-----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, TfJLONTkyHZo/mO6m6tYeK9W0fEUYxjgrcESyN16Q5bDb8SIkE22+2HYfeq0K1Mu cZO3jOZBLV/Xh27zBqZ5vg== 0000914062-01-500029.txt : 20010205 0000914062-01-500029.hdr.sgml : 20010205 ACCESSION NUMBER: 0000914062-01-500029 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20001231 FILED AS OF DATE: 20010131 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: ISOLYSER CO INC /GA/ CENTRAL INDEX KEY: 0000929299 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 581746149 STATE OF INCORPORATION: GA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: SEC FILE NUMBER: 000-24866 FILM NUMBER: 1520127 BUSINESS ADDRESS: STREET 1: 650 ENGINEERING DRIVE CITY: NORCROSS STATE: GA ZIP: 30092 BUSINESS PHONE: 7708069898 MAIL ADDRESS: STREET 1: 4320 INTERNATIONAL BLVD CITY: NORCROSS STATE: GA ZIP: 30093 COMPANY DATA: COMPANY CONFORMED NAME: MCGREVIN GENE R CENTRAL INDEX KEY: 0001020896 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: 650 ENGINEERING DR STREET 2: TECHNOLOGY PARK CITY: NORCROSS STATE: GA ZIP: 30092 BUSINESS PHONE: 7705826363 MAIL ADDRESS: STREET 1: 650 ENGINEERING DR STREET 2: TECHNOLOGY PARK CITY: NORCROSS STATE: GA ZIP: 30092 5 1 mcgr5101.txt FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 5 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP ( ) Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instructions 1(b). ( ) Form 3 Holdings Reported ( ) Form 4 Transactions Reported 1. Name and Address of Reporting Person MCGREVIN, GENE R. c/o Isolyser Company, Inc. 4320 International Boulevard Norcross, GA 30093 2. Issuer Name and Ticker or Trading Symbol Isolyser Company, Inc. OREX 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Statement for Month/Year December 31, 2000 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 Reporting (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. |3. |4.Securities Acquired (A) |5.Amount of |6.Dir |7.Nature of Indirect | |Transaction| or Disposed of (D) | Securities |ect | Beneficial Ownership | |Date |Code| | Beneficially |(D)or | | | | | | A/| | Owned at |Indir | | | | | Amount | D | Price | End of Year |ect(I)| | ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________ Table II -- Derivative Securitites Acquired, Disposed of, or Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1.Title of Derivative |2.Con |3. |4. |5.Number of De |6.Date Exer|7.Title and Amount |8.Price|9.Number |10.|11.Nature of| Security |version |Transaction rivative Secu |cisable and| of Underlying |of Deri|of Deriva |Dir|Indirect | |or Exer |Date |Code| rities Acqui |Expiration | Securities |vative |tive |ect|Beneficial | |cise Pr | | | red(A) or Dis |Date(Month/| |Secu |Securities |(D)|Ownership | |ice of | | | posed of(D) |Day/Year) | |rity |Benefi |or | | |Deriva | | | |Date |Expir| | |ficially |Ind| | |tive | | | | A/|Exer-|ation| Title and Number | |Owned at |ire| | |Secu | | | | D |cisa-|Date | of Shares | |End of |ct | | |rity | | | Amount | |ble | | | |Year |(I)| | ___________________________________________________________________________________________________________________________________| Stock Option |$4.00 |5-17-|A |5,000 |A |(1) |(2) |Common Stock|5,000 |N/A |5,000 |D | | | |00 | | | | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Stock Option |$1.1875 |11-30|A |150,000 |A |(1) |(3) |Common Stock|150,000|N/A |150,000 |D | | | |-00 | | | | | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________|
Explanation of Responses: (1) Stock option is exercisable immediately. (2) Stock option expires upon the earlier of: (i) 5-17-05; or (ii) one year after Gene R. McGrevin ceases to be a director of Isolyser Company, Inc. (3) Stock option expires upon the earlier of: (i) 11-30-05; or (ii) one year after Gene R. McGrevin ceases to be a director of Isolyser Company, Inc. SIGNATURE OF REPORTING PERSON /s/ Gene R. McGrevin Gene R. McGrevin DATE January 30, 2001 -----END PRIVACY-ENHANCED MESSAGE-----