JACOBY, MARTIN
9866 NW 17th Street
Coral Springs, Florida 33071
Environmental Monitoring & Testing Corporation (EVMT)
12/01
(Check all applicable)
[X] Director [_] 10% Owner
[X] Officer (give title below) [X] Other (specify below)
(Treasurer) Partner in a 10% owner
[X] Form Filed by 1 Reporting Person
[ ] Form Filed by More than 1 Reporting Person
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Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
Securities 5.
Transaction or Disposed Securities Owner-
2. Code of (D) Beneficially Ship
Title of Security Date ---------------- -------------------------- End of Month D or I
(Instr. 3) (mm/dd/yy) Code V Amount A/D Price (Instr. 3 and 4) (Inst. 4)
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
(Over)
SEC 1473 (3-99)
Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
Number of Date 7.
2. 4. Derivative Exercisable and Title and Amount of
Conver- Trans- Securities Expiration Date Underlying Securities
1. sion or 3. action Acquired (A) (mm/dd/yy) (Instr. 3 and 4)
Title of Exercise Trans- Code or Disposed of -------------------- --------------------------
Derivative Price of action (Inst. 8) (Instr. 3, 4, 5) Date Expira- Amount or
Security Derivative date ----------- ------------------- Exer- tion Number of
(Instr. 3) Security (m/d/y) Code V (A) (D) cisable Date Title Shares
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Number of Ownership
Derivative Form of 11.
8. Securities Derivative Nature of
Price of Beneficially Security: Indirect
Derivative Owned at End Direct (D) Beneficial
Security of Month of Indirect (I) Ownership
(Instr. 5) (Instr. 4) (Instr. 4) (Instr. 4)
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Explanation of Responses:
* Received by WFD Partnership, of which Mr. Jacoby is a partner, in settlement of litigation against the estate of the prior holder.
** By WFD Partnership, of which Mr. Jacoby is a partner.
January 7, 2002
By: /s/ Martin Jacoby _____________________
Martin Jacoby
**Signature of Reporting Person
** 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.