5 1 ddi-fre_form5.txt STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP -------------------- FORM 5 -------------------- |_| CHECK THIS BOX IF NO LONGER SUBJECT TO SECTION 16. FORM 4 OR FORM 5 OBLIGATIONS MAY CONTINUE. SEE INSTRUCTION 1(B). |_| FORM 3 HOLDINGS REPORTED |_| FORM 4 TRANSACTIONS REPORTED.
U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ANNUAL 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(1) 2. Issuer Name and Ticker or Trading Symbol Freeman, Walter E. DISTINCTIVE DEVICES, INC. (DDI) ----------------------------------------------------- ---------------------------- -------------------------- (Last) (First) (Middle) 3. IRS Identification 4. Statement for Number of Reporting Month/Year 921 Croton Avenue Person, if an entity 12/01 (Voluntary) ----------------------------------------------------- -------------------------- (Street) 5. If Amendment, Date of Original Alexandria, VA 22308 (Month/Year) ----------------------------------------------------- ------------------------------------------------------- (City) (State) (Zip) ------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------- 6. Relationship of Reporting Person to Issuer (Check all applicable) X Director 10% Owner ------- ------ Officer (give Other (specify ------- title below) ------ below) ----------------------------------------------------------- 7. Individual or Joint/Group Reporting (Check applicable line) X Form filed by One Reporting Person ----- Form filed by More Than One Reporting Person ----- -----------------------------------------------------------
TABLE 1 - NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED ----------------------------------------------------------------------------------------------------------------------------------- 1. Title of Security 2. Transaction 3. Transaction Code 4. Securities Acquired (A) or 5. Amount of (Instr. 3) Date (Instr. 8) Disposed of (D) Securities Beneficially (Month/Day/ (Instr. 3, 4 and 5) Owned at End of Year) ---------------------------------- Issuer's Fiscal Amount (A) or (D) Price Year (Instr. 3 and 4) ------------------------------------- --------------- -------------------- ------------ ----------- --------- --------------------- Common Stock 11/30/01 G 25,780 D $ 0 I * ------------------------------------- --------------- -------------------- ------------ ----------- --------- --------------------- ------------------------------------- --------------- -------------------- ------------ ----------- --------- --------------------- ------------------------------------- --------------- -------------------- ------------ ----------- --------- --------------------- ------------------------------------- --------------- -------------------- ------------ ----------- --------- --------------------- ------------------------------------- --------------- -------------------- ------------ ----------- --------- --------------------- ------------------------------------- --------------- -------------------- ------------ ----------- --------- --------------------- ------------------------------------- --------------- -------------------- ------------ ----------- --------- --------------------- ------------------------------------- --------------- -------------------- ------------ ----------- --------- --------------------- ------------------------------------- --------------- -------------------- ------------ ----------- --------- --------------------- ----------------------------------- 6. 7. Nature of Ownership Indirect Form: Beneficial Direct (D) Ownership Or Indirect(I) (Instr. 4) (Instr. 4) ----------------- ----------------- ----------------- ----------------- ----------------- ----------------- ----------------- ----------------- ----------------- ----------------- ----------------- ----------------- ----------------- ----------------- ----------------- ----------------- ----------------- ----------------- ----------------- -----------------
TABLE II - DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED FORM 5 (CONTINUED) (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) ---------------------- -------------- -------------- ---------- -------------- ------------------------ --------------------------- 1. Title of 2. Conversion 3.Transaction 4. Trans- 5. Number of 6. Date Exercisable and 7. Title and Derivative or Date action Derivative Expiration Date Amount of Underlying Security Exercise (Month/ Code Securities (Month/Day/ Securities Price of Day/ Acquired Year) (Instr. 3) Derivative Year) (A) or (Instr. 3 and 4) Security (Instr. 8) Disposed of (D) (Instr. 3, 4, and 5) ---------------------- -------------- -------------- ---------- -------------- ------------------------ --------------------------- Date Expiration Title Amount or Exercisable Date Number of (A) (D) Shares ---------------------- -------------- -------------- ---------- -------- ----- ------------- ---------- --------------- ----------- ---------------------- -------------- -------------- ---------- -------- ----- ------------- ---------- --------------- ----------- ---------------------- -------------- -------------- ---------- -------- ----- ------------- ---------- --------------- ----------- ---------------------- -------------- -------------- ---------- -------- ----- ------------- ---------- --------------- ----------- ---------------------- -------------- -------------- ---------- -------- ----- ------------- ---------- --------------- ----------- ---------------------- -------------- -------------- ---------- -------- ----- ------------- ---------- --------------- ----------- ---------------------- -------------- -------------- ---------- -------- ----- ------------- ---------- --------------- ----------- ---------------------- -------------- -------------- ---------- -------- ----- ------------- ---------- --------------- ----------- ---------------------- -------------- -------------- ---------- -------- ----- ------------- ---------- --------------- ----------- ---------------------- -------------- -------------- ---------- -------- ----- ------------- ---------- --------------- ----------- ---------------------- -------------- -------------- ---------- -------- ----- ------------- ---------- --------------- ----------- ----------- --------------- --------------- --------------- 8. Price 9. Number 10. Ownership 11. Nature of of of of Deriva- Derivative Derivative Indirect tive Securities Security: Beneficial Security Beneficially Direct(D) Owner- Owned at or ship (Instr. End of Indirect(I) 5) Year (Instr. 4) (Instr. 4) (Instr. 4) ----------- --------------- --------------- --------------- ----------- --------------- --------------- --------------- ----------- --------------- --------------- --------------- ----------- --------------- --------------- --------------- ----------- --------------- --------------- --------------- ----------- --------------- --------------- --------------- ----------- --------------- --------------- --------------- ----------- --------------- --------------- --------------- ----------- --------------- --------------- --------------- ----------- --------------- --------------- --------------- ----------- --------------- --------------- --------------- ----------- --------------- --------------- --------------- ----------- --------------- --------------- --------------- ----------- --------------- --------------- --------------- ----------- --------------- --------------- --------------- ----------- --------------- --------------- --------------- ----------- --------------- --------------- --------------- ----------- --------------- --------------- ---------------
Explanation of Responses: *The reporting person disclaims beneficial ownership of these securities, which are owned by his wife, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or any other purpose. (1) International misstatements or omissions of facts constitute Federal Criminal Violations. -------------------------------------- --------- Signature of Reporting Person (1) 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 spaced provided is insufficient, see Instruction 6 for procedure. Page 2