-----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, MY8gQRyH6dWuG3/cChbLidJU1mK6jiirhw/6wNlX9BfL95/rkhh8SfS0UYuEgZe5 Dgd/6YgWIBU+Bk094wbANg== 0000899078-01-500548.txt : 20020413 0000899078-01-500548.hdr.sgml : 20020413 ACCESSION NUMBER: 0000899078-01-500548 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20011221 FILED AS OF DATE: 20011231 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: INDUSTRIAL DATA SYSTEMS CORP CENTRAL INDEX KEY: 0000933738 STANDARD INDUSTRIAL CLASSIFICATION: ELECTRONIC COMPUTERS [3571] IRS NUMBER: 760157248 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-14217 FILM NUMBER: 1826727 BUSINESS ADDRESS: STREET 1: 600 CENTURY PLZ STREET 2: BLDG 140 CITY: HOUSTON STATE: TX ZIP: 77073-6016 BUSINESS PHONE: 2818213200 MAIL ADDRESS: STREET 1: 600 CENTURY PLAZA DR STREET 2: BLDG 140 CITY: HOUSTON STATE: TX ZIP: 77073-6016 COMPANY DATA: COMPANY CONFORMED NAME: BURROW MICHAEL L CENTRAL INDEX KEY: 0001063969 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 2727 NORTH LOOP WEST STREET 2: SUITE 400 CITY: HOUSTON STATE: TX ZIP: 77009 BUSINESS PHONE: 7138806200 MAIL ADDRESS: STREET 1: 2727 NORTH LOOP WEST SUITE 400 CITY: HOUSTON STATE: TX ZIP: 77009 3 1 dec2001f3.txt BURROW
F O R M 3 U.S. Securities and Exchange Commission OMB Approval Washington, D.C. 20549 OMB Number 3235-0104 Expires: September 30, 1998 Estimated ave.burden hours per response .............0.5
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 - --------------------------------------------------------------------------------------------------------
1. Name and Address of Reporting Person 2. Date of Event Requiring 3. IRS or Soc.Sec.No. Statement (Month/Day/Yr) of Reporting Person (Voluntary) Burrow Michael L. 12/21/2001 _____________________________________ _______________________ __________________ (Last) (First) (Middle) 600 Century Plaza Drive Building 140 _____________________________________ 4. Issuer Name and Ticker or Trading (Street) Symbol Industrial Data Systems Corporation (IDS) Houston TX 77073-6033 _____________________________________ _______________________________________________ (City) (State) (ZIP) 5. Relationship of Reporting Person to Issuer 6. If Amendment, Date of Original (Check all applicable) ____X_____ Director ________ 10% Owner ____________________________________ ____X_____ Officer Other (Month/Day/Year) (give title below) (specify below) 7. Individual or Joint/Group Filing (Check Applicable Line) Chairman and Chief Executive Officer ------------------------------------------ _X_ Form filed by one Reporting Person ___ Form filed by more than one Reporting Person
* If the Form is filed by more than one Reporting Person, see Instruction 5(b)(v) - ------------------------------------------------------------------------------------------------------------ Table I - Non-Derivative Securities Beneficially Owned - ------------------------------------------------------------------------------------------------------------ 1. Title of Security 2. Amount of 3. Ownership Form: 4. Nature of Indirect (Instr. 4) Securities Direct (D) or Beneficial Beneficially Indirect (I) Ownership Owned (Instr. 4) (Instr. 5) (Instr. 5) Common Stock 832,204 (see note 1) (D) ---------------------------- ---------------- ---------------- ----------------- Held in Burrow Family Common Stock 998,527 (see note 1) (I) Limited Partnership ---------------------------- ---------------- ---------------- ----------------- ---------------------------- ---------------- ---------------- ----------------- ---------------------------- ---------------- ---------------- ----------------- ---------------------------- ---------------- ---------------- ----------------- ---------------------------- ---------------- ---------------- ----------------- Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Print or Type Responses)
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- ------------------------------------------------------------------------------------------------------------ Table II - Derivative Securities Beneficially Owned (e.g. puts, calls, warrants, options, convertible securities) - ------------------------------------------------------------------------------------------------------------ 1. Title of 2. Date Exercisable and 3. Title and Amount of Securities Derivative Expiration Date Underlying Derivative Security Security (Month/Day/Year) (Instr. 4) Date Expiration Amount or Number Exercisable Date Title of Shares Common Stock Option giving right to buy 4/1/1996 4/1/2003 (see note 2) 4,170 - -------------------------- ----------- ---------- ---------------- -------------------- Common Stock Option giving right to buy 6/26/2001 10/24/2010 (see note 2) 6,224 - -------------------------- ----------- ---------- ---------------- -------------------- Common Stock Option giving right to buy (see note 3) 10/31/2010 (see note 2) 7,818 - -------------------------- ----------- ---------- ---------------- -------------------- Option giving right to buy (see note 4) 12/21/2006 Common Stock 300,000 - -------------------------- ----------- ---------- ---------------- -------------------- - -------------------------- ----------- ---------- ---------------- -------------------- - -------------------------- ----------- ---------- ---------------- -------------------- - -------------------------- ----------- ---------- ---------------- --------------------
4. Conversion or Exercise 5. Ownership Form of 6. Nature of Indirect Beneficial Price of Derivative Derivative Security: Ownership Security Direct (D) or Indirect (I) (Instr. 5) (Instr. 4) (Instr. 5) $4.26 (D) ---------------------------- ---------------------------------- ------------------------------ $0.96 (D) ---------------------------- ---------------------------------- ------------------------------ $0.96 (D) ---------------------------- ---------------------------------- ------------------------------ Graduated pricing (see note 5) (D) ---------------------------- ---------------------------------- ------------------------------ ---------------------------- ---------------------------------- ------------------------------ ---------------------------- ---------------------------------- ------------------------------ ---------------------------- ---------------------------------- ------------------------------
Explanation of Responses: Note 1: All of these shares are subject to a two-year trading restriction which will expire 12/21/03. Note 2: IDS common stock has been escrowed by former significant Petrocon Engineering, Inc. shareholders into an option pool reserve for the future redemption of these options. Note 3: The option is exercisable in 1/4 increments 11/1/00, 10/31/01, 10/31/02, and 10/31/03, respectively. Note 4: Grant issued by Alliance 2000 Ltd., a significant IDS stockholder, to reporting person giving option to purchase shares of Common Stock held by Alliance. The option becomes vested and is exercisable only upon the sale of the Company. Note 5: The exercise price of the Alliance 2000 Ltd option ranges from $0.75 to $1.25 over a five-year period as follows: 12/21/01 to 12/21/02 $0.75 12/21/02 to 12/21/03 $0.85 12/21/03 to 12/21/04 $0.95 12/21/04 to 12/21/05 $1.10 12/21/05 to 12/21/06 $1.25 /s/ Michael L. Burrow 12/31/01 --------------------------------- ----------- **Signature of Reporting Person Date ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Page 2 of 2 -----END PRIVACY-ENHANCED MESSAGE-----