5 1 shafferfrm5.htm PHILIP C. SHAFFER FORM 5 Form 5

Form 5

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549

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

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Form 3 Holdings Reported

  

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Form 4 Holdings Reported

  

(Print or Type Responses)

1. Name and Address of Reporting Person*

Shaffer, Philip C.

2. Issuer Name and Ticker or Trading Symbol

SI Diamond Technology, Inc. (SIDT)

6. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_X_ Director                    ___ 10% Owner
___ Officer (give             ___ Other (specify
                  title below)                     below)

____________________

(Last)              (First)             (Middle)

 3006 Longhorn Boulevard

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

4. Statement for Month/Year

12/01

(Street)

Austin, Texas  78758

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

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

(City)              (State)              (Zip)

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

1. Title of Security
(Instr. 3)

2. Transaction Date
(Month/Day/Year)

3. Transaction
Code
(Instr. 8)

4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)

5. Amount of Securities Beneficially Owned at End of Issuer's Fiscal Year
(Instr. 3 and 4)

6. Owner-
ship Form:
Direct (D) or Indirect (I)
(Instr. 4)

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

Amount

(A) or (D)

Price

Common Stock

 

 

 

 

 

  104,702

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 Instructions 4(b)(v).

 

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(Over)
SEC 1474 (3-99)


 

FORM 5 (continued)

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)

 

 

1.Title of Derivative Security
(Instr.3)

2. Conversion or
Exercise
Price of
Derivative
Security

3. Transaction
Date
(Month/
Day/
Year)

4. Transaction Code
(Instr. 8)

5. Number of Derivative
Securities
Acquired (A) or Disposed of(D)
(Instr. 3, 4 and 5)

6. Date Exercisable
and Expiration Date
(Month/Day/Year)

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

8. Price of
Derivative
Security
(Instr. 5)

9.Number of
Derivative
Securities
Beneficially
Owned at
End of
Month
(Instr. 4)

10. Ownership
Form of
Derivative
Security:
Direct (D) or Indirect (I)
(Instr. 4)

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

(A)

(D)

Date
Exercisable

Expiration
Date

Title

Amount
or
Number
of Shares

Stock Option
(Right to Buy)

$0.375

12/23/93

 

 

 

(1)

12/23/03

Common
Stock

10,000

 

 

 

 

Stock Option
(Right to Buy)

$0.375

7/29/96

 

  

 

(1)

7/29/06

Common
Stock

50,000

 

 

 

 

Stock Option
(Right to Buy)

$0.375

7/28/97

  

 

 

(1)

7/28/07

Common
Stock

50,000

 

 

 

 

Stock Option
(Right to Buy)

$0.375

5/11/98

  

 

 

(1)

5/11/08

Common
Stock

150,000

 

 

 

 

Stock Option
(Right to Buy)

$0.25

7/27/98

 

  

 

(1)

7/27/08

Common
Stock

20,000

 

 

 

 

Stock Option
(Right to Buy)

$0.50

1/11/99

 

 

  

(1)

1/11/09

Common
Stock

150,000

 

  

  

 

Stock Option
(Right to Buy)

$2.27

7/26/99

D

  

 20,000

(1)

7/26/09

Common
Stock

20,000

 

 

  

 

Stock Option
(Right to Buy)

$1.50

7/26/99

A

  20,000

 

(1)

7/26/09

Common
Stock

20,000

 

 

  

 

 

 

 

 

 

 

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


 

FORM 5 (continued)

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)

 

 

1.Title of Derivative Security
(Instr.3)

2. Conversion or
Exercise
Price of
Derivative
Security

3. Transaction
Date
(Month/
Day/
Year)

4. Transaction Code
(Instr. 8)

5. Number of Derivative
Securities
Acquired (A) or Disposed of(D)
(Instr. 3, 4 and 5)

6. Date Exercisable
and Expiration Date
(Month/Day/Year)

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

8. Price of
Derivative
Security
(Instr. 5)

9.Number of
Derivative
Securities
Beneficially
Owned at
End of
Month
(Instr. 4)

10. Ownership
Form of
Derivative
Security:
Direct (D) or Indirect (I)
(Instr. 4)

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

(A)

(D)

Date
Exercisable

Expiration
Date

Title

Amount
or
Number
of Shares

Stock Option
(Right to Buy)

$2.75

5/8/00

 D

 

 30,000

(1)

5/8/10

Common
Stock

30,000

 

 

 

 

Stock Option
(Right to Buy)

$1.50

5/8/00

 A

  30,000

 

(1)

5/8/10

Common
Stock

30,000

 

 

 

 

Stock Option
(Right to Buy)

$1.3438

7/24/00

  

 

 

(1)

7/24/10

Common
Stock

20,000

 

 

 

 

Stock Option
(Right to Buy)

$1.00

4/23/01

  A

 30,000

 

(1)

4/23/11

Common
Stock

20,000

 

 

 

 

Stock Option
(Right to Buy)

$1.00

7/30/01

 A

  20,000

 

(1)

7/30/11

Common
Stock

20,000

 

 550,000

D

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Explanation of Responses:

(1)  Options are fully vested and exercisable as of the date of this filing.

**

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

 /s/ Donald T. Locke


Donald T. Locke
Attorney-in-Fact

**Signature of Reporting Person

    2-13-02


Date

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