U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
FORM 4
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
[_] Check box if no longer subject to Section 16. Form 4 or Form 5 obligations
may continue. See Instruction 1(b).
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1. Name and Address of Reporting Person*
DYNE MARK
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(Last) (First) (Middle)
C/O EUROCAPITAL ADVISORS, LLC., 21900 BURBANK BOULEVARD, SUITE 270
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(Street)
WOODLAND HILLS CA 91367
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
TAG-IT PACIFIC, INC. (AMEX: "TAG")
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3. IRS Identification Number of Reporting Person, if an Entity (Voluntary)
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4. Statement for Month/Year
JANUARY 2002
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5. If Amendment, Date of Original (Month/Year)
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6. Relationship of Reporting Person to Issuer
(Check all applicable)
[X] Director [X] 10% Owner
[_] Officer (give title below) [_] Other (specify below)
CHAIRMAN OF THE BOARD OF DIRECTORS
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7. Individual or Joint/Group Filing (Check applicable line)
[_] Form filed by one Reporting Person
[_] Form filed by more than one Reporting Person
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Table I -- Non-Derivative Securities Acquired, Disposed of,
or Beneficially Owned
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6.
4. 5. Owner-
Securities Acquired (A) or Amount of ship
3. Disposed of (D) Securities Form: 7.
Transaction (Instr. 3, 4 and 5) Beneficially Direct Nature of
2. Code ------------------------------- Owned at End (D) or Indirect
1. Transaction (Instr. 8) (A) of Month Indirect Beneficial
Title of Security Date ------------ Amount or Price (Instr. 3 (I) Ownership
(Instr. 3) (mm/dd/yy) Code V (D) and 4) (Instr.4) (Instr. 4)
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COMMON STOCK, PAR VALUE 1-7-02 P 166,666 A $2.71 628,067 D
$0.001 PER SHARE
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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.
(Print or Type Response) (Over)
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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10.
9. Owner-
Number ship
of Form of
2. Deriv- Deriv-
Conver- 5. 7. ative ative 11.
sion Number of Title and Amount Secur- Secur- Nature
or Derivative 6. of Underlying 8. ities ities of
Exer- 4. Securities Date Securities Price Bene- Benefi- In-
cise 3. Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of ficially cially direct
Price Trans- action or Disposed Expiration Date ---------------- Deriv- Owned Owned Bene-
1. of action Code of(D) (Month/Day/Year) Amount ative at End at End ficial
Title of Deriv- Date (Instr. (Instr. 3, ---------------- or Secur- of of Owner-
Derivative ative (Month/ 8) 4 and 5) Date Expira- Number ity Month Month 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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WARRANTS (1) 1-7-02 P 41,667 1-7-02 1-7-06 COMMON 41,667 $0.20 41,667 D
STOCK
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WARRANTS (2) 1-7-02 P 41,667 1-7-02 1-7-06 COMMON 41,667 $0.09 41,667 D
STOCK
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Explanation of Responses:
(1) The exercise price of these warrants is $4.34 plus an upward adjustment of
25% of the amount, if any, that the market price of the Company's common
stock on the exercise date exceeds $4.34, up to a maximum of $5.25.
(2) The exercise price of these warrants is $4.73 plus an upward adjustment of
25% of the amount, if any, that the market price of the Company's common
stock on the exercise date exceeds $4.73, up to a maximum of $5.25.
/S/ MARK DYNE 2/8/02
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**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 4(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 provided is insufficient, see Instruction 6 for procedure.
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