-----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, WbwwgvyMi0mCNqyA6OKa9TYtxAf/F4nbI6VURfdB6V0lOW+KJ7LZuJw6HFpQf2er ggCIckQ5TtTvBpf8A2Z2gw== 0000795445-99-000018.txt : 19991118 0000795445-99-000018.hdr.sgml : 19991118 ACCESSION NUMBER: 0000795445-99-000018 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19991117 FILED AS OF DATE: 19991117 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: ADVANCED MACHINE VISION CORP CENTRAL INDEX KEY: 0000795445 STANDARD INDUSTRIAL CLASSIFICATION: INDUSTRIAL INSTRUMENTS FOR MEASUREMENT, DISPLAY, AND CONTROL [3823] IRS NUMBER: 330256103 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 000-20097 FILM NUMBER: 99759659 BUSINESS ADDRESS: STREET 1: 3709 CITATION WAY STREET 2: STE 102 CITY: MEDFORD STATE: OR ZIP: 97504 BUSINESS PHONE: 5417767700 MAIL ADDRESS: STREET 1: 3709 CITATION WAY STREET 2: STE 102 CITY: MEDFORD STATE: OR ZIP: 97504 FORMER COMPANY: FORMER CONFORMED NAME: ARC CAPITAL DATE OF NAME CHANGE: 19951222 FORMER COMPANY: FORMER CONFORMED NAME: APPLIED LASER SYSTEMS /CA DATE OF NAME CHANGE: 19930825 COMPANY DATA: COMPANY CONFORMED NAME: EWAN JAMES CENTRAL INDEX KEY: 0001031042 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 2067 COMMERCE DRIVE CITY: MEDFORD STATE: OR ZIP: 97504 BUSINESS PHONE: 5417769800 4 1 FORM 4 FORM 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. |_| Check this box if no longer OMB APPROVAL subject to Section 16. Form 4 OMB Number 3235-0287 or Form 5 obligations may Expires: February 1, 1994 continue. See Instruction 1(b). Estimated average burden hours per response.....0.5
- ------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of Reporting Person 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person to Ewan James Advanced Machine Vision Corporation Issuer (Check all applicable) ------------------------------------ ---------------------------------------- (Last) (Middle) (First) 3. IRS or Social Security Number of |x| Director |_| 10% Owner 2067 Commerce Drive Reporting Person (Voluntary) | | Officer |_| Other ------------------------------------ (give title (specify (Street) 4. Statement for Month/Year below) below) Medford Oregon 97504 November 1999 ------------------------------------ ---------------------------------------- Director of Board (City) (State) (Zip) 5. If Amendment, Date of Original (Month/Year) - ------------------------------------------------------------------------------------------------------------------------------------ Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Security | 2. Transaction Date | 3. Transaction | 4. Securities Acquired |5. Amount of |6. Ownership |7. Nature (Instr. 3) | (Month/Day/Year) | Code | (A) or Disposed of(D)| Securities | Form: Direct | Indirect | | (Instr. 8) | (Instr. 3, 4 and 5) | Beneficially| (D) or (I) | Beneficial | | | | Owned at | (Instr. 4) | Ownership | | | | End of Month| | (Instr. 4) | | | | (Instr. 3&4)| | | |----------------|-------------------------| | | | | Code | V | Amount | (A) or | Price | | | | | | | | (D) | | | | - ---------------------|---------------------|--------|-------|--------|--------|-------|--------------|----------------|------------- Class A Common Stock | 11/10/99 | P | | 5,300 | A |$1.00 | 87,000 (1) | D | - ---------------------|---------------------|--------|-------|--------|--------|-------|--------------|----------------|------------- | | | | | | | | | - ---------------------|---------------------|--------|-------|--------|--------|-------|--------------|----------------|------------- | | | | | | | | | - ---------------------|---------------------|--------|-------|--------|--------|-------|--------------|----------------|------------- | | | | | | | | | - ---------------------|---------------------|--------|-------|--------|--------|-------|--------------|----------------|------------- | | | | | | | | | - ---------------------|---------------------|--------|-------|--------|--------|-------|--------------|----------------|------------- | | | | | | | | | - ------------------------------------------------------------------------------------------------------------------------------------ Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Print or type responses) (OVER) SEC 1474 (3/91)
FORM 4 (continued)
- ------------------------------------------------------------------------------------------------------------------------------------ Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of |2. Conver- |3. Trans- |4. Trans- |5. Number |6. Date |7. Title |8. Price |9. Number |10. Owner- |11. Nature Derivative| sion or | action | action | of | Exercis- | and | of | of | ship | of Security | Exercise | Date | Code | Deriva- | able and | Amount | Deriva-| Deriva-| Form | Indirect | Price of | (Month/ | | tive | Expira- | of | tive | tive | of | Beneficial | Deriva- | Day/ | | Securi- | tion | Under- | Securi-| Securi-| Deriva-| Ownership | tive | Year) | | ties | Date | lying | ty | ties | tive | | Security | | | Acquired| (Month/ | Securi-| | Benefi-| Secur- | | | | | (A) or | Day/ | ties | | cially | ity | | | | | Disposed| Year) | | | Owned | Direct | | | | | (D) of | | | | at End | (D) or | | | | | | | | | of | In- | | | | | | | | | Month | direct | | | | | | | | | | (I) | | | | (Instr. | (Instr. 3,| | (Instr. | (Instr. | (Instr. | (Instr. | (Instr. (Instr. 3) | | | 8) | 4 and 5) | | 3 & 4) | 5) | 4) | 4) | 4) - -------------|------------|-----------|-----------|-----------|------------|----------|----------|----------|-----------|----------- | | |Code | V | (A) | (D) |Date|Expira-|Title|Amount| | | | | | | | | | |Exer| tion | |or | | | | | | | | | | |cis-| Date | |Number| | | | | | | | | | |able| | |Shares| | | | - -------------|------------|-----------|-----|-----|-----|-----|----|-------|-----|------|--------|----------|-----------|----------- Options (2) | $1.00 | | (2) | | | |2/5/| 2/5/ |Class| 300, | $1.00 | 300,000 | D | | | | | | | |1995| 2005 |A | 000 | | | | | | | | | | | | |Common | | | | | | | | | | | | |Stock| | | | | - -------------|------------|-----------|-----|-----|-----|-----|----|-------|-----|------|--------|----------|-----------|----------- Options (3) | $1.25 | | (2) | | | |7/21| 7/21/ |Class| 75, | $1.25 | 375,000 | D | | | | | | | |2002| 2009 |A | 000 | | | | | | | | | | | | |Common | | | | | | | | | | | | |Stock| | | | | - -------------|------------|-----------|-----|-----|-----|-----|----|-------|-----|------|--------|----------|-----------|----------- | | | | | | | | | | | | | | - -------------|------------|-----------|-----|-----|-----|-----|----|-------|-----|------|--------|----------|-----------|----------- | | | | | | | | | | | | | | - -------------|------------|-----------|-----|-----|-----|-----|----|-------|-----|------|--------|----------|-----------|----------- Explanation of Responses: (1) Includes 57,000 restricted shares issued pursuant to a Restricted Stock Agreement. Restrictions lapse in three years subject to (i) continued employment of Reporting Person and (ii) payment by the Reporting Person of $1.80 per share to the Company. 29,700 shares are unrestricted. (2) Options granted pursuant to the Company's 1994 Stock Option Plan. (3) Options granted pursuant to the Company's 1991 Stock Option Plan. ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U. S. C. 1001 and 15 U.S.C. 78ff (a). /s/ James Ewan 11/17/99 ________________________________ _____________ ** Signature of Reporting Person Date Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Print or type responses) (Page 2) SEC 1474 (3/91)
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