4 1 ascchris.txt FORM 4 FORM 4 U.S. SECURITIES AND EXCHANGE COMMISSION FORM 4 Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP |x| 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) / / --- Director --- 10% Owner (Last) (First) (Middle) / DIGITAL POWER CORPORATION / --- Officer XX Other SCHOFIELD, CHRIS / (AMEX: DPW) / (give title below) (specify below) / / FORMER DIRECTOR ---------------------------------------- /-----------------------------------------/---------------------------------------------- / 3. I.R.S. 4. Statement for / / Identification (Month/Year) / / Number of Reporting 12/01 / / Person, if an / ---------------------------------------- / Entity -----------------/ / (Voluntary) / / / / -- / 7. Individual or Joint/Group Filing c/o Digital Power Ltd. / 5. If Amendment, / (Check Applicable Line) Telford Road / Date of Original / X Form filed by one Reporting Person (Street) / (Month/Year) / --- Form filed by More than One --------------------------------------- / N/A / Reporting Person / --------------------------------------/ Salisbury, Withshire, SP2 7PH / / --------------------------------------- / / (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 $2.00 12/31/01 A V 60,000 12/31/01 12/31/03 Common 60,000 - D N/A Purchase Stock Common Stock ------------------------------------------------------------------------------------------------------------------------------------ Options to $1.5625 12/31/01 A V 25,000 12/31/01 12/31/03 Common 25,000 - D N/A Purchase Stock Common Stock ------------------------------------------------------------------------------------------------------------------------------------ Options to $2.3125 12/31/01 A V 20,000 12/31/01 12/31/03 Common 20,000 - D N/A Purchase Stock Common Stock ------------------------------------------------------------------------------------------------------------------------------------ Options to $2.3125 12/31/01 D V 40,000 (1) 2/8/11 Common 40,000 _ D N/A Purchase Stock Common Stock ------------------------------------------------------------------------------------------------------------------------------------ Options to $1.5625 12/31/01 D V 25,000 1/3/01 1/3/10 Common 25,000 _ D N/A Purchase Stock Common Stock ------------------------------------------------------------------------------------------------------------------------------------ Options to $2.00 12/31/01 D V 60,000 (2) 7/30/09 Common 60,000 _ D N/A Purchase Stock Common Stock ------------------------------------------------------------------------------------------------------------------------------------ Options to $1.625 12/31/01 D V 25,000 1/2/02 1/2/11 Common 25,000 _ 105,000 D N/A Purchase Stock Common Stock ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
Explanation of Responses: (1) 10,000 vested on 2/8/00, 10,000 vested on 2/8/01, 20,000 vests on 2/8/02 and 20,000 vests on 2/8/03 (2) 30,000 vested on 7/30/00 and 30,000 vested on 7/30/01. Explanation of Responses: **Intentional misstatements or omissions of facts constitute Federal Criminal Violations. /s/ CHRIS SCHOFIELD January 11, 2002 -------------------------------- ---------------- Chris Schofield 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.