SEC FORM 3 SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
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1. Name and Address of Reporting Person*
Geers William A

(Last) (First) (Middle)
5870 SALEM ROAD

(Street)
CINCINNATI OH 45230

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/08/2004
3. Issuer Name and Ticker or Trading Symbol
LANVISION SYSTEMS INC [ LANV ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
CHIEF OPERATING OFFICER
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock $.01 Par Value 0 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option 09/09/1997 09/08/2006 Common Stock $.01 Par Value 15,000 13.25 D
Stock Option 05/01/1998 04/30/2007 Common Stock $.01 Par Value 15,000 5 D
Stock Option 08/07/1999 08/06/2008 Common Stock $.01 Par Value 7,000 2.875 D
Stock Option 05/25/2000 05/24/2009 Common Stock $.01 Par Value 15,000 1.375 D
Stock Option 04/19/2001 04/18/2010 Common Stock $.01 Par Value 15,000 1.5 D
Stock Option 01/08/2002 01/07/2011 Common Stock $.01 Par Value 5,000 0.53 D
Stock Option 07/31/2004 07/30/2013 Common Stock $.01 Par Value 10,000 1.95 D
Explanation of Responses:
Remarks:
Donald Vick, by power of atty. 12/13/2004
** Signature of Reporting Person Date
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 5 (b)(v).
** 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.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.