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FORM 4 OMB APPROVAL
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[ ] Check this box if no OMB Number: 3235-0287
longer subject to Expires: December 31, 2001
Section 16. FORM 4 Estimated average burden
or FORM 5 obligations hours per response.... 0.5
may continue. SEE --------------------------
Instruction 1(b).
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
(Print or Type Responses)
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1. Name and Address of Reporting Person* 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person(s)
Johnson Jack M. TEAM, INC. (TMI) to Issuer (Check all applicable)
--------------------------------------------- ---------------------------------------------- XXX Director 10% Owner
(Last) (First) (Middle) 3. IRS Identification 4. Statement for ---- ---
Number of Reporting Month/Year Officer (give Other (Specify
127 N. MCCARTY Person, if an entity December 2002 ---- title --- below)
--------------------------------------------- (voluntary) ------------------- below)
(Street) 5. If Amendment,
EAGLE LAKE TX 77434 Date of Original Director
--------------------------------------------- -------------------- (Month/Year) --------------------------------
(City) (State) (Zip) 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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TABLE I -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
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1. Title of Security 2. Trans- 3. Transac- 4. Securities Acquired (A) 5. Amount of Se- 6. Owner- 7. Nature
(Instr. 3) action tion or Disposed of (D) curities Benefi- ship of In-
Date Code (Instr. 3, 4 and 5) cially Owned at Form: direct
(Instr. 8) End of Month Direct Benefi-
(Month/ (Instr. 3 and 4) (D) or cial
Day/ ------------------------------------ Indirect Owner-
Year) Code V Amount (A) or Price (I) ship
(D) (Instr. 4) (Instr. 4)
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COMMON STOCK 12/04/02X X 10,000 A $2.125 32,964 D
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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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1. Title of Derivative 2. Conver- 3. Trans- 4. Trans- 5. Number of 6. Date Exer- 7. Title and Amount 8. Price
Security sion or action action Derivative cisable and of Underlying of
(Instr. 3) Exercise Date Code Securities Ac- Expiration Securities Deriv-
Price of (Month/ (Instr. 8) quired (A) or Date (Instr. 3 and 4) ative
Deriv- Day/ Disposed of (D) (Month/Day/ Secur-
ative Year) (Instr. 3, 4, Year) ity
Security and 5) (Instr. 5)
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Date Expira- Amount or
-------------------------- Exer- tion Title Number of
Code V (A) (D) cisable Date Shares
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DIRECTOR STOCK OPTIONS $2.125 12/04/02 X --- 10,000 Var. 12/08/02 COMMON STOCK 10,000
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1. Title of Derivative 9. Number of 10. Ownership 11. Nature of
Security Derivative Form of Indirect
(Instr. 3) Securities Derivative Beneficial
Beneficially Security Ownership
Owned at End Beneficially (Instr. 4)
of Month owned at end of
(Instr. 4) of month. (Instr. 4)
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COMMON STOCK OPTIONS 45,000 D ------
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Explanation of Responses:
/S/ JACK M. JOHNSON 12/06/02
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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.