-----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, T7lvu+63o9QzRD1X/7F8dXlgkKZl6butfgSYfd+XvNojuUcsBfmYGpDnhe0c5mfU hWyeEEmRMPK8UA8xQU1OHA== 0000941310-02-000006.txt : 20021231 0000941310-02-000006.hdr.sgml : 20021231 20021231164736 ACCESSION NUMBER: 0000941310-02-000006 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20021230 FILED AS OF DATE: 20021231 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: COMMUNICATIONS SYSTEMS INC CENTRAL INDEX KEY: 0000022701 STANDARD INDUSTRIAL CLASSIFICATION: TELEPHONE & TELEGRAPH APPARATUS [3661] IRS NUMBER: 410957999 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-10355 FILM NUMBER: 02874053 BUSINESS ADDRESS: STREET 1: 213 S MAIN ST CITY: HECTOR STATE: MN ZIP: 55342 BUSINESS PHONE: 3208486231 MAIL ADDRESS: STREET 1: 213 MAIN STREET STREET 2: P O BOX 777 CITY: HECTOR STATE: MN ZIP: 55342 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: SAMPSON CURTIS A CENTRAL INDEX KEY: 0000941310 RELATIONSHIP: OWNER FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: PO BOX 777 STREET 2: 213 MAIN ST CITY: HECTOR STATE: MN ZIP: 55342 BUSINESS PHONE: 3208486231 MAIL ADDRESS: STREET 1: PO BOX 777 STREET 2: S MAIN ST CITY: HECTOR STATE: MN ZIP: 55342 4 1 cas4csi.txt CURTIS A. SAMPSON - CSI FORM 4 (12-30-02) UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 4 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). 1. Name and Address of Reporting Person: SAMPSON, CURTIS A. 50 PARKVIEW LANE HECTOR, MN 55342 USA 2. Issuer Name and Ticker or Trading Symbol COMMUNICATIONS SYSTEMS, INC. CSII 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Statement for Month/Year DECEMBER, 2002 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all Applicable): (X) Director (X) 10% Owner (X) Officer (give title below) ( ) Other (specify below) CHIEF EXECUTIVE OFFICER 7. Individual of 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 2. Transaction 3. Transaction 4. Securities 5. Amount of 6. Ownership 7. Nature of Date Code Acquired (A) or Securities Form: Direct Indirect Disposed of (D) Beneficialy Owned (D) or Beneficial at End of Month Indirect (I) Ownership --------------- (A) or Code V Amount (D) Price - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 12/30/2002 G 11,750 D 1,149,017 D 24,138.579 I ESOP* 16,023 I Spouse** *Acquired pursuant to Communications Systems, Inc. Employee Stock Ownership Plan and Trust **Includes 2,125 shares in USBank Piper Jaffray IRA
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned - ------------------------------------------------------------------------------------------------------------------------------------ 1.Title of 2.Conver- 3.Trans- 4.Trans- 5.Number of 6.Date 7.Title and 8.Price 9.Number of 10.Ownership 11.Nature of Derivative sion or action action Derivative Exercis- Amount of of Derivative Form of Indirect Security Exercise Date Code Securities able and Underlying Deriva Securities Derivative Beneficial Price of Acquired Expira- Securities tive Beneficially Securities Ownership Deriv- (A) or tion Security Owned at Beneficially ative Disposed Date End of Owned at Security of (D) Month End of Month ------------------------------------------------ Amount Date or Exer- Expir Number cis- ation of Code V (A) (D) able Date Title Shares - ------------------------------------------------------------------------------------------------------------------------------------ Common N/A
Explanation of Responses: Signature of Reporting Person /s/ CURTIS A. SAMPSON Date DECEMBER 31, 2002 -----END PRIVACY-ENHANCED MESSAGE-----