Form 5 - Courtesy of e-Services, LLC - www.edgar2.net

 

Form 5

__  Check box if no longer subject to 
      Section 16. Form 4 or Form 5 obligations
      may continue. See Instruction 1(b).

__ Form 3 Holdings Reported

__ Form 4 Transactions Reported

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549


ANNUAL STATEMENT OF CHANGES 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

OMB APPROVAL
OMB Number: 3235-0362
Expires: October 31, 2001
Estimated average burden
hours per response...1.0

 

 

 

1.  Name and Address of Reporting Person*

William J. Volz

2.  Issuer Name and Tickler or Trading Symbol

LOGIC Devices Incorporated - LOGC

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

  X   Director                                 ___ 10% Owner
  X   Officer (give title below)        ___ Other (specify below)
             President            

(Last)         (First)        (Middle)

 

395 W. Java Dr.

 

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

 

4.  Statement for Month/Year

September 2002

(Street)

Sunnyvale, CA 94089

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

 

7.  Individual or Joint/Group Reporting
            (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 the end of Issuer's Fiscal Year 
(Instr. 3 and 4)

6.Ownership Form: Direct
 (D) or Indirect (I)
 (Instr. 4)

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

Amount

(A) or (D)

Price
                          
                          
                          
                          
                          
                          
                          
                          

  

  

  

* If the form is filed by more than one reporting person, see instruction 4(b)(v).

 

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.Trans-
   action
   Date
   (Month/
   Day/
   Year)

4.Trans-
   action
   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 Year
   (Instr. 4)

10.Ownership 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 options (Right to buy)

 $2.82 04/02/02 D  

 200,000 

 06/18/98 06/18/03

  Common Stock

 200,000

  

None

 D 

  
                           

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

Explanation of Responses:

 

 

            /s/ William J. Volz                         
**Signature of Reporting Person

                 September 14, 2002                 
Date

 

**

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 provided is insufficient, see Instruction 6 for procedure.