FORM 4
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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*
COOLEY THOMAS E.
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(Last) (First) (Middle)
5215 Spanish Oak
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(Street)
Houston Texas 77066
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(City) (State) (Zip)
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2. Issuer Name AND Ticker or Trading Symbol
SYNERGY TECHNOLOGIES CORPORATION ("OILS")
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3. I.R.S. Identification Number of Reporting Person, If an entity (Voluntary)
SSN # 459-66-8312
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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(s) to Issuer
(Check all Applicable)
[X] Director [ ] 10% Owner
[X] Officer (Give Title Below) [ ] Other (Specify Below)
Chief Executive Officer
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7. Individual or Joint/Group Reporting (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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5. Amount of 6. Owner-
Securities ship
2. Trans- 3. Trans- 4. Securities Acquired (A) Beneficially Form:
action action or Disposed of (D) Owned at Direct 7. Nature of
Date Code (Instr. 3, 4 and 5) End of (D) or Indirect
1. Title of Security (Month/ (Instr. 8) -------------------------- Month Indirect Beneficial
(Instr. 3) Day/ ---------- Amount (A) or Price (Instr. (I) Ownership
Year) Code V (D) 3 and 4) (Instr. 4) (Instr. 4)
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Common Stock 01/09/02 S 2,500 D $0.80 845,159 D
Common Stock 01/10/02 S 2,000 D $0.78 843,159 D
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TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(E.G. PUTS CALLS WARRANTS OPTIONS CONVERTIBLE SECURITIES)
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1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11.
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Title and Ownership
Number of Date Exer- Amount of Form of
Derivative cisable and Underlying Number of Deriv-
Securities Expiration Securities Price Derivative ative
Conver- Trans- Acquired (A) Date (Month/ (Instr. 3 of Securities Securities
sion or Trans- action or Disposed Day/Year) and 4) Deriv- Benefi- Benefi-
Exercise action Code of (D) -------------- -------------- ative cially cially Nature of
Title of Price of Date (Instr. (Instr. 3, Date Amount Secur- Owned at owned at Indirect
Derivative Deriv- (Month/ 8) 4 and 5) Exer- Expir- or Num- ity End of End of Beneficial
Security ative Day/ -------- ---------- cis- ation ber of (Instr. Month Month Ownership
(Instr. 3) Security Year) Code V (A) (D) able Date Title Shares 5) (Instr. 4) (Instr. 4) (Instr. 4)
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Explanation of Responses:
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.
/s/ Thomas E. Cooley February 28, 2002
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THOMAS E. COOLEY Date
**Signature of Reporting Person