-----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, RJrc/0TzJcwoPXBTKGJew5JAVaOzAbyitDvLpxobf/h5e4QmFkUUpt1qvxO++op6 XR+Le4tT8Al1e0EmdAtglw== 0000914317-99-000622.txt : 19991110 0000914317-99-000622.hdr.sgml : 19991110 ACCESSION NUMBER: 0000914317-99-000622 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19991108 FILED AS OF DATE: 19991109 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: INDUSTRIAL IMAGING CORP CENTRAL INDEX KEY: 0000799514 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373] IRS NUMBER: 050396504 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 000-15520 FILM NUMBER: 99744181 BUSINESS ADDRESS: STREET 1: ONE LOWELL RESEARCH CENTER STREET 2: 847 ROGERS STREET CITY: LOWELL STATE: MA ZIP: 01852 BUSINESS PHONE: (978) 937-5400 MAIL ADDRESS: STREET 1: ONE LOWELL RESEARCH CENTER STREET 2: 847 ROGERS STREET CITY: LOWELL STATE: MA ZIP: 01852 FORMER COMPANY: FORMER CONFORMED NAME: ORBIS INC DATE OF NAME CHANGE: 19920703 COMPANY DATA: COMPANY CONFORMED NAME: IMPRIMIS INVESTORS LLC CENTRAL INDEX KEY: 0001048460 STANDARD INDUSTRIAL CLASSIFICATION: [] OWNER IRS NUMBER: 061486378 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 411 W PUTNAM AVENUE CITY: GREENWICH STATE: CT ZIP: 06830 BUSINESS PHONE: 2038627000 MAIL ADDRESS: STREET 1: 411 W PUTNAM AVENUE CITY: GREENWICH STATE: CT ZIP: 06830 4 1 FORM 4 IMPRIMIS INVESTORS LLC U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 4 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 box if no longer subject of Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). ________________________________________________________________________________ 1. Name and Address of Reporting Person* IMPRIMIS INVESTORS LLC - -------------------------------------------------------------------------------- (Last) (First) (Middle) 411 West Putnam Avenue, Suite 125 - -------------------------------------------------------------------------------- (Street) Greenwich CT 06830 - -------------------------------------------------------------------------------- (City) (State) (Zip) ________________________________________________________________________________ 2. Issuer Name and Ticker or Trading Symbol INDUSTRIAL IMAGING CORPORATION (INIM) ________________________________________________________________________________ 3. IRS Identification Number of Reporting Person, if an Entity (Voluntary) ________________________________________________________________________________ 4. Statement for Month/Year 10/99 ________________________________________________________________________________ 5. If Amendment, Date of Original (Month/Year) ================================================================================ 6. Relationship of Reporting Person to Issuer (Check all applicable) [_] Director [X] 10% Owner [_] Officer (give title below) [_] Other (specify below) ________________________________________________________________________________ 7. Individual or Joint/Group Filing (Check applicable line) [_] Form filed by one Reporting Person [X] Form filed by more than one Reporting Person ________________________________________________________________________________ ================================================================================ Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned ================================================================================
6. 4. 5. Owner- Securities Acquired (A) or Amount of ship 3. Disposed of (D) Securities Form: 7. Transaction (Instr. 3, 4 and 5) Beneficially Direct Nature of 2. Code ------------------------------- Owned at End (D) or Indirect 1. Transaction (Instr. 8) (A) of Month Indirect Beneficial Title of Security Date ------------ Amount or Price (Instr. 3 (I) Ownership (Instr. 3) (mm/dd/yy) Code V (D) and 4) (Instr.4) (Instr. 4) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 10/26/99 S 3,000,000 D 0 -0- D - ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
* If the Form is filed by more than one Reporting Person, see Instruction 4(b)(v). Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Print or Type Responses) (Over) (Form 4-07/99) FORM 4 (continued) Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) ================================================================================
10. 9. Owner- Number ship of Form 2. Deriv- of Conver- 5. 7. ative Deriv- 11. sion Number of Title and Amount Secur- ative Nature or Derivative 6. of Underlying 8. ities Secur- of Exer- 4. Securities Date Securities Price Bene- ity: In- cise 3. Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of ficially Direct direct Price Trans- action or Disposed Expiration Date ---------------- Deriv- Owned (D) or Bene- 1. of action Code of(D) (Month/Day/Year) Amount ative at End In- ficial Title of Deriv- Date (Instr. (Instr. 3, ---------------- or Secur- of direct Owner- Derivative ative (Month/ 8) 4 and 5) Date Expira- Number ity Month (I) ship Security Secur- Day/ ------ ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr. (Instr. 3) ity Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock $.01 par Common Stock value per Purchase Warrants $1.00/sh 10/26/99 S 250,000 D 11/12/97 11/11/02 share 250,000 * -0- D - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock $.01 par Common Stock value per Purchase Warrants $1.00/sh 10/26/99 S 750,000 D 11/21/97 11/20/02 share 750,000 * -0- D - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock $.01 par Common Stock value per Purchase Warrants $2.00/sh 10/26/99 S 250,000 D 11/12/97 11/11/02 share 250,000 * -0- D - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock $.01 par Common Stock value per Purchase Warrants $2.00/sh 10/26/99 S 750,000 D 11/21/97 11/20/02 share 750,000 * -0- D ====================================================================================================================================
Explanation of Responses: *All of the shares of Common Stock and Common Stock Purchase Warrants were sold in a prinvate transaction for an aggregate purchase price of $95,000. IMPRIMIS INVESTORS LLC By: /s/Arthur H. Amron November 8, 1999 - --------------------------------------------- ----------------------- **Signature of Reporting Person Date Arthur H. Amron, Senior Vice President ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. 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 space provided is insufficient, see Instruction 6 for procedure. Page 2 ATTACHMENT TO FORM 4: Name of Designated Filer: IMPRIMIS INVESTORS LLC Name of Joint Filers: Joseph M. Jacobs Charles E. Davidson Address of Joint Filers: c/o Wexford Management, LLC 411 West Putnam Avenue Greenwich, CT06830 Date of Event Requiring Filing: October 26, 1999 Issuer Name and Ticker or Trading Symbol: Industrial Imaging Corporation (INIM) /s/Joseph M. Jacobs November 8, 1999 - -------------------------------- ---------------- Joseph M. Jacobs Date /s/Charles E. Davidson November 8, 1999 - -------------------------------- ---------------- Charles E. Davidson Date Signature of Reporting Person -----END PRIVACY-ENHANCED MESSAGE-----