-----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, BXNjlK7fn7fujzEwNFe+dTPiuUdB9105PbUOIsk8NyPybKxnrR7aQmu2mKeFEylN fQIijtehbH/AHiRUA4KsPQ== 0000950172-97-001136.txt : 19971217 0000950172-97-001136.hdr.sgml : 19971217 ACCESSION NUMBER: 0000950172-97-001136 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19971112 FILED AS OF DATE: 19971216 SROS: NASD 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: 3 SEC ACT: SEC FILE NUMBER: 000-15520 FILM NUMBER: 97738863 BUSINESS ADDRESS: STREET 1: 847 ROGERS ST STREET 2: C/O ONE LOWELL RESEARCH CENTER CITY: LOWELL STATE: MA ZIP: 01852 BUSINESS PHONE: 4018614228 MAIL ADDRESS: STREET 1: 2 CHARLES ST. CITY: PROVIDENCE STATE: RI ZIP: 02904 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: 3 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 3 1 FORM 3 U.S. SECURITIES AND EXCHANGE COMMISSION _____________________ WASHINGTON, D.C. 20549 | OMB APPROVAL | INITIAL STATEMENT OF |_____________________| BENEFICIAL OWNERSHIP OF SECURITIES |OMB NUMBER: 3235-0104| |EXPIRES: | | SEPTEMBER 30, 1998 | Filed pursuant to Section 16(a) of the |ESTIMATED AVERAGE | Securities Exchange Act of 1934, |BURDEN HOURS | Section 17(a) of the Public Utility |PER RESPONSE 0.5 | Holding Company Act of 1935 |_____________________| or Section 30(f) of the Investment Company Act of 1940 ____________________________________________________________________________ 1. Name and Address of Reporting Person IMPRIMIS INVESTORS LLC (Last) (First) (Middle) 411 West Putnam Avenue, Suite 125 _________________________________________________________________________ (Street) Greenwich Connecticut 06830 _________________________________________________________________________ (City) (State) (Zip) ____________________________________________________________________________ 2. Date of Event Requiring Statement (Month/Day/Year) November 12, 1997 ____________________________________________________________________________ 3. IRS OR SOCIAL SECURITY NUMBER OF REPORTING PERSON (VOLUNTARY) ____________________________________________________________________________ 4. Issuer Name and Ticker or Trading Symbol Industrial Imaging Corporation (INIM) ____________________________________________________________________________ 5. RELATIONSHIP OF REPORTING PERSON(S) TO ISSUER (CHECK ALL APPLICABLE) ( ) DIRECTOR (X ) 10% OWNER ( ) OFFICER (GIVE TITLE BELOW) ( ) OTHER (SPECIFY TITLE BELOW) _____________________________________ ____________________________________________________________________________ 6. IF AMENDMENT, DATE OF ORIGINAL (MONTH/DAY/YEAR) ____________________________________________________________________________ 7. INDIVIDUAL OR JOINT/GROUP FILING (CHECK APPLICABLE LINE) _X_FORM FILED BY ONE REPORTING PERSON ___FORM FILED BY MORE THAN ONE REPORTING PERSON ============================================================================ TABLE I - NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED ____________________________________________________________________________ |1. TITLE OF SECURITY|2. AMOUNT OF |3. OWNERSHIP |4. NATURE OF INDIRECT | | (INSTR. 4) | SECURITIES | FORM DIRECT| BENEFICIAL OWNERSHIP| | | BENEFICIALLY| DIRECT (D) | (INSTR. 5) | | | OWNED | OR INDIRECT| | | | (INSTR. 4) | (I) (INSTR.| | | | | 5) | | |____________________|_______________|______________|_______________________| Common Stock, 3,000,000 shares Direct par value .01 per share ============================================================================ TABLE II - DERIVATIVE SECURITIES BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) ____________________________________________________________________________ 1. Title of Derivative Security (Instr. 4) Common Stock Purchase Warrants ____________________________________________________________________________ 2. Date Exercisable and Expiration Date (Month/Day/Year) 11/12/97 11/11/02 Date Exercisable Expiration Date ____________________________________________________________________________ 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) Common Stock, par value .01 per share 250,000 Title Amount of Number of Shares ____________________________________________________________________________ 4. Conversion or Exercise Price of Derivative Security $1.00 per share ____________________________________________________________________________ 5. Ownership Form of Derivative Security: Direct(D) or Indirect(I)(Instr. 5) Direct ____________________________________________________________________________ 6. Nature of Indirect Beneficial Ownership (Instr. 5) ============================================================================ 1. Title of Derivative Security (Instr. 4) Common Stock Purchase Warrants ____________________________________________________________________________ 2. Date Exercisable and Expiration Date (Month/Day/Year) 11/21/97 11/20/02 Date Exercisable Expiration Date ____________________________________________________________________________ 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) Common Stock, par value .01 per share 750,000 Title Amount of Number of Shares ____________________________________________________________________________ 4. Conversion or Exercise Price of Derivative Security $1.00 per share ____________________________________________________________________________ 5. Ownership Form of Derivative Security: Direct(D) or Indirect(I)(Instr. 5) Direct ____________________________________________________________________________ 6. Nature of Indirect Beneficial Ownership (Instr. 5) ============================================================================ 1. Title of Derivative Security (Instr. 4) Common Stock Purchase Warrants ____________________________________________________________________________ 2. Date Exercisable and Expiration Date (Month/Day/Year) 11/12/97 11/11/02 Date Exercisable Expiration Date ____________________________________________________________________________ 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) Common Stock, par value .01 per share 250,000 Title Amount of Number of Shares ____________________________________________________________________________ 4. Conversion or Exercise Price of Derivative Security $2.00 per share ____________________________________________________________________________ 5. Ownership Form of Derivative Security: Direct(D) or Indirect(I)(Instr. 5) Direct ____________________________________________________________________________ 6. Nature of Indirect Beneficial Ownership (Instr. 5) ============================================================================ 1. Title of Derivative Security (Instr. 4) Common Stock Purchase Warrants ____________________________________________________________________________ 2. Date Exercisable and Expiration Date (Month/Day/Year) 11/21/97 11/20/02 Date Exercisable Expiration Date ____________________________________________________________________________ 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) Common Stock, par value .01 per share 750,000 Title Amount of Number of Shares ____________________________________________________________________________ 4. Conversion or Exercise Price of Derivative Security $2.00 per share ____________________________________________________________________________ 5. Ownership Form of Derivative Security: Direct(D) or Indirect(I)(Instr. 5) Direct ____________________________________________________________________________ 6. Nature of Indirect Beneficial Ownership (Instr. 5) ============================================================================ EXPLANATION OF RESPONSES: IMPRIMIS INVESTORS LLC ** SIGNATURE OF REPORTING PERSON By: /s/ Arthur H. Amron December 15, 1997 Name: Arthur H. Amron DATE Title: 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 POTENTIAL PERSONS WHO ARE TO RESPOND TO THE COLLECTION OF INFORMATION CONTAINED IN THIS FORM ARE NOR REQUIRED TO RESPOND UNLESS THE FORM DISPLAYS A CURRENTLY VALID OMB NUMBER. ============================================================================= -----END PRIVACY-ENHANCED MESSAGE-----