial Owned at End of Year Direct (D) or Ownership (Instr. 4) Indirect (I) (Instr. 4) (Instr. 4) - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
Explanation of Responses: /s/Phyllis Stein 11/6/96 ----------------------------- ----------- Signature of Reporting Person Date -----END PRIVACY-ENHANCED MESSAGE-----