-----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, QUfSCC1p7IxdxhcQG8GLRte39V6J0e8HNRa8GdjUh6ngNXzW4cjlB32wk9xv0leb VCx0+j2KXUj8wHoQc5UE/g== 0000910680-02-000011.txt : 20020413 0000910680-02-000011.hdr.sgml : 20020413 ACCESSION NUMBER: 0000910680-02-000011 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20011213 FILED AS OF DATE: 20020108 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: ID SYSTEMS INC CENTRAL INDEX KEY: 0000049615 STANDARD INDUSTRIAL CLASSIFICATION: [] IRS NUMBER: 223270799 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15087 FILM NUMBER: 2503752 BUSINESS ADDRESS: STREET 1: ONE UNIVERSITY PLAZA CITY: HACKENSACK STATE: NJ ZIP: 07601 BUSINESS PHONE: 2016709000 MAIL ADDRESS: STREET 1: ID SYSTEMS INC STREET 2: ONE UNIVERSITY PLAZA CITY: HACKENSACK STATE: NJ ZIP: 07601 COMPANY DATA: COMPANY CONFORMED NAME: LOOSMORE N BERT CENTRAL INDEX KEY: 0001107318 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: C/O ID SYSTEMS INC STREET 2: ONE UNIVERSITY PLAZA CITY: HACKENSACK STATE: NJ ZIP: 07601 BUSINESS PHONE: 2126773800 MAIL ADDRESS: STREET 1: ID SYSTEMS INC STREET 2: ONE UNIVERSITY PLAZA CITY: HACKENSACK STATE: NJ ZIP: 07601 4 1 form4nbloosmore.txt FORM 4 - N. BERT LOOSMORE --------------------------- OMB APPROVAL --------------------------- OMB Number: 3235-0287 Expires: PENDING Estimated average burden hours per response......0.5 --------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 4 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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 [_] 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* Loosmore N. Bert - -------------------------------------------------------------------------------- (Last) (First) (Middle) c/o I.D. Systems, Inc. One University Place - -------------------------------------------------------------------------------- (Street) Hackensack, NJ 07601 - -------------------------------------------------------------------------------- (City) (State) (Zip) - -------------------------------------------------------------------------------- 2. Issuer Name and Ticker or Trading Symbol I.D. Systems, Inc. (IDSY) - -------------------------------------------------------------------------------- 3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary) - -------------------------------------------------------------------------------- 4. Statement for Month/Year December 2001 - -------------------------------------------------------------------------------- 5. If Amendment, Date of Original (Month/Year) - -------------------------------------------------------------------------------- 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) [X] Director [ ] 10% Owner [ ] Officer (give title below) [ ] Other (specify below) - -------------------------------------------------------------------------------- 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
2. 3. 4. 6. Trans- Trans- Securities Acquired (A) 5. Owner- action action or Disposed of (D) Amount of ship 7. Date Code (Instr. 3, 4 and 5) Securities Form: Nature of (Instr. 8) ----------------------- Beneficially Direct Indirect ---------- Owned at (D) or Beneficial 1. (Month/ (A) End of Month Indirect Owner- Title of Security Day/ Amount or Price (Instr. 3 (I) ship (Instr. 3) Year) Code V (D) and 4) (Instr. 4) (Instr. 4) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 12/13/01 S 12,500 D $9.1504 562,947 D - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------
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). (0ver) SEC 1474 (7-96) FORM 4 (continued) Table II-- Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
- ------------------------------------------------------------------------------------------------------------------------------------ 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. Title of Conver- Trans- Trans- Number of Date Exer- Title and Amount Price Number Owner- Nature Derivative sion action action Derivative cisable and of Underlying of of deriv- ship of Security of Date Code Securities Expiration Date Securities Deriv- ative Form of Indirect (Instr. 3) Exer- (Instr. Acquired (A) (Month/Day/Year) (Instr. 3 and 4) ative Secur- Deriv- Benefi- cise (Month/ 8) or Disposed ---------------- ---------------- Secur- ities ative cial Price Day/ ------- (Instr. 3, ity Bene- Secur- Owner- of Year) Code V 4, and 5) (Instr. ficially ity: ship Deriv- ----------- Date Expira- Amount 5) Owned Direct (Instr. ative (A) (D) Exer- tion Title or at End (D) or 4 Secur- cisable Date Number Month Indirect ity of (Instr. (I) Shares 4) (Instr. 4) - ------------------------------------------------------------------------------------------------------------------------------------ None - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------
Explanation of Responses: ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). By: /s/ N. Bert Loosmore January 7, 2002 --------------------------------- ---------------- ** Signature of Reporting Person Date N. Bert Loosmore Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. -----END PRIVACY-ENHANCED MESSAGE-----