-----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, OBFmd/xAhsrzFFLnnYINxDyTWDFroPgediqEmq4GGBqELDUvRcQjD8JRCsn+Gyys fhf/Vncv+kDcrRDErWJkKA== 0001144204-04-018704.txt : 20041115 0001144204-04-018704.hdr.sgml : 20041115 20041115075425 ACCESSION NUMBER: 0001144204-04-018704 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041110 FILED AS OF DATE: 20041115 DATE AS OF CHANGE: 20041115 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HELLMAN WAYNE R CENTRAL INDEX KEY: 0001005096 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24230 FILM NUMBER: 041141759 BUSINESS ADDRESS: STREET 1: 2307 E AURORA RD STE ONE CITY: TWINSBURG STATE: OH ZIP: 44087 MAIL ADDRESS: STREET 1: 2307 EAST AURORA ROAD STREET 2: SUITE ONE CITY: TWINSBURG STATE: OH ZIP: 44087 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FIBERSTARS INC /CA/ CENTRAL INDEX KEY: 0000924168 STANDARD INDUSTRIAL CLASSIFICATION: ELECTRIC LIGHTING & WIRING EQUIPMENT [3640] IRS NUMBER: 943021850 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 44259 NOBEL DRIVE CITY: FREMONT STATE: CA ZIP: 94538 BUSINESS PHONE: 5104900719 MAIL ADDRESS: STREET 1: 44259 NOBEL DRIVE CITY: FREMONT STATE: CA ZIP: 94538 4 1 v08608_ex.xml X0202 4 2004-11-10 0 0000924168 FIBERSTARS INC /CA/ FBST 0001005096 HELLMAN WAYNE R 44259 NOBEL DRIVE FREMONT CA 94538 1 0 0 0 Common Stock 2004-11-10 2004-11-10 4 M 0 5000 3.938 A 5000 D Common Stock 2004-11-10 2004-11-10 4 M 0 5000 7.125 A 10000 D Common Stock 2004-11-10 2004-11-10 4 M 0 5000 3.95 A 15000 D Common Stock 2004-11-10 2004-11-10 4 M 0 5000 4.80 A 20000 D Common Stock 2004-11-10 2004-11-10 4 M 0 5000 3.65 A 25000 D Common Stock 2004-11-10 2004-11-10 4 S 0 25000 7.95 D 0 D Stock Option 3.938 2004-11-10 4 M 0 5000 3.938 A 2000-05-12 2009-05-12 Common Stock 5000 22916 D Stock Option 7.125 2004-11-10 4 M 0 5000 7.125 A 2001-05-24 2010-05-24 Common Stock 5000 17916 D Stock Option 3.95 2004-11-10 4 M 0 5000 3.95 A 2002-05-23 2011-05-23 Common Stock 5000 12916 D Stock Option 4.80 2004-11-10 4 M 0 5000 3.95 A 2003-05-22 2012-05-22 Common Stock 4.80 7916 D Stock Option 3.65 2004-11-10 4 M 0 5000 3.95 A 2004-05-21 2013-05-21 Common Stock 3.65 2916 D /s/ Wayne R. Hellman 2004-11-12 -----END PRIVACY-ENHANCED MESSAGE-----