4 1 ascben4.txt FORM 4 FORM 4 U.S. SECURITIES AND EXCHANGE COMMISSION FORM 4 Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP | | Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). 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 (Print or Type Responses) ----------------------------------------------------------------------------------------------------------------------------------- 1. Name and Address of Reporting Person* / 2. Issuer Name and / 6. Relationship of Reporting / Ticker or Trading Symbol / Person(s) to Issuer / / (Check all applicable) / / X Director X 10% Owner (Last) (First) (Middle) / DIGITAL POWER CORPORATION / --- Officer --- Other Diamant Ben-Zion / (AMEX: DPW) / (give title below) (specify below) / / ---------------------------------------- /-----------------------------------------/---------------------------------------------- / 3. I.R.S. 4. Statement for / / Identification (Month/Year) / / Number of Reporting 12/2001 / / Person, if an / ---------------------------------------- / Entity -----------------/ / (Voluntary) / / / / -- / 7. Individual or Joint/Group Filing 41920 CHRISTY STREET / 5. If Amendment, / (Check Applicable Line) --------------------------------------- / Date of Original / X Form filed by one Reporting Person (Street) / (Month/Year) / --- Form filed by More than One --------------------------------------- / N/A / Reporting Person / --------------------------------------/ FREMONT CA 94538 / / --------------------------------------- / / (City) (State) (Zip) / / / / -----------------------------------------------------------------------------------------------------------------------------------
TABLE I - NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED ----------------------------------------------------------------------------------------------------------------------------------- 1. Title / 2. Transaction / 3. Transaction / 4. Securities Acquired (A) / 5. Amount of / / of / Date / Code / or Disposed (D)(Instr.3,4,and 5) / Securities / 6. Ownership / 7.Nature of Security / (Mo/Day/Yr) / (Instr. 8) / / Beneficially Owned / Form: Direct/ Indirect (Inst.3) / / ---------------------------------------------------/ at End of Month / (D) or / Beneficial / / Code / V / Amount / (A) or (D) / Price / (Instr. 3 / Indirect(I) / Ownership / / / / / / / and 4 / (Instr.4) / (Instr.4) =================================================================================================================================== ---------------------------------------------------------------------------------------------------------------------------------- =================================================================================================================================== Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. *If the form is filed by more than one reporting person, see Instruction 4(b)(v).
2 FORM 4 (continued) TABLE II - DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (e.g., puts, calls, warrants, options, convertible securities) ----------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------- Title / Conversion/ Trans- / Trans- / Nature of / Date / Title /Price of / Number / Ownership / Nature of of / of / action / action / Derivative/ Exercisable / and / Deriv- / of / Form of / Indirect Derivative/ Exercise / Date / Code / Securities/ and / Amount / ative / Deriv- / Derivative / Beneficial Security / Price of / (Mo./ / (Instr./ Aquired(A)/ Expiration / of / Secur- / ative / Security: / Ownership (Instr. 3)/ Derivative/ Day/ / 8) / Disposed / Date / Under- / ity / Securi-/ Direct (D) / (Instr.4) / Security / Year) / / of (D) / (Month / lying / / ties / or Indirect/ / / / / (Instr. 3,/ Day/ year) / Securities / /Benefic-/ (Instr. 4) / / / / / 4 and 5) / / (Instr. 3 / /ally / / / / / / / / and 4) / /Owned at/ / / / /------------------------------------------------------/ /end of / / / / /Code/ V / (A )/ (D)/ Date / Expir-/ Title /Amount / / Month / / / / / / / / / Exer- / ation / / of / / Instr. / / / / / / / / / cisable/ Date / /shares / / 4 / / =================================================================================================================================== Options to Purchase Common Stock $0.70 12/10/01 A 200,000 (1) 12/10/11 Stock 200,000 -- 200,000 D ----------------------------------------------------------------------------------------------------------------------------------- Warrants to 1,900,000 I Owned by Purchase Telkoor Stock Telecom Ltd.(2) -----------------------------------------------------------------------------------------------------------------------------------
Explanation of Responses: (1) Vesting schedule for options: 100,000 shares - 12/10/02 100,000 shares - 12/10/03 (2) Mr. Diamant is Chairman of the Board of Telkoor Telecom Ltd. He owns 34.03% of the shares of Telkoor Telecom Ltd. Mr. Diamant disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest. **Intentional misstatements or omissions of facts constitute Federal Criminal Violations. /s/ BEN-ZION DIAMANT December 30,2001 -------------------------------- --------------- Ben-Zion Diamant Date **Signature of Reporting Person Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, see Instruction 6 for procedure.