3 1 form3sws.htm FORM 3 FOR STUART W. SIVAK FORM 4

FORM 3






        (Print or Type Responses)

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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

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1. Name and Address of Reporting Person*                         


Sivak, Stuart W.

2. Date of Event
    Requiring Statement
    (Month/Day/Year)

 

April 3, 2003

4. Issuer Name and Ticker or Trading Symbol

 

                  Uni-Marts, Inc.                                      UNI

(Last)                                 (First)                             (Middle)

c/o Uni-Marts, Inc.
477 East Beaver Avenue

(Street)


State College, PA 16801

3. I.R.S. Identification Number of
      Reporting Person, if an entity
      (voluntary)


                   ###-##-####

5. Relationship of Reporting Person(s) to
    Issuer
    (Check all applicable)

            Director                                    10% Owner

   X        Officer (give title                     Other (specify
              below)                                     below)


    Executive Vice President, Operations       

6. If Amendment, Date of
    Original (Month/Day/Year)

(City)                                 (State)                                  (Zip)

7. Individual or Joint/Group Filing (Check Applicable Line)
   X     Form filed by One Reporting
          Person
          Form filed by More than One
          Reporting Person

Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1. Title of Security
(Instr. 4)

2. Amount of Securities Beneficially Owned
     (Instr. 4)

3. Ownership Form: Direct (D)     or Indirect (I)
    (Instr. 5)

4. Nature of Indirect Beneficial     Ownership
     (Instr. 5)

Common Stock

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1. Title of
    Derivative
    Security
    (Instr.4)

2. Date Exer-
    cisable and
    Expiration
    Date
    (Month/Day/Year)

3. Title and Amount of Securities Underlying
    Derivative Security
    (Instr. 4)

4. Conver-    sion or
    Exercise
    Price of
    Deri-
    vative
    Security

5. Owner-
    ship
    Form of
    Deriv-
    ative
    Securities:
    Direct
    (D) or
   Indirect
    (I)
   (Instr. 5)

6. Nature of Indirect
    Beneficial Ownership
    (Instr.5)

Date
Exer-
cisable

Expira-
tion
Date

Title

Amount
or
Number
of
Shares

Option - Right to Buy

12/9/94

12/8/03

Common Stock

1,000

$5.375

D

  

Option - Right to Buy

10/17/95

10/16/04

Common Stock

500

$5.375

D

  

Option - Right to Buy

10/2/96

10/1/05

Common Stock

750

$7.00

D

  

Option - Right to Buy

11/4/97

11/3/06

Common Stock

1,000

$6.25

D

  

Option - Right to Buy

10/20/98

10/19/07

Common Stock

1,000

$5.25

D

  

Option - Right to Buy

9/16/99

9/15/08

Common Stock

4,000

$3.125

D

  

Option - Right to Buy

8/31/00

8/30/09

Common Stock

3,000

$1.375

D

  

Option - Right to Buy

(1)

9/12/10

Common Stock

15,000

$2.00

D

  

Option - Right to Buy

(2)

9/25/11

Common Stock

17,000

$2.20

D

  

Option - Right to Buy

(3)

2/26/12

Common Stock

50,000

$1.70

D

  

Option - Right to Buy

(4)

9/17/12

Common Stock

20,000

$1.40

D

  
               

Reminder:  Report on a separate line for each class of securities beneficially owned directly or indirectly.

Explanation of Responses:
(1) One-third of the options granted become exercisable at 9-13-01; one-third of the options granted become exercisable at 9-13-02; and one-third of the options granted become exercisable at 9-13-03.
(2) One-third of the options granted become exercisable at 9-26-02; one-third of the options granted become exercisable at 9-26-03; and one-third of the options granted become exercisable at 9-26-04.
(3) One-half of the options granted become exercisable at 2-27-03 and one-half of the options granted become exercisable at 2-27-04.
(4) One-half of the options granted become exercisable at 9-18-03 and one-half of the options granted become exercisable at 9-18-04.
 

       /S/ Stuart W. Sivak                
**Signature of Reporting Person

             April 8, 2003              
Date

*

If the form is filed by more than one reporting person, see Instruction 5(b)(v).

**

Intentional misstatements or omissions of facts constitute Federal Criminal Violations.  See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

Note:

File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure


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