---------- OMB APPROVAL
FORM 4 ---------------------------
---------- OMB Number 3235-0287
[ ] Check this box if no longer Expires: September 30, 1998
subject to Section 16. Form 4 Estimated Average burden
or Form 5 obligations may hours per response .....0.5
continue. See Instruction 1(b).
U.S. 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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1. Name and Address of Reporting Person* 2. Issuer Name and Ticker Trading Symbol 6. Relationship of Reporting
Person(s) to Issuer
Carlson Steve LSI Communications, Inc. (LSIM) (Check all applicable)
[X] Director [X] 10% Owner
----------------------------------------------------------------------------------------------- [ ] Officer(give [ ] Other (specify
(Last) (First) (Middle) 3. IRS Identification 4. Statement for Month/Year title below below)
Number of Reporting
112 W. Business Park Drive Person, if an entity February 2001 ------------------------------
------------------------------------------ (voluntary) ---------------------------- ------------------------------------
(Street) 5. If Amendment, Date 7. Individual or Joint/Group Filing
of Original (Check Applicable Line)
Draper UT 84020 (Month/Year) [X] Form filed by One Reporting
------------------------------------------ Person
(City) (State) (Zip) N/A [ ] Form filed by More than One
Reporting Person
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TABLE 1 -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1. Title of Security 2. Trans- 3. Transaction 4. Securities Acquired(A) 5. Amount of 6.Owner- 7. Nature of
(Instr. 3) action Code or Disposed of (D) Securities ship Indirect
Date (Instr.8) (Instr. 3,4 and 5) Beneficially Form: Beneficial
(Month/ -------------- ------------------------- Owned at End Direct (D) Ownership
Day/ Amount (A) or Price of Month or Indirect (Instr.4)
Year) Code V (D) (Instr. 3 and 4) (I) (Instr.4)
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Common Stock 2/9/01 P 869,318 (A) .0073 per 3,763,922 (D) N/A
Explanation share of
Coaching
Institute
Common
Stock
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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 on 4(b)(v).
FORM 4 (CONTINUED) Table II -- Derivative Securities Acquired, Disposed of, or Benficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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1.Title of 2.Conver- 3.Trans- 4.Tansac- 5.Number of 6.Date Exercis- 7.Title and 8.Price 9.Number 10.Owner- 11.Nature
Derivative) sion or action tion Derivative able and Amount of of of Deri- ship of In-
Security Exercise Date Code Securities Expiration Underlying Deri- vative Form of direct
(Instr.3) Price of (Month/ (Instr.8) Acquired Date Securities vative Secur- Deriva- Bene-
Deri- Day/ (A) or (Month/Day/ (Intr. 3 Secu- ities tive ficial
vative Year) Disposed Year) and 4) rity Benefi- Security: Owner-
Security of (D) ----------------- ------------- (Instr. cially Direct ship
(Instr.3, Amount 5) Owned (D) or (Instr.
4 and 5) or at End Indirect 4)
Date Expir- Title Number of (I)
Exer- ation of Month (Instr.4)
Code V (A) (D) cisable Date Shares (Instr.4)
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OPTIONS .0073 per 2/9/01 S SEE 1/1/01 3/1/01 Common 869,318 SEE NONE D N/A
share of NOTE Stock NOTE
Coaching
Institute
Common
Stock
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Explanation of Responses:
1. Seller received 1 share of LSI Communications, Inc.'s common stock for each .0073 share of Coaching Institute, Inc.'s common
stock. Based on the share price of LSI Communications, Inc.'s common stock on February 9, 2001, the value of each Share of
Coaching Institute, Inc.'s common stock forfeited was $8.22 per share.
**Intentional misstatements or omissions of facts constitute Federal Criminal By: /s/ Steve Carlson 02/19/01
Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). ----------------------------------- --------
**Signature of Reporting Person Date
Note. File three copies of this Form, one of which must be manually signed.
If space provided is insufficient, see Instruction 6 for procedure.
Potential persons who are to respond to the collection of information contained Page 2
in this form are not required to respond unless the form displays a currently SEC 1474 (7-96)
valid OMB Number.