-----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, Q7jaG/sIgJX4BlKOKEIkauPd55UMO8l37ipXH9jv1Y8JUhWmbiVuoU0sPvn8psrC MmNVggcfwnKjP9ZDR3HkIQ== 0000950135-98-005372.txt : 19981008 0000950135-98-005372.hdr.sgml : 19981008 ACCESSION NUMBER: 0000950135-98-005372 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19980930 FILED AS OF DATE: 19981007 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: PRECISION OPTICS CORPORATION INC CENTRAL INDEX KEY: 0000867840 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 042795294 STATE OF INCORPORATION: MA FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 001-10647 FILM NUMBER: 98722062 BUSINESS ADDRESS: STREET 1: 22 EAST BROADWAY CITY: GARDNER STATE: MA ZIP: 01440-3338 BUSINESS PHONE: 5086301800 FORMER COMPANY: FORMER CONFORMED NAME: PRECISION OPTICS CORP INC DATE OF NAME CHANGE: 19600201 COMPANY DATA: COMPANY CONFORMED NAME: PITLOR JOEL CENTRAL INDEX KEY: 0001059134 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 19 CHALK ST CITY: CAMBRIDGE STATE: MA ZIP: 02139 4 1 JOEL PITLOR FOR PRECISION OPTICS CORP, INC. 1 - ------ FORM 4 U.S. SECURITIES AND EXCHANGE COMMISSION --------------------------- - ------ WASHINGTON, DC 20549 0MB APPROVAL --------------------------- OMB Number: 3235-0287 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Expires: September 30, 1998 Estimated average burden [ ] CHECK BOX IF NO hours per response..... 0.5 LONGER SUBJECT TO Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, --------------------------- SECTION 16. FORM 4 Section 17(a) of the Public Utility Holding Company Act of 1935 OR FORM 5 OBLIGATIONS or Section 30(f) of the Investment Company Act of 1940 MAY CONTINUE. SEE INSTRUCTION 1(b). (Print or type responses) - ------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of Reporting Person* 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person to Issuer (Check all applicable) Precision Optics Corporation, Inc (POCI) [X] Director [ ] 10% Owner Pitlor Joel [ ] Officer [ ] Other (Specify - ------------------------------------------------------------------------------------------------------------------------------------ (Last) (First) (Middle) 3. IRS Identification 4. Statement for (give title below) Number of Reporting Month/Year below) Person, if an Entity 19 Chalk Street (Voluntary) 9/98 - ------------------------------------------------------------------------------------------------------------------------------------ (Street) 5. If Amendment, 7. Individual or Joint/Group Filing Date of Original (Check applicable line) (Month/Year) [X] Form filed by one Reporting Person [ ] Form filed by more than one Reporting Person - ------------------------------------------------------------------------------------------------------------------------------------ Cambridge MA 02139 - ------------------------------------------------------------------------------------------------------------------------------------ (City) (State) (Zip) TABLE 1 -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Security 2. Trans- 3. Transac- 4. Securities Acquired (A) 5. Amount of Se- 6. Owner- 7. Nature (Instr. 3) action tion or Disposed of (D) curities Benefi- ship of In- Date Code (Instr. 3, 4 and 5) cially Owned at Form: direct (Instr. 8) End of Month Direct Benefi- (Month/ --------------------------------------- (Instr. 3 and 4) (D) or cial Day/ Code V Amount (A) or Price Indirect Owner- Year) (D) (I) ship (Instr. 4) (Instr. 4) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 9/10/98 P 500 A $1.00 D - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 9/11/98 P 10,600 A $1.00 D - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 9/14/98 P 2,500 A $1.00 D - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 9/15/98 P 200 A $1.00 D - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 9/15/98 P 2,400 A $1.00 D - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 9/18/98 P 200 A $1.00 D - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 9/21/98 P 500 A $1.00 109,517 D - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over) *If the Form is filed by more than one Reporting Person, see Instruction 4(b)(v). SEC 1474(7-96)
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FORM 4 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (e.g., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Derivative 2. Conver- 3. Trans- 4. Trans- 5. Number of 6. Date Exer- 7. Title and Amount 8. Price Security sion or action action Derivative cisable and of Underlying of (Instr. 3) Exercise Date Code Securities Expiration Securities Deriv- Price of (Month/ (Instr. Acquired (A) Date (Instr. 3 and 4) ative Deriv- Day/ 8) or Disposed (Month/Day/ Secur- ative Year) of (D) Year) ity Security (Instr. 3, (Instr. 5) 4, and 5) ----------------------------------- Date Expira- Amount or ---------------------------- Exer- tion Title Number of Code V (A) (D) cisable Date Shares - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ 9. Number of 10. Ownership 11. Nature of Derivative Form of Indirect Securities Derivative Beneficial Beneficially Security: Ownership Owned at End Direct (D) (Instr. 4) of Month or Indirect (I) (Instr. 4) (Instr. 4) - --------------------------------------------------------------------------- - --------------------------------------------------------------------------- - --------------------------------------------------------------------------- - --------------------------------------------------------------------------- - --------------------------------------------------------------------------- - --------------------------------------------------------------------------- - --------------------------------------------------------------------------- Explanation of Responses: **Intentional misstatements or omissions of facts constitute Federal /s/ Joel Pitlor 10/7/98 Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). ------------------------------- ------- Joel Pitlor **Signature of Reporting Person Date 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 Page 2 form are not required to respond unless the form displays a currently valid OMB Number. SEC 1474 (7-96)
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