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FORM 4 OMB APPROVAL
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[ ] Check this box if no longer OMB Number 3235-0287
subject to Section 16. Form 4 Expires: December 31, 2001
or Form 5 obligations may Estimated average burden
continue. See Instruction 1(b). hours per response............. 0.5
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 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*
Bruggeworth Robert
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(Last) (First) (Middle)
3819 Osuna NE
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(Street)
Albuquerque NM 87109
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
Lightpath Technologies, Inc. -- LPTH
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3. IRS Or Social Security Number of Reporting Person (Voluntary)
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4. Statement for Month/Year
December 2001
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5. If Amendment, Date of Original (Month/Year)
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6. Relationship of Reporting Person(s) to Issuer (Check all applicable)
[X] Director [ ] 10% Owner
[ ] Officer (give title below) [ ] Other (specify below)
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7. Individual or Joint/Group Filing (Check Applicable Line)
[X] Form filed by One Reporting Person
[ ] Form filed by More than One Reporting Person
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Form 4 (continued)
Table I -- Non-Derivative Securities Acquired, Disposed of,
or Beneficially Owned
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Amount
of
Securities Secur- Nature
Acquired (A) ities Owner- of
or Disposed Bene- ship Indirect
of (D) (Instr. ficially Form: Bene-
Transaction 3, 4 and 5) Owned at Direct ficial
Code ---------------- End (D) or Owner-
Title of Transaction (Instr. 8) (A) of Month Indirect ship
Security Date ----------- Amount or Price (Instr. (I) (Instr.
(Instr. 3) (mm/dd/yy) Code V (D) 3 and 4) (Instr.4) 4)
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* If the Form is filed by more than one Reporting Person, see Instruction
4(b)(v).
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
Page 2 of 3
Form 4 (continued)
Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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Number Number Owner-
of of ship
Deriv- Title and Deriv- of
Conver- ative Amount of ative Deriv-
sion Secur- Underlying Secur- ative Nature
of ities Securities ities Secur- of
Exer- Acquired Date (Instr. 3 Price Bene- ity: In-
cise Trans- (A) or Exercisable and and 4) of ficially Direct direct
Price Trans- action Disposed Expiration Date ------------- Deriv- Owned (D) or Bene-
of action Code of(D) (Month/Day/Year) Amount ative at End In- ficial
Title of Deriv- Date (Instr. (Instr.3, ---------------- or Secur- of direct Owner-
Derivative ative (Month/ 8) 4 and 5) Date Expira- Number ity Month (I) ship
Security Secur- Day/ ------ -------- Exer- tion of (Instr. (Instr. (Instr (Instr.
(Instr. 3) ity Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4)
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Director
Stock Option $3.63 10/17/01 A 4,000 11/01 10/11 Class A 4,000 24,000 D
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Explanation of Responses:
/s/ Robert Bruggeworth 12/13/01
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**Signature of Reporting Person 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 procedures.
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