SEC Form 5

~~--------~~FORM ~~UNITED~~5 ~~STATES~~[ ~~SECURITIES~~] ~~AND~~Check ~~EXCHANGE~~this ~~COMMISSION~~box ~~-----------------------------~~if ~~FORM~~no 5longersubject ~~WASHINGTON,~~to DSection 16.C. ~~20549~~Form ~~OMB~~4 ~~APPROVAL~~or ~~--------~~Form5 ~~-----------------------------~~obligations /may /continue.See ~~CHECK~~Instruction ~~BOX~~1(b). IF[ NO]Form ~~LONGER~~3 ~~ANNUAL~~Holdings ~~STATEMENT~~Reported[ OF]Form ~~CHANGES~~4 INTransactions ~~BENEFICIAL~~Reported ~~OWNERSHIP~~UNITED ~~OMB~~STATES ~~NUMBER:~~SECURITIES ~~3235-0362~~AND ~~SUBJECT~~EXCHANGE TOCOMMISSION ~~SECTION~~Washington, 16D.C. ~~EXPIRES:~~20549 ~~SEPTEMBER~~STATEMENT ~~30,~~OF ~~1998~~CHANGES ~~FORM~~IN 4BENEFICIAL OROWNERSHIP ~~FORM 5 OBLI-~~ Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, ~~ESTIMATED AVERAGE BURDEN GATIONS MAY CONTINUE.~~ Section 17(a) of the Public Utility Holding Company Act of 1935 or ~~HOURS PER RESPONSE .... 1.0 SEE INSTRUCTION 1(b).~~ Section 30(f) of the Investment Company Act of 1940 ~~-----------------------------~~OMB /APPROVAL /OMB FORM 3 HOLDINGS REPORTED / / FORM 4 TRANSACTIONS REPORTED ------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of Reporting Person* 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) X Director X 10% Owner Soshea Richard W Teltone Corporation TTNC ---- ---- ------------------------------------------------------------------------------------------- X Officer (give Other (specify (Last) (First) (Middle) 3. IRS or Social Security 4. Statement for ---- title ---- below) Number: ~~of Reporting Month/Year below) Person (Voluntary) President & CEO 15130 141st Ave SE ###~~3235-~~##-####~~0362 ~~June~~Expires: ~~2000~~January ~~-------------------------- ------------------------------------------- ------------------------------------------------------------- (Street) 5. If Amendment~~31, 7.2005Estimated ~~Individual~~average orburdenhours ~~Joint/Group~~per Reporting Date of Original (check applicable line) (Month/Year) X Form Filed by One Reporting Person --- Form filed by More than One Reporting Person Snohomish WA 98290 --- ------------------------------------------------------------------------------------------------------------------------------------ (City) (State) (Zip) TABLE I -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED ------------------------------------------------------------------------------------------------------------------------------------ 1response. ~~Title of Security 2~~. ~~Trans- 3~~. ~~Transac- 4~~. ~~Securities Acquired (A) or 5~~. ~~Amount of 6~~0. ~~Owner- 7. Nature of (Instr. 3) action tion Disposed of (D) Securities ship Indirect Date Code (Instr. 3, 4 and~~ 5) Beneficially Form: Beneficial (Instr. 8) Owned at Direct Ownership (Month/ end of (D) or (Instr. 4) Day/ ------------------------------ Issuer's Indirect Year) Amount (A) or Price Fiscal Year (I) (D) (Instr. 3 (Instr. 4) and 4) ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 718,026 D ------------------------------------------------------------------------------------------------------------------------------------ Preferred Stock 27,272 D ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ *If the form is filed by more than one reporting person, see instruction 4(b)(v). (Over) SEC 2270 (7/97) 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 CONTROL NUMBER.

FORM 5 (CONTINUED) TABLE II - DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (e.g., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) ------------------------------------------------------------------------------------------------------------------------ 1. ~~Title~~Name ~~of Derivative Security 2. Conver- 3. Trans- 4. Trans- 5. Number of 6. Date Exer- (Instr. 3) sion of action action Derivative cisable~~ and ~~Exercise~~Address ~~Date Code Securities Ac- Expiration Price~~ of ~~(Month/~~Reporting ~~(Instr.~~Person* ~~8) quired (A) or Date Deriv- Day/ Disposed of Month/Day/ ative Year) (D) Year) Security (Instr. 3~~Herzog, 4,Wendy ~~and~~L ~~5) -------------------- Date Expir- ---------------------- Exer- ation cisable Date~~ (ALast) (DFirst) ~~------------------------------------------------------------------------------------------------------------------------ Options~~ (~~right to buy~~Middle) ~~.50~~22116 ~~10/29/96~~23rd ADrive ~~40,000~~SE (1Street) ~~10/29/02 ------------------------------------------------------------------------------------------------------------------------ Options (right to buy) .50 10/30/97 A 40~~Bothell,~~000~~ ~~(2)~~WA ~~10/30/03~~98021 ~~------------------------------------------------------------------------------------------------------------------------ Options~~ (~~right to buy~~City) ~~.60 10/29/98 A 30,000~~ (3State) ~~10/29/04 ------------------------------------------------------------------------------------------------------------------------ Options~~ (~~right to buy~~Zip) USA 2.60 ~~11/4/99~~Issuer AName ~~30,000~~and ~~(4)~~Ticker ~~11/4/05~~or ~~------------------------------------------------------------------------------------------------------------------------~~Trading ~~------------------------------------------------------------------------------------------------------------------------~~Symbol ~~------------------------------------------------------------------------------------------------------------------------~~Teltone ~~------------------------------------------------------------------------------------------------------------------------~~Corporation ~~------------------------------------------------------------------------------------------------------------------------~~TTNC ------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------ 73. ~~Title and Amount of Under- 8~~I. ~~Price 9~~R. ~~Number 10~~S. ~~Owner-~~Identification ~~11.~~Number ~~Na- lying Securities~~ of ofReporting ~~Deriv-~~Person, ~~ship~~if ~~ture~~an ofentity (~~Instr. 3 and 4~~voluntary) ~~Deriv- ative of Indirect ative Secur- Deriv- Bene- Secur- ities ative ficial ity Bene- Secur- Owner- (Instr~~4. ~~ficially~~Statement ~~ity:~~for ~~ship 5) Owned Direct~~ (~~Instr. 4) ------------------------------------ at End (D) of~~ Month/Year ~~or In- Amount or (Instr. 4~~) ~~direct~~June ~~Title~~2002 ~~Number of (I) Shares (Instr~~5. 4)If ~~------------------------------------------------------------------------------------------ Common 40~~Amendment,~~000~~ ~~.50~~Date 40,000 D ------------------------------------------------------------------------------------------ Common 40,000 .50 40,000 D ------------------------------------------------------------------------------------------ Common 30,000 .60 30,000 D ------------------------------------------------------------------------------------------ Common 30,000 .60 30,000 D ------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------ Explanation of ~~Responses:~~Original (~~1,2,3,4~~Month/Year) ~~Incentive stock options issued under the Teltone Corporation's 1992 Stock Option Plan~~6. ~~Exercisable~~Relationship ~~in 25% installments on the first four anniversary dates from date~~ of ~~grant. /s/ Richard W. Soshea 8/3/00 ----------------------------------- ----------- **Intentional misstatements or omissions of facts constitute **Signature of~~ Reporting Person ~~Date Federal Criminal Violations. SEE 18 U.S.C. 1001 and 15 U.S.C. 78ff~~(as). ~~Note:~~to ~~File~~Issuer ~~three~~(Check ~~copies~~all ofapplicable) ~~this~~Director ~~Form,~~10% ~~one~~Owner ofX ~~which~~Officer ~~must~~Other beOfficer/Other ~~manually~~Description ~~signed.~~Corporate IfSecretary ~~space provided is insufficient, SEE Instruction 6 for procedure~~7. ~~Potential~~Individual ~~persons~~or ~~who~~Joint/Group ~~are~~Filing to(Check ~~respond~~Applicable toLine) ~~the~~X ~~collection~~Individual ofFiling ~~information~~Joint/Group ~~contained in this form are not required to respond unless the form displays a currently valid OMB number. Page 2 SEC 2270 (7-97)~~Filing

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 (D) Of (Instr. 3, 4, and 5) Amount \| A/D \| Price	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)
Common				23	D

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

(over)
SEC 2270 (3-99)

Herzog, Wendy L - June 2002

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. Conver- sion or Exercise Price of Deri- vative Security	3. Transaction Date (Month/ Day/ Year)	4. Transaction Code	5. Number of Derivative Securities Acquired (A) or Disposed (D) Of (Instr. 3,4 and 5)	6. Date Exercisable(DE) and Expiration Date(ED) (Month/Day/Year) (DE) \| (ED)	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. Owner- ship Form of Deriv- ative Security: Direct (D) or Indirect (I)	11. Nature of Indirect Beneficial Ownership (Instr.4)
Stock Option (Right to Buy) (1)	$0.50	10/29/1996	A	(A) 2,000	Varies (1) \| 10/29/2002	Common - 2,000	$0.50	2,000	D
Stock Option (Right to Buy)	$0.60	10/29/1998	A	(A) 3,000	Varies (1) \| 10/29/2004	Common - 3,000	$0.60	3,000	D
Stock Option (Right to Buy) (1)	$0.60	11/04/1999	A	(A) 6,000	Varies (1) \| 11/04/2005	Common - 6,000	$0.60	6,000	D
Stock Option (Right to Buy) (1)	$0.87	11/02/2000	A	(A) 6,000	Varies (1) \| 11/02/2006	Common - 6,000	$0.87	6,000	D
Stock Option (Right to Buy) (1)	$0.21	11/06/2001	A	(A) 10,000	Varies (1) \| 11/06/2007	Common - 10,000	$0.21	10,000	D

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).

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.

/s/ Wendy L Herzog
________________________________ __________________
** Signature of Reporting Person Date

Page 2
SEC 2270 (3-99)

Herzog, Wendy L - June 2002

Form 5 (continued)

FOOTNOTE Descriptions for Teltone Corporation TTNC

Form 5 - June 2002

Wendy L Herzog
22116 23rd Drive SE

Bothell, WA 98021

Explanation of responses:

(1) This derivative is exercisable in 25% installments on the first four anniversary dates from date of grant.

Page 3

Filing Compare · TELTONE CORP